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CAD/CAM – international magazine of digital dentistry No. 4, 2017

| opinion digital workflow Fig. 20 Fig. 21 fully milled zirconia structure. Please follow the images illustrating this case. To sum up, I feel that digital technologies will help and assist younger generations of dentists achieve incredible results, because these treat- ment sequences can be planned by teams in other parts of the world, and mitigate responsibilities by insuring that the quality of the treatment plan is perfect. However, I guess that the greatest mes- sage that all dentists should take home is that, even though self-driving cars are coming, you will still have to know how to drive. By this, I mean that you still have to understand how to practise gold standard classical dentistry; even though robotics and digital dentistry can really speed things up, you still have to know what you are doing. I believe that the future in dentistry is bright and fun, and I am really excited for the things to come._ Fig. 22 Figs. 20 & 21: Occlusion adjustments with T-scan. Fig. 22: Patient’s smile at the end of the treatment. I the most, was of a young 27-year-old patient, who we treated free of charge. She had lost everything in her life: her husband, her home, her job, and now she was about to lose her child. The reason was because she could not get work due to the total destruction of her smile. We got in touch with MegaGen, Carestream, and VOCO, and a few other companies that came to- gether and helped us deliver what I believe to be digital magic in dentistry. about With the CBCT, my team shared the DICOM files with the team in Korea and Romania, who man- ufactured the R2 Gate fully guided surgical tem- plate and pre-milled PMMA prosthetic structure from molar to molar, using a smile design plat- form. And since it was fully digital, pre-milled customised zirconia abutments were placed on the day of the surgery and screwed down to sup- port the PMMA structure. This took a few weeks, and we received this through the mail. Once we had the material needed, surgery went very smoothly, and on the same day we placed all the implants. Some of them were placed using the latest root membrane technique, and we deliv- ered the PMMA. The whole procedure took two hours, changing this patient’s life dramatically forever. In the following weeks and months, we took intraoral scans and started designing the 56 CAD/CAM 4 2017 Dr Miguel Stanley was born in Durban, South Africa, to a British mother and a Portu- guese father. He studied to become a Doctor of Dental Surgery and has several post- graduate degrees in the field of cosmetic dentistry and implant surgery. He built an impressive practice and became one of the most reputed dentists in the country. He lectures all over the world on his work, and this is one of his great passions. In order to help pay for his education he was a model with Elite Model Look. Having done his first TV commercial at the age of 15, he went on to do over 60 TV commercials. This close understanding of the TV industry helped him create over six TV shows as the author, executive producer and host, all in the area of medical makeover shows.

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