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implants _ international magazine of oral implantology No. 4, 2017

| industry Digital workflow: From planning to restoration Authors: Jan Kielhorn, Siegfried Hoelzer & Björn Roland, Germany High-quality treatment results that are individual to each patient can be drawn up for the edentulous jaw in the combination of innovative procedures for implant surgery and reasoned prosthetic concepts. In this article, the authors describe the digital workflow for the tried-and-tested immediate restoration con- cept SKY fast & fixed and discuss the possibilities of transverse screwing, amongst others. Introduction Digital technologies help simplify the process in- volved in implantology and often accelerate the process, whilst at the same time offering a high level of accuracy. High-precision results can be achieved in an efficient manner by combining the digital pro- duction of the superstructure. In addition to digital know-how, proven fundamentals are promising factors. This includes patient compliance, a sound dental and dental technical knowledge, surgical and manual skills, the perfect materials and products and close consultation within the treatment team. On the basis of this, modern computer-guided pro- cedures offer an optimum basis for re-interpreting tried-and-tested implant prosthetic concepts such as the SKY fast & fixed (bredent medical). This article shows the digital workflow using a patient case as an example. Fig. 1: Transverse screwing: the thread for the bolt screw is located in the bridge framework. The bolt screw (A) and the cylindrical surfaces (B and C) form a unit. The prosthetic coping is fixed as a three-point fixation using the bolt screw and the short cylindrical surfaces. Due to the short cylindrical surfaces, the coping locks itself once attached. Figs. 2 & 3: Initial situation: conventional X-ray measurement (two-dimensional) and situation model. Fig. 1 Fig. 2 Fig. 3 32 implants 4 2017

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