Almost one year ago, on December 6, 2016, the experienced implantologist and long-time CEREC user, Dr. Gerhard Werling, placed two implants in a patient's mouth using a SICAT OPTIGUIDE surgical guide in his practice in Bellheim, Germany. The viewers of the live stream provided by Dentsply Sirona were able to experience the process directly and also enjoy the live commentary given by dentist Dr. Frank Zastrow from Wiesloch, Germany. Many visitors tuned in to watch the live stream. Today, well over 30,000 additional viewers on Facebook have been registered, as well as more than 2,500 views on YouTube (the video can be found on the Dentsply Sirona YouTube channel via https://youtu.be/ovzTEAq8dmo).
The live surgery clearly showed the logical correlations of the integrated implantology workflow as a whole. Now a compilation of the complete patient case, from the initial situation to the final restoration, can be downloaded free of charge. The special feature was that Dr. Werling and his team used all integrated products from Dentsply Sirona during the treatment process – from imaging to the diagnosis, from treatment planning and implant surgery to selecting the abutment, prosthetic solutions and the recall.
Three sessions for a successful restoration
The implant was planned in the first session based on a CBCT scan from the Orthophos SL 3D x-ray unit. The digital impression of the intraoral situation was taken with the CEREC Omnicam and the CEREC AC imaging unit, which was used to create the prosthetic design proposal. This CAD/CAM data was then superimposed in the Galileos Implant planning software with the 3D x-ray data in order to virtually align the surgical and prosthetic plan. This data was used as the basis for creating the SICAT OPTIGUIDE surgical guide.
In the second session, Dr. Werling placed the XiVE implants based on the OPTIGUIDE surgical guide. After placing the implants, he immediately used the SiroLaser Blue as a biostimulant, as the blue laser light guarantees fast coagulation, reduces the number of germs and bacteria and ensures better healing of wounds and less postoperative pain. The next working steps, such as checking the implant position using intraoral x-rays or cleaning and sterilizing the instruments were also carried out in the integrated workflow. The third session involved placing the final prosthetic restoration after a suitable healing time and rechecking the implant position and healing with an digital intraoral image through Xios XG Supreme sensors. The final prosthesis was created in the same session with two screw-retained crowns.
The dentist, who has been in implantology for more than 25 years, cannot imaging working without this process today: "This method represents the state of the art and I personally would only undergo treatment in this way. The benefit, the time saved and the absolute process reliability of the individual components ensure a relaxed workflow. The feelings of apprehension that we often felt when performing surgery and that every implantologist must know are a thing of the past for us. For me, the digital workflow with its individual components that work as smoothly as the cogs in a Swiss watch offers, in its entirety, innovation, precision and a new ease and reliability of work on a daily basis: This enables me to enjoy work each day and also ensures satisfied patients. Patients are guaranteed to be impressed, not least because of the modern technology and therefore have more trust in us as dentists."
The patient could walk out the practice after just three sessions with a secure and esthetic restoration. "I would never have thought that implantation could be so easy," summarized Nadine Schaefer. "No gagging while the impression was being taken and almost no pain after. I felt like I was in good hands the whole time. And I knew what to expect thanks to the planning images from Dr. Werling. I wouldn't think twice about choosing this procedure again."
The video of the whole treatment can be found on the Dentsply Sirona YouTube channel via https://youtu.be/brWyqw-Cqmo.
