3D-PILOT Digital Solution | BTK Implanting Trust, Smile Again!

SURGICAL GUIDES AND ANATOMICAL MODELS

High-definition 3D prints with digital precision.

Based on the design confirmed by the clinician and on the clinical needs, anatomical models and surgical guides are developed in a virtual environment.
These devices are produced by means of prototyping techniques with a high-resolution 3D printer.
The production process is validated and traced, to guarantee the highest level of quality and transparency.

DIGITAL WORKFLOW

DIAGNOSIS

The dental office:

makes the diagnosis and the clinical assessments
identifies the best treatment plan
checks that the patient’s mouth opens enough for the drills
takes the dental impressions and an occlusal index and sends them
to a reference dental laboratory for the construction of the radiological guide.

RADIOLOGICAL GUIDE AND CT/CBCT

The reference laboratory makes and sends the radiological guide to the dental office, that:

tries the guide in the patient’s mouth, checking that it fits precisely and that the occlusal registration separates the teeth of the lower and upper arch
Instructs the patient about the right positioning of the radiological guide
Prescribes the patient’s CT/CBCT scan.
Sends the DICOM data of the CT/CBCT scan to BTK.
BTK prepares the software licence by matching the CT/CBCT scan images with the scans of the cast model and of the radiological guide (in STL format).

PLANNING AND PRODUCTION OF THE SURGICAL GUIDE

In this phase the dental office:

receives the software license and plans the surgical case virtually, possibly
with the technical assistance of BTK
BTK products the surgical guide and, if requested, the anatomical model and sends them to the clinical office

SURGERY

In the dental office:

the surgical guide must be cold-sterilized
the clinician performs surgery using the dedicated 3D-PILOT surgical kit
during the same session, the clinician can use the provisional for immediate loading previously prepared by the dental laboratory

SURGICAL GUIDES

CLASSIFICATIONS:

Bonesupport(withsurgicalflap)
Toothsupport(flapless)
Mucosalsupport(flapless)

TWO DIFFERENT SOLUTIONS ARE AVAILABLE:

Surgical guide with sleeves for pilot drill
Surgical guide with sleeves for fully guided surgery

ANATOMICAL MODELS

They are reproductions of the patient’s cast models (intraoral scans) and contain the implant analogues selected in the design phase. They represent, therefore, the situation of the patient’s mouth after surgery.The anatomical models are essential if there is a request to make the provisional before surgery, also for immediate loading purposes.

BIBLIOGRAPHY

Joda T, Bragger U. Digital vs. conventional implant prosthetic workflows: a cost/ time analysis.
Clin Oral Implants Res 2015; 26: 1430-1435.
________

Testori T, Robiony M, Parenti A, et al. Evaluation of accuracy and precision of a new guided surgery
system: a multicenter clinical study. Int J Periodontics Restorative Dent 2014; 34 (suppl): 59-69.
________

Jung RE, Schneider D, Ganeles J, et al. Computer technology applications in surgical implant
dentistry: a systematic review. Int J Oral Maxillofac Implants 2009; 24 (suppl): 92-109.
________

Neugerbauer J, Stachulla G, Ritter L, et al. Computer-aided manufacturing technologies for guided
implant placement. Exp Rev Med Dev 2010; 7: 113-129.
________

Ting-Shu S, Jian S. Intraoral digital impression technique: a review. J Prosthod 2015; 24: 313-321.
________

Arunyanak SP, Harris BT, Grant GT, et al. Digital approach to planning computer guided surgery
and immediate provisionalization in a partially edentulous patient. J Prosthet Dent 2016; 116: 8-14.
________

Van Assche N, Vercruyssen M, Coucke W, et al. Accuracy of computer-aided implant placement.
Clin Oral Implants Res 2012; 23 (suppl 6): 112-123.
________

Daas M, Assaf A, Dada K, et al. Computer-Guided Implant Surgery in Fresh Extraction Sockets and Immediate Loading of a Full Arch Restoration: A 2-Year Follow-Up Study of 14 Consecutively
Treated Patients. Int J Dent 2015; article ID 824127, 9 pages.
________

D’Haese J, van der Velde T, Komiyama A, et al. Accuracy and complications using computer- designed stereolithographic surgical guides for oral rehabilitation by means of dental implants: a review of the literature. Clin Implant Dent Rel Res 2012; 14: 321-335.
________

Ganz S. Three-dimensional imaging and guided surgery for dental implants. Dent Clin North Am
2015; 59: 265-290.
________

Vercruyssen M, Fortin T, Widmann G, et al. Different techniques of static/dynamic guided implant
surgery: modalities and indications. Periodontology 2000 2014; 66: 214-227.
________

Fortin T, Bosson JL, Isidori M, et al. Effect of flapless surgery on pain experienced in implant
placement using an image-guided system. Int J Oral Maxillofac Implants 2006; 21: 298-304.
________

Wang HL, Ormianer Z, Palti A., et al. Consensus conference on immediate loading: the single tooth
and partial edentulous areas. Implant Dent 2006; 15: 324-333.
________

Joda T, Bragger U. Patient-centered outcomes comparing digital and conventional implant impression procedures: a randomized crossover trial. Clin Oral Implants Res 2015 Apr 12. doi: 10.1111/clr.12600. [Epub ahead of print]
________

Joda T, Bragger U. Complete digital workflow for the production of implant supported single-unit monolithic crowns. Clin Oral Implants Res 2014; 25: 1304- 1306.

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THE GUIDED SURGERY: MAESTRO AND 3D-PILOT

GUIDED SURGERY

SURGICAL GUIDES AND ANATOMICAL MODELS

High-definition 3D prints with digital precision.

COMPLETE SERVICE

UPLOAD THE DICOM FILE OF THE TOMOGRAPHIC EXAMINATION OF THE PATIENT

PLANNING WITH BTK AND COMPATIBLE IMPLANTS

IT ASSISTS THE SURGERY

DIGITAL WORKFLOW

DIAGNOSIS

RADIOLOGICAL GUIDE AND CT/CBCT

PLANNING AND PRODUCTION OF THE SURGICAL GUIDE

SURGERY

SURGICAL GUIDES

CLASSIFICATIONS:

TWO DIFFERENT SOLUTIONS ARE AVAILABLE:

ANATOMICAL MODELS

BIBLIOGRAPHY

Not only a software but a complete digital PLATFORM which is able to put in COMMUNICATION the whole TEAM of experts and to enable them to COLLABORATE and DISCUSS about different clinical cases.

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