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    Step-by-step: Providing immediate esthetics for implant cases

    A technique for immediate implant placement after extraction followed by immediate temporarization


    Implant alignment in the CBCT scan.

    Fig. 1 Implant alignment in the CBCT scan.

    As technology has improved in clinical dentistry, it has also made significant strides on the manufacturing and laboratory side. Clinically, we have technological innovations in radiography with digital X-rays and cone beam computerized tomography (CBCT). On the laboratory side, we have seen a vast improvement in scanning and computer-assisted design and computer-assisted manufacturing (CAD/CAM). Advances in 3D printing and milling—with mills that are able to operate in five axes—have allowed the lab to improve its manufacturing practices. At Albensi Laboratories, we have achieved an almost complete digital workflow.

    Step-by-step: How going digital opens up new business opportunities

    The process for the design of a fully guided surgical appliance begins with the clinician taking both a CBCT scan and impression or intraoral scan of the patient. This information is then sent via the internet to Albensi Dental Lab where the treatment planning phase of the restorative procedure begins using the Blue Sky Bio software. If a traditional impression is sent with the case, it is poured up in stone and then scanned using a 3Shape D-series cabinet scanner. For those practitioners using intraoral scanners, the scan data can be merged directly with the CBCT upon receipt, eliminating two production days from the case (in the form of shipping and stone model creation).

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