Page 19 - PlanWorld_2021

Planmeca all-in-one solution

Clinical case report 1 2 Fig. 1. & 2. The patient’s
Treatment possibilities were discussed 4 lower teeth before the
with the patient. As the patient was 3 treatment.
already old enough for an implantation,
it was decided to place an implant to Fig. 4. A 3D image of the Fig. 3. A panoramic X-ray
replace the mandibular second premolar region was captured with image captured with a
to prevent further damages the missing a Planmeca Viso® G7 Planmeca ProMax® 2D
tooth might cause for her dentition. X-ray unit. X-ray unit showed the
Should the patient later lose her other missing permanent teeth.
persistent primary second molar, the 5
treatment would have to be repeated for Fig. 5. The implant
the other side as well. planning was carried out
in Planmeca Romexis®.
For the implant treatment planning,
a CBCT image was first captured using a 19
Planmeca Viso® G7 X-ray unit and the
teeth were scanned with a Planmeca
Emerald™ intraoral scanner.

The CBCT image and the intraoral
scan were combined in the Planmeca
Romexis® software for the treatment
planning. The implant planning was
carried out in the Romexis® 3D Implant
module, which includes an implant
library with implant models from over
100 manufacturers. A CONELOG® SCREW-
LINE implant by CAMLOG® with a 4.3 mm
diameter and 9.0 mm length was chosen
for the patient, and its placement was
then carefully planned with the software’s
implant-centric viewing mode.

To achieve the planned implant
position, Dr Lindroos decided to use a
surgical guide for the implant placement.
According to Lindroos, he prefers guided
surgery in most of his implant cases to
ensure the implant is placed in an optimal
position and because it reduces operation
time as well as the patient’s recovery time.

For this treatment, the guide was
designed with the Romexis® 3D Implant
Guide module. The guide was then 3D
printed by the Planmeca ProModel™
service, which offers patient-specific
implants and surgical guides as a service
for demanding surgical procedures and
treatment planning.

After the implant was placed using
the surgical guide, a temporary healing
abutment was placed on the implant
site to help gum tissue heal before the
restoration could be planted.