Implant Concierge™ Immediate Extract / Immediate Place Case Study: Camlog™ Guided Implant System with a Surgery-Ready Provisional

Dr Jaih Jackson

 

Implant Concierge™ surgery-ready provisional along with the CAD/CAM surgical guide was amazing! My surgery was predictable and it allowed me to extract the tooth, deliver the implant and screw-retained provisional restoration faster than I ever imagined. Implant Concierge™ service and expertise is a practice builder!   –Dr. Jaih C. Jackson DDS, PA

 

Patient Profile- 43 year old female with no significant medical history

Synopsis- Female patient with esthetic concerns and desiring to walk out of the office with a tooth, and not a flipper. Patient previously had ortho treatment and presented with teeth #7 and #8 but were periodontally involved and had significant bone loss. CBCT was taken and PVS impressions were sent to Implant Concierge™. CBCT analysis revealed inadequate bone volume to place implant in site #7, on the other hand, tooth #8 had a better long-term prognosis for an implant placement. Plans include a cantilever for tooth #7.

 

CODX_image

 

After the CBCT scan was acquired, the PVS impression was digitized and converted to a .stl file by Implant Concierge™ using a 3Shape D700 optical scanner. The digital model was registered to the CBCT DICOM creating a multi-layered file (DICOM + .stl) allowing for accurate soft tissue and hard tissue representation.  A 13mm by 3.8mm Camlog™ Screw-Line™ implant was precisely positioned in site #8 during an online virtual surgery hosted by an Implant Concierge™ 3D Case Coordinator Kathryn Correa and Dr. Jackson.

 

For Implant Concierge™ Immediate Extract / Immediate Place Workflow and other workflows, please visit our support page at www.implantconcierge.com/support .

 

The image below is of the digitized diagnostic model that was shipped to Implant Concierge™. The .stl file that was created was then registered to the CBCT DICOM, thus aiding in the placement of the ideal restorative position using the hard and soft tissue.

model

Implant Concierge™ Camlog™ Compatible CAD/CAM surgical guide and surgery-ready single unit provisional.

guide and prov

Implant Concierge™ surgical guide provided an extremely stable and easy to use surgical guide that was compatible with Dr. Jackson’s Camlog™ implant instrumentation.

guide pic

After the osteotomy was predictably and efficiently prepared, Dr. Jackson delivered the Camlog™ implant through the surgical guide.  Dr. Jackson’s Camlog Screw-Line™ implant provided a fully guided option which provides the utmost accuracy.

implant pic

Dr. Jackson then placed bone graft after implant placement into the fresh extraction socket.

bone graft

After minor adjustments to perfect the emergence profile and contacts to support the soft tissue, a Camlog™ compatible provisional restoration was delivered at the time of surgery.

pt pic

At the completion of the surgery, Dr. Jackson takes the final post OP x-ray of the implant and the provisional (The picture on the left is the implant virtually placed during Dr. Jackson’s online meeting).

Virutal_implant_&_post_op_

Implant Concierge™ is now offering implant specific single unit provisionals! Below is a list of current implant manufacturers that Implant Concierge™ is compatible with. If you do not see your preferred implant company on this list, please contact us at 866-977-2228 for more information.

Compatible Guided Implant Systems

 

Implant Concierge™ would like to thank Dr. Jaih Jackson with American Family Dental in Bradenton, Florida for allowing us to share this case! Please visit his website at http://www.americanfamilydental.com/

 

IE_IP_Workflow

 

 

*Additional charges may apply to specific implant brands due to Ti-base compatibility options.

Camlog™ and Screw-Line™ are trademarks of the Camlog Implant System.

Implant Concierge™ Alternative Dual Scan Protocol

Only used for the Sirona Galileos CBCT Unit

sirona machine

Galileos CT Scanner by Sirona

 

There are many different scan protocols being used throughout the industry today, which adds a level of confusion and complexity to guided surgery cases. In an effort to simplify and minimize confusion and mistakes, Implant Concierge™ will automatically generate a patient specific “scan protocol” that will provide instructions to ensure the most efficient digital workflow is followed.

