Showing posts with label Treatment Planning. Show all posts
Showing posts with label Treatment Planning. Show all posts

Monday, February 15, 2010

Available Internationally - FREE Treatment Planning Software

Just received this email communique from Blue Sky Bio. It seems that Blue Sky plan is now FREE internationally. That's good news for us all. I wrote to Michael Saltzman at Blue Sky Bio and he has confirmed that my understanding is correct. So go and download and use.

-

Blue Sky Bio - Compatibility, Innovation, Value

FREE Treatment Software is now available INTERNATIONALLY

Now Available in Spanish, French, Italian and Portuguese
(choose the desired language from the drop down menu when the installation begins)

DOWNLOAD NOW!


*prices in the USA. See www.blueskybio.com for prices in your country.
**Software not available in South America


BlueSkyBio.com






--
Dr.C.P.Mathai MDS
Oral Surgery, Dental Implants, Oral Reconstruction.
Restoring Smiles! Building Confidence!
http://www.implantsutra.com

Friday, September 25, 2009

Callipers !


A common query in our courses is about the different kinds of measuring tools used to make measurements of distances on bone during implant surgery as well as in the planning stage. With the advent of CT Scans and Interactive planning software and the availability of computer generated surgical guides the need for such "archaic" measuring tools will probably see a fall ! But I don't foresee the demise of the scale or calliper anytime soon.


The digital calliper is the tool we use in preoperative planning to measure distances on the cast and on OPG's. It's easily available at most good hardware stores or high end stationary stores.


The Castroviejo Callipers featured alongside come in a short and long design as well as in a choice of straight and curved tips. They are very useful in measuring off distances in the mouth (the long ones are better) and I generally have both a curved and straight one available. I bought mine from A.K. Surgical here in Mumbai for a few hundred rupees each.








Featured alongside are ridge measuring callipers.
These sturdy stainless steel callipers come with sharp needle tips that can penetrate soft tissue to measure the actual width/thickness of bone. useful for bone mapping. Their large size makes them a bit unwieldy and it can be a bit difficult to read of the finely etched millimeter scale but they are a useful addition to the surgical armamentarium. The tips are replaceable if damaged. Expensive. Get them from Salvin or from Novodental in Mumbai.




This Boley's gauge can be used both on casts and intraorally since it is autoclavable. It is used in a fashion similar to the digital vernier above. Available from most dental and dental lab supply companies.

Implant placement in edentulous mandible with immediate loading - Provisional Acrylic Fixed Hybrid Conversion Prosthesis


A case I did recently. The lower denture was prepared preoperatively and then converted into an all acrylic fixed hybrid prosthesis. Therefore the name "conversion prosthesis". The ridge was literally knife-edge as can be seen from the image alongside. Follow along on the images below. The images are more or less self explanatory.

  • The edentulous ridge







  • A knife edge ridge. CT Scan








  • The knife edge ridge exposed.







  • The ridge levelled, four implants placed. Note the transosseous fixation of the flap to prevent the excessive redundant tissue left after ridge levelling from riding up and covering the healing abutments. This loose tissue can be quite a nuisance when fabricating the immediate prosthesis as well during later healing.


  • Healing abutments in place and flap repositioned and sutured.








  • the denture hollowed out









  • The hollowed out denture loaded with bite registration material









The tissue surface of the hollowed out denture relined with rigid bite registration material at the correct VDO












The denture slotted in the position of the two distal most cylinders





















A piece of rubber dam placed to prevent the acrylic getting entangled with the sutures. The two distal cylinders in place.














The distal two cylinders are picked up in cold cure acrylic. The denture is stabilised by the rigid bite registration material and the posterior untouched denture base.















  • All four cylinders picked up in acrylic. Note the shortened dental arch (premolar to premolar no cantilevers)













  • the final conversion prosthesis with screw holes sealed with Fermit












  • The completed provisional restoration

Sunday, August 16, 2009

Dynamic CBCT Imaging

Dynamic CBCT Imaging: "

Dr. Doug Chenin the Director of Clinical Affiars for Anatomage has announced Dynamic CBCT. According to Dr Chenin “Dynamic CBCT features allow you to create dynamic treatment simulations to be used for patient education, increasing case acceptance, and for making the most cutting edge professional presentations or CE material.” Here is an example of a surgery simulation:


3d-surgery-sim


Share/Save/Bookmark"

Tuesday, August 11, 2009

Lingual Foramen




Vascular channels are often found in the midline and lateral to the midline of the mandible. Although the lingual foramen was found in 99% of dissections it was seen in less than 49% of peripaical films . Here is patient I saw recently.One can see the lingual foramen clearly on the CT slice, as well as the periapical film and also if you look carefully at the OPG.
The lingual foramen harbors an artery that is an anastomosis of right and left sublingual arteries. This tiny vessel (0.4 to 1.5mm) has been implicated in serious hemorrhage and rarely fatalities. one should be aware of the presence of this vessel and avoid it when possible.
For the periapical and the opg image click on the title of this post

Friday, July 31, 2009

Advanced Clinical Treatment Planning for Computer Guided Surgery

Upcoming Webinar: Treatment Planning Full Arch Angled Cases for Computer Guided Surgery
Presented by: Sheldon Lerner, DMD
Course Date: Monday, August 3, 2009
Course Time: 7:00pm - 8:00pm Central time
CE Credit: 1 Hour
Tuition: No charge

Register for the 7:00 PM CDT webinar

Dr. Sheldon Lerner, will present surgical techniques to simplify and treatment plan full arch implant cases -

followed by Blue Sky Bio implant system advantages.

Download free treatment planning software