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Video Details
Reverse Engineering and Optical Scan Technology in Implant Dentistry

Description:
In this clinical video, tooth replacement of maxillary canine is performed utilizing CBCT technology for pre-assessment of the osseous ridge form followed by incisionless transmucosal implant placement with a Ritter Implant. This allows us to Optically Scan with a 3 Shape unit the stable Soft tissue form, occlusion and implant position using a scan body on the Ritter Spiral Implant System prior to any surgical incision is initiated. This information is sent off to the lab for final abutment milling and provisionalization at 3 days. Surgical entry and bone regeneration utilizing PRGF is performed last to allow for tissue shaping with the provisional restoration.

Date Added:
8/22/2014

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
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Questions & Comments
Aakash Arora - (2/11/2018 8:53 PM)

Sir, you have used metal currete to remove the granulation tissue and there is contact of the metal currete with the bone. Most of the implant companies recommend that plastic currete should be used for curretage. Any comment on that?

Nena Medak - (11/19/2017 1:41 PM)

Great approach! When post extraction socket is filled with PRGF you don't need to wait three months for bone healing and soft tissue healing is great. I didn't see in video what kind of regeneration was done after extraction.

Maurice Salama - (5/20/2017 10:58 AM)

Thanks Mohammed, Vijayanand, Dhruv and Ashutosh. I appreciate the kind remarks. We are pushing forward to provide efficiency and predictable treatment results to all our patients. Thanks again Dr. Salama

Mohamemd Alenezy - (5/20/2017 1:49 AM)

thanks a lot

Vijayanand K r - (2/22/2017 8:53 AM)

Superb skill

dhruv mehta - (2/21/2017 1:36 PM)

Great presentation ..

Ashutosh Agarwal - (1/3/2017 9:27 AM)

Excellent concept, thinking and observations.. granulation tissue is not at all a issue...

Maurice Salama - (9/29/2015 11:03 AM)

Felipe; I can understand your uneasiness towards this approach....we heard the same when we started to immediately load implants 30 years ago. Remember, the implant was placed into a healed ridge 3 months after extraction of an over retained deciduous tooth. Granulation tissue is not necessarily granulomatous or infected tissue and can contain early healing tissues and provide for osteoid formation. regards Dr. Salama

Felipe Cáceres - (9/28/2015 10:29 PM)

Totally agree with Enrique Reinprecht. You install the implant in a ridge with a bone defect with lots of granulation tissue. Too complex for an easy case

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