For a fully edentulous case and if using a Sirona CBCT unit, the most predictable results occur by following an alternative process to our standard, Dual Scan Protocol.  Due to internal DICOM settings within the Sirona Galileos CBCT unit, this “Alternate Dual Scan Protocol” is recommended.  Once again, the “Alternate Dual Scan Protocol” only needs to be followed if you are using the Sirona CBCT unit for fully edentulous cases.

 

Step 1: Duplicate the patient’s well‐fitting denture with clear acrylic

a. NO radiopaque additives such as barium sulfate or Biocryl-X                 

suremark

Implant Concierge™ sells Suremark Markers in a box of 110 for $40

Step 2:  Attach six to eight 1.0mm X‐ray stickers (1.0mm Suremark stickers )

a. Place 3-4 X-ray stickers on buccal and 3-4 on the lingual at varying axial planes

Step 3: Take a CBCT scan of patient wearing denture WITH X-ray markers

a. Do NOT remove or change X-ray markers from original positions

Step 4: Compress and upload CBCT DICOM file to Implant Concierge™

Step 5: Ship the duplicated denture with X-ray markers to Implant Concierge™

a. Ensure denture is bilaterally stabilized during CBCT scan

 

pic 2

Clear acrylic denture with Suremark markers

 

Once Implant Concierge™ receives the duplicated denture with X-ray markers, Implant Concierge™ will scan the denture and merge the file with the Sirona DICOM file previously uploaded. Using this protocol, Implant Concierge™ will create and present the ideal restorative based treatment plan to you via a short web-based virtual surgery allowing you to make final changes. After your approval, Implant Concierge™ will design, print and ship the CAD/CAM surgical guide to you within a few business days. Choose from soft-tissue or bone-borne guides. If you are interested in the standard Dual Scan Protocol, click here. To learn more about this and other protocols, call us at 866-977-2228 or to start your surgical guide case, visit www.implantconcierge.com

 

 

 

Implant Concierge Expands Surgical Guide Compatibility Options

September 2015, Implant Concierge™, of San Antonio, TX, is excited to announce that we have added three new guided surgical compatibility options.  Hiossen, MIS and Bicon Guided Surgical Kits are now compatible with Implant Concierge’s CAD/CAM surgical guides.  To see a complete list of all compatibility options, please refer to the bottom of this release.

“It is our goal to provide Implant Concierge CAD/CAM surgical guides for all implant manufacturers that have a proprietary guided kit.  If a dentist is using a guided kit that we are not compatible with, we want to know immediately so we can become compatible!  It is our desire to provide extremely accurate surgical guides at industry leading CUSTOMER SERVICE levels.  We want to make the guided surgical experience easy, efficient and affordable for ALL doctors, no matter what implant brand or guided surgical kit.  In addition, if you do not own a guided kit, we can provide customized options for you as well.”

Launched in May of 2014, after managing twelve CBCT imaging centers for over nine years, Implant Concierge is already one of the world’s leading CAD/CAM surgical guide providers.  Implant Concierge is quickly outpacing all competitors because our vision is very clear.  We are not focused on profit, selling software or up-selling services, but instead we focus on providing exactly what is necessary for each case and ensuring that the case moves swiftly to completion with extreme quality control.  Our service, people and web-site that offers the proprietary Virtual Treatment Plan Coordinator that synchronizes all levels of the implant team, allows us to provide an amazing customer service experience.  “We know that if we offer a great customer service experience, we will become number one in this niche industry”, added Bret Royal.

FE with anchor pins

Implant Concierge™ is a free, web-based proprietary software that enables any dentist who places implants to utilize the known advantages of guided surgery immediately without purchasing expensive software, going through time consuming weekend training courses or spending hours after or during work trying to coordinate and plan their next guided implant case.

 

BH_Surgical_Guide

Implant Concierge™ automatically communicates through our HIPAA compliant portal with all of your implant team by synchronizing all steps seamlessly and efficiently for you.  We work hard to synchronize your case so you can keep your hands in the mouth and not on a mouse!

Implant Concierge™ is also compatible with the following implant manufacturer guided kits:

 

biohoidlksjdfalkd biomet  bicon    

camlog

hiossen

implant direct

in2guide

mis nobel

 

straumann

zimmer

 

 

For more information or to schedule a demo, please visit www.implantconcierge.com or call us at (866)977-2228.

