• 3D implant planning
    Modern technology for safe and precise dental implants

    3D implant planning

3D implant planning

Modern technology for safe and precise dental implants

Situation before Implantation - 3D Implant Planning Berlin Mitte - Navigated Implantology Dr. med. Sven Heinrich

X-ray after tooth extraction - Implantology Dr. med. Sven Heinrich - Berlin Mitte

In addition to conventional methods, more and more modern procedures such as navigated implantology are being used in implantology.

Our method enables dental implants to be inserted accurately, safely and gently into the jaw. In our practice for oral and maxillofacial surgery in Berlin Mitte we work with navigated implantology in order to achieve optimal results for our patients.

Simulation and planning of the procedure

First, an image of the jaw is taken. For this we use state-of-the-art Digital Volume Tomography (DVT). After which, a computer-generated three-dimensional image of the patient’s anatomical jaw and tooth conditions is created.

This allows the surgeon to obtain important information about the existing individual conditions prior to the procedure, and to simulate and plan the insertion of the implant precisely. The 3D images provide information on the shape and density of the jawbone, the position of nerves and maxillary sinuses and thus facilitate the planning of the procedure. This makes it possible, for example, to determine in advance whether additional bone augmentation is necessary or whether the jawbone is sufficient for implantation.

DVT image five months after tooth extraction. The DICOM data is loaded into the planning software, and the occlusion level and the bone supply are evaluated.

DVT image five months after tooth extraction. The DICOM data is loaded into the planning software, and the occlusion level and the bone supply are evaluated.

Lateral view during the initial assessment of the situation. In the

Lateral view during the initial assessment of the situation. In the "rough planning" of the initial situation, the success prognosis of an implant-prosthetic therapy is evaluated.

Diagnostic wax-up for the ideal prosthetic situation.

Diagnostic wax-up for the ideal prosthetic situation.

After digitising the wax-up (STL), the data (DICOM and STL) are superimposed and the implant position is planned according to prosthetic criteria.

After digitising the wax-up (STL), the data (DICOM and STL) are superimposed and the implant position is planned according to prosthetic criteria.

The occlusal view of the planning with wax-up.

The occlusal view of the planning with wax-up.

Presentation of the DICOM data (DVT); lateral view. The wax-up is displayed and the anatomical parameters are included in the planning.

Presentation of the DICOM data (DVT); lateral view. The wax-up is displayed and the anatomical parameters are included in the planning.

Lateral view. The wax-up or model data is hidden.

Lateral view. The wax-up or model data is hidden.

Lateral view. The model data is displayed. The wax-up serves as orientation for the sagittal inclination of the implant. Fig.

Lateral view. The model data is displayed. The wax-up serves as orientation for the sagittal inclination of the implant. Fig.

View of buccal. Planning the axial inclination of the implant.

View of buccal. Planning the axial inclination of the implant.

By superimposing the model data (STL), the soft tissue situation can be displayed if desired.

By superimposing the model data (STL), the soft tissue situation can be displayed if desired.

Creation of the splint design after planning the ideal implant position.

Creation of the splint design after planning the ideal implant position.

Creation of the splint design after planning the ideal implant position.

Creation of the splint design after planning the ideal implant position.

The virtual splint design is released for fabrication.

The virtual splint design is released for fabrication.

The finished splint on the model.

The finished splint on the model.

The skeletal splint sits firmly and securely on the model.

The skeletal splint sits firmly and securely on the model.

Preassembled abutment (Straumann, VITA Cad Temp) for temporary crowns.

Preassembled abutment (Straumann, VITA Cad Temp) for temporary crowns.

Preassembled abutment (Straumann, VITA Cad Temp) for temporary crowns.

Preassembled abutment (Straumann, VITA Cad Temp) for temporary crowns.

The long-term temporary implant was in accordance with the wax-up specifications. 14 weeks after insertion of the implant, the temporary was screwed into the mouth.

The long-term temporary implant was in accordance with the wax-up specifications. 14 weeks after insertion of the implant, the temporary was screwed into the mouth.

