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Video Details
The Bone Reduction Template Used for Simultaneous Implant Placement and Immediate Restoration

Description:
The novel concept pioneered by Dr. Ganz harnesses the full power of CT Scan technology and interactive treatment planning software to first fabricate a template to sufficiently reduce a knife-edge ridge to receive a secondary bone-borne template for accurate implant implant placement followed by immediate restoration, all in one visit.

Date Added:
12/28/2013

Author(s):

Scott D. Ganz, DMD Scott D. Ganz, DMD
Dr. Scott D. Ganz graduated from the University of Medicine and Dentistry – New Jersey Dental School. He completed a three-year specialty program in Maxillofacial P...
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Online Videos / Surgery / Bone Grafting / The Bone Reduction Template Used for Simultaneous Implant Placement and Immediate Restoration




Questions & Comments
Barry Weiss - (4/11/2015 10:04 AM)

Scott: great presentation. are these still available through materalise? ad is that 1970's wood paneling behind you?

Barry Weiss - (4/11/2015 8:31 AM)

Filipe: ridge reduction is based on the point where a table top level can be achieved. the rest has to be made up with prosthetic

filipe lopes - (1/5/2014 10:14 AM)

On the final restoration we can see that there is a great amount of artificial gingiva. In this particular case don't you think the bone reduction could have bee much less than the one it was performed? In terms of attached gingiva, in the anterior region, a less agressive reduction wouldn't provide for a better soft tissue environment for the implants and perhaps a more biological prosthodontic restoration without the need for such a great amount of artificial gum on the restoration? It was not clear what are exactly the criteria for you to decide the amount of bone to be reduced. It would be handy to see how the provisionals were planned, even before virtually placing the implants, to have the "provisionals based guide" (if we can call it that way) imaging on the 3D virtual images you've shown, so as to then decide how much bone is gonna be reduced and where the implants are gonna be placed. Thx for sharing. Filipe Lopes.

Maurice Salama - (1/4/2014 10:29 AM)

Kevin; Materialise sells them and they cost roughly $300.

kevin potocsky - (1/3/2014 9:02 PM)

Where do you get the stereolithic models and how much are they?

Scott Ganz - (1/31/2012 2:05 PM)

Dear Anoosh - Great question! If there is an abundance of soft tissue to work with, and the denture is removed for modification and polish, you are correct that the tissue will collapse. You have two choices: (1) use screw-receiving abutments that extend above the tissue, or (2) when you remove the denture, immediately place healing collars to keep the tissue from collapsing, until the denture is ready to be re-inserted. Great question. Thanks!

Scott Ganz - (1/31/2012 2:02 PM)

Hi George... Thanks for the comments. The bone reduction template requires additional software for its fabrication, and as I do not use Nobel Clinician in its latest version. SimPlant offers three different types of templates for implants - (1) bone borne, (2) tooth borne, and (3) soft tissue borne. In order to facilitate placement of implants into a newly reduced ridge, the software must be able to produce a bone borne template. I do not know if such a template can be fabricated with Nobel or any other software.

George Duello - (1/30/2012 8:25 PM)

Scott, Very nice presentation. I know you are an expert on Simplant/Materialize technology. Do you have a protocol for NobelProcera/NobelGuide technology for which I use in my practice and lectures? George Duello

anoosh afifi - (1/27/2012 3:44 PM)

Once the modified lower denture is seated over the implant abutments and acrylic is set and the restoration is unscrewed for the lab phase, how difficult is it to replace the restoration back onto the implants. Would the sutured mobile tissue over the top of implants not interfere with the seating of the abutments?

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