We’re pretty excited, but what do you think? What are the opportunities you see in this partnership? Let us know by tweeting us @CBCTMadeEasy and be sure to check out our facebook page!

 

 

 

Dental Designs and Implant Concierge Partner to Simplify Guided Surgery

On November 6, 2014, Ben Sweeney with Dental Designs Dental Laboratory in Omaha, NE, hosted sixteen local dentists, dental assistants, professors and residents from Univ. of Nebraska Medical Center for an AGD PACE course.  Bret Royal, CEO of Implant Concierge, presented on Guided Surgery:  Core Principles & Technologies.  The two hour continuing educational course focused heavily on the technology and updated work flows.

Bret Royal, CEO of Implant Concierge at Dental Designs

Bret Royal, CEO of Implant Concierge at Dental Designs

“I created this course in an effort to help dentists incorporate guided surgery into their practice immediately, review the latest work flows that minimize costs for their patients while improving overall care.  The technical presentation discussed new techniques and services to simplify CAD/CAM surgical guides while incorporating the latest technology such as intra oral scanners” stated Bret Royal, CEO of Implant Concierge.

Implant Concierge enables dentists to simplify complex surgical cases with no software costs or significant time involvement on the computer!

Implant Concierge enables dentists to simplify complex surgical cases with no software costs or significant time involvement on the computer!

The five core principles that we focused on were:

  • Provide simplified processes and flowcharts
  • Minimize steps, materials and costs
  • Integrate IOS/.stl files, RPD’s and existing dentures
  • Review software and instrumentation options
  • When to use guided surgery and how much to charge?

 

Ben Sweeney, Co-Owner, Dental Designs

Ben Sweeney, Co-Owner, Dental Designs

With the help of Bret Royal and Implant Concierge Dental Designs can now offer our clients a well priced, easy, and effective way to plan and utilize CAD/CAM surgical stents for implant placement.  Implant Concierge creates a team approach that focuses on the most esthetic outcome for you and your patient. I highly recommend Implant Concierge as a key piece of your implant team!  

Implant Concierge™ would like to thank Ben Sweeney with Dental Designs for hosting a wonderful  course.   To learn more about Dental Designs and their excellent lab in Omaha, NE, and Lincoln, NE, please visit their website at http://www.dentaldesignsinc.com/.

For more information or to schedule a demo to learn how Implant Concierge™ Virtual

Implants, CBCT, surgical guides

Simplifies your surgical guide and CBCT orders and syncronizes your dental implant team.

Treatment Plan Coordinator™ can make guided surgery affordable and easy for your office, please visit www.implantconcierge.com or call us at (866)977-2228.

 

AGD PACE Logo - iMDDS, LLC

AGD PACE Logo – iMDDS, LLC

Implant Concierge Biohorizons Compatible Guided Surgery – Easy Workflow, Great Service & Price!

logo poulos

 

Nicholas Poulos, DDS, Poulos Somers Periodontics & Implantology, Denver, CO

The Implant Concierge™ CAD/CAM surgical guide was great!  Guide fit was spot on, the workflow and protocol was simple and surgery was great. I was very pleased with the entire process, service and price of Implant Concierge™.    –  Nicholas Poulos, D.D.S.

Patient Profile 72 year old female with no significant medical history.

Synopsis Patient was referred for implant consultation to replace tooth numbers 7, 9, and 14.  In anticipation that a CBCT scan would be taken at Poulos Somers Periodontics and Implantolgy, the restorative dentist created a patient-specific radiographic prosthesis that was worn during the CBCT scan.  The restorative position of the missing teeth was communicated by drilling through the barium sulfate radio opaque teeth, creating the ideal restorative axis and position.

pic 1

#14 Sagital View

After the CBCT scan was acquired with the patient wearing a radio opaque barium sulfate radiographic prosthesis (scanning appliance),  the diagnostic model was digitized and converted to a .stl file by Implant Concierge™ using a 3Shape D700 optical scanner.  The digital model was registered to the CBCT DICOM creating a multi-layered file (DICOM + .stl) allowing for accurate soft tissue and hard tissue representation.  BioHorizons implants were precisely positioned in #7, #9 and #14 during an online virtual surgery hosted by an Implant Concierge 3D Case Coordinator and Dr. Poulos.