The long-term temporary was in accordance with the wax-up specifications. 14 weeks after insertion of the implant, the temporary was screw-retained in the mouth.

The long-term temporary was in accordance with the wax-up specifications. 14 weeks after insertion of the implant, the temporary was screw-retained in the mouth.

Situation immediately after placement of the long-term temporary.

Situation immediately after placement of the long-term temporary.

What is navigated implantology?

The optimal implant position is determined on the basis of 3D planning. The 3D data is also used for the fabrication of an implant template using CAD/CAM procedures.

This template navigates the procedure in the patient’s mouth during surgery, which is why it is referred to as “navigated implantation”. When the implant is inserted into the jaw, the implantation template serves as a guide for the drill, navigates the procedure and determines the exact position of the implant, the drilling depth and the drilling angle for the procedure.

On the right you can see: SMOP’s planning surface with the finished planned case and constructed drilling template.

 

Planungsoberfläche von smop mit fertig geplantem Fall und konstruierter Bohrschablone - 3D-Implantatplanung Dr. med. Sven Heinrich Berlin Mitte

What are the advantages of navigated implantology?

Navigated Implantology - Dr. med. Sven Heinrich Berlin Mitte

Implant template - Dr. med. Sven Heinrich Berlin Mitte

Navigated implantology has the following advantages:

  • More precise assessment and planning via 3D simulation
  • Exact planning of complex implant cases (so-called backward planning)
  • The implant is precisely positioned with the aid of a computer and thus leads to an esthetically high-quality result
  • Safe protection of sensitive structures (e.g. nerve tracts, blood vessels)
  • Best possible use of the jawbone
  • Gentle procedure thanks to minimally invasive surgery, which promotes faster wound healing
  • Shortened operating and treatment time

What can you expect from the treatment?

Before the procedure, we will discuss with you how the new tooth should be shaped and take your wishes into account. In this context, we will determine the optimal shape and colour of your dental implant. Our dental technician will make a model (wax-up) based on the mutually agreed specifications, which you can examine before the procedure. We use a copy of the model as a scanning template. The scan template is required for a three-dimensional X-ray image (DVT = digital volume tomography). You carry the scanning template in your mouth during the DVT scan. On the DVT images, the new tooth can already be recognised in its position. The DVT image now forms the basis for planning the procedure on the computer and producing an implantation template. In the next step, the implant is inserted and navigated.

Implantate einsetzen - Implantologie Dr. med. Sven Heinrich Berlin Mitte

Inserting implants – this is how the treatment works

The model and three-dimensional X-ray image were taken, the procedure is planned on the computer and the implantation template is made. Now the implant can be inserted and navigated with the help of the implantation template. The implantation template serves as a guide or drilling template, which makes exact positioning of the implant possible.

The implant must then heal into the jawbone and gums. Your doctor will provide you with a temporary solution for the duration of the healing process. Once healing is complete, the crown desired by the patient is placed.

Dr. med. Sven Heinrich

Specialist practice for oral and maxillofacial surgery

Do you have any further questions or would you like advice on navigated implantology?

Talk to us, in our practice for oral and maxillofacial surgery we will gladly take care of your carefree smile.

Situation nach dem Einsetzen des Zahnimplantats - Dr. med. Sven Heinrich Berlin Mitte

Dr. med. Sven Heinrich

Specialist for oral and maxillofacial surgery
plastic and aesthetic operations
– Focus of activities: implantology –

Address:
Friedrichstraße 63
(Entrance Mohrenstraße 17)
10117 Berlin

Opening hours

Mo. to Thu.:
08:00 – 18:00 o’clock
Friday by arrangement

Contact us
Phone: +49 (0) 30 / 84 52 48 88
Email: post@dr-heinrich.berlin
Appointment: arrange here

Dr. med. Sven Heinrich Berlin
Friedrichstraße 63
(Entrance Mohrenstraße 17)
10117 Berlin
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