 

 

pic 2

3D rendered image

#14 Sagital View of radio opague tooth with opposing dentition. Channel has been drilled to illustrate ideal restorative position to aid in virtual surgery.

To the right is an image of the digitized diagnostic model that was shipped to Implant Concierge using a 3Shape D700 optical scanner.   The .stl file that was created was then registered to the CBCT DICOM, thus aiding in the placement of the ideal restorative position using the hard tissue and soft tissue.  This digital .stl file will be the basis for the optimal fit of the CAD/CAM surgical guide.

pic 5

Sagital view #7

 

   After all of the files were digitized and registered by a 3D Case Coordinator at Implant Concierge, then the initial treatment planning began.  Here is a sagital image of a Biohorizons Ø3.8 x 12 mm implant positioned safely in envelope of bone and in the planned ideal restorative path of radio opaque tooth.

Below are a series of other images from the key muli-planar views that only a CBCT can generate.  All views, axial, coronal and sagital are utilized during the initial case presentation to ensure the ideal position of the implants.

pic 4

Coronal view #7

Coronal view #7:  1.5mm distal of #6 root edge.

  

 

pic 3

Sagital #9

 

Sagital view #9:  BioHorizons Ø3.8 x 12mm implant positioned safely in bone envelope and in ideal restorative path of radio opaque tooth.

 

pic 6

Coronal view #9

 

Coronal view #9: 1.5mm mesial of #10 root edge.

 

pic 1

Sagital #14

 

Sagital #14: Biohorizons Ø5.0 x 7.5mm implant placed supra crestal to strategically avoid sinus floor.

 

 

Protocol sheet

Implant Concierge Surgical Protocol

After the Final VIP meeting took place with a 3D Case Coordinator and Dr. Poulos signed the Authorization Form, a Surgical Protocol sheet was provided.  This Sugical Protocol Sheet, utilizing the BioHorizons fully guided surgical kit, provides all of the necessary surgical instructions as well as implant driver stop positions to ensure a precise and proficient surgery.

pic 9

Implant Concierge CAD/CAM Surgical Guide

Implant Concierge BioHorizons Compatible CAD/CAM guide printed with a Stratasys Objet 3D printer at Implant Concierge™ headquarters in San Antonio, TX

 

 

 

Poulos pt

Implant Success!

At completion of surgery, Dr. Poulos takes the final post OP x-ray of another successful and efficient guided implant placement of #7 and #9 implants.

 

Implant Concierge™ would like to thank Dr. Nick Poulos with Poulos Sommers Periodontics and Implantology in Denver, CO, for allowing us to submit this case.  In addition, we would like to thank Matt Goff with BioHorizons for his support in the Denver metro market.

Implant Concierge™ is also compatible with the following implant manufacturer guided kits:

  • Straumann Guided Kit
  • Nobel Clinician Procera Active, Straight and Tapered Guided Kit
  • Zimmer Guided Kit
  • Implant Direct Guided Kit
  • Camlog Guided Surgery
  • Biomet 3i Navigator
  • Coming Soon:  DENTSPLY EV Guided Kit

For more information or to schedule a demo to learn how Implant Concierge™ Virtual Treatment Plan Coordinator™ can make guided surgery affordable and easy for your office, please visit www.implantconcierge.com or call us at (866)977-2228.

 

Surgical Guides – Virtual Treatment Plan Coordinator Makes it Easy

Due to improved work-flows and software advancements that allow virtual diagnostic wax-ups to be created from an .stl intra-oral digital impression, CAD/CAM dental implant surgical guides are beginning to make their impact upon the dental implant community.  Implant Concierge™, a dynamic free proprietary web-based software allows dentists to order CBCT services such as Board Certified radiology interpretations, radiographic prosthesis (scanning appliance),  surgical guides and provisional restorations has recently introduced the Virtual Treatment Plan Coordinator™ to further simplify the process and allow a dentist to maximize their chair-time while reducing their managerial headaches.

The Virtual Treatment Plan Coordinator™ (VTPC) is your personal assistant for guided surgery as it consolidates a complex and time-consuming process into a single-site.  The Virtual Treatment Plan Coordinator™ is unique because it synchronizes your entire dental implant team:  dental colleagues, dental laboratory, radiology center, computer-aided design (CAD) on-line treatment planning, surgical guide ordering,  computer-aided manufacturing (CAM) of surgical stents and radiology interpretations all in ONE location and ONE invoice.

How does it work?  Based upon your patient’s dentate status, your ideal treatment plan and your treatment planning software of choice, the Implant Concierge™ patented program and work-flow provides the exact work flow and ordering options.  Once specific services are selected, it provides:

  • Efficient work-flow
  • Up-front pricing
  • Real-time case updates
  • 24/7 HIPAA compliant access to all case files
  • Communication portal between all case partners
  • $225 Flat-Priced surgical guides
  • Single Invoice

Because the Implant Concierge is a FREE web-based software, there are no downloads necessary, no software purchases, no annual fees, no maintenance fees and no expensive and time-consuming weekend courses.   Simply order the services that you need and allow your Virtual Treatment Plan Coordinator™ to synchronize your case and entire dental implant team!

My experience with Implant Concierge was incredible.  From evaluation, deDentist, Implantologistsign and fabrication, the process is easy and quick.  The guides fit without any alteration, no worries about angulation or proximity to adjacent structures, making this one of the easiest placements ever.  –  Joseph Perry, D.D.S.,  San Antonio Denture Solutions 

Implants, CBCT, surgical guides

Simplifies your surgical guide and CBCT orders and syncronizes your dental implant team.

Bret E. Royal, CEO and co-founder of Implant Concierge™ states, “The Virtual Treatment Plan Coordinator™ was designed to simplify and consolidate a complicated and fragmented dental process:  contracts favorable pricing with vetted and trained providers, discloses and guarantees costs up-front, uses industry-best 3D Case Coordinator, contracts with leading regional labs, and manufactures CAD/CAM surgical guides at a competitive price.  It enables any implantologist or surgeon to seamlessly implement the known benefits of guided implant surgery into their practice quickly and affordably.  There is nothing like it.” 

To learn more about the Virtual Treatment Plan Coordinator™, Implant Concierge™ and the $225 flat-priced surgical guide, please visit www.implantconcierge.com or call (866) 977-2228 to schedule an on-line demo.

General Practitioner and Implantology

Dentistry has seen a tremendous growth in the use of dental implants for tooth replacement. Statistics demonstrate an increase in both the restoration and surgical placement of dental implants by general dentists within the United States. Technological advancements in implant dentistry are enabling more general practitioners to be able to predictably and safely provide implant procedures to their patients.
Call Implant Concierge™ at (866) 977-2228 today
to learn how we can help grow your implant practice.

Guide to Implant Dentistry

This comprehensive article recently published in Inside Dentistry magazine analyzes the trends and changes in appropriate materials and techniques for implant placement. Author also states that “as dental implant treatment becomes more and more popular as a tooth replacement option, this service is something that should be integrated into most general practices on a routine basis, and in many cases it’s simpler than a complex root canal.”

Click here to read more about advances in materials and techniques used for implant placement.

Call Implant Concierge™ at (866) 977-2228 today
to learn how we can help grow your implant practice.

CBCT-Aided Nonsurgical Retreatment

The patient referred for complaints associated with a crown restoration on tooth #16 that was placed 5 years prior. CBCT scan revealed an adequate previous endodontic treatment with no missed canals as well as enlargement of the membrane of the maxillary sinus above the upper molars. It was decided to perform non-surgical root canal retreatment only on the MB root.

Click here to read more about the case and see clinical images.

Call Implant Concierge™ at (866) 977-2228 today
to discuss how CBCT can benefit your endo practice!

Digital Implantology Economics

During the past few years, many dentists have discovered that a wider scope of provided services is the key to a successful practice. The article makes a great argument why you should add safe, predictable, efficient, and minimally invasive digital implantology to the list of services your practice offers to patients. Article also discusses how 3-D imaging and guided surgery give the dentist confidence to place routine single-tooth implants and allow a visual presentation to patients that increases case acceptance.

Learn more about economics of digital implant placement.

Call Implant Concierge™ at (866) 977-2228 today to learn how
to transition your practice to digital implantology.