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CAMLOG
®
Implant Position Planning
PLANNING
INTRODUCTION
Modern implant prosthetics is planned by working back from the desired
therapy goal; this is referred to as “backward planning.” It applies particu-
larly to pre-implantation augmentation procedures to restore sufficient
bony structure to allow placement of implants in the optimal prosthetic po-
sition.
Esthetics, function, phonetics, and hygienic potential require prosthetically
oriented implant positioning and dimensioning, which the dental technician
defines on the basis of the wax-up. The prosthetic design and the required
implant position(s) and axial alignment(s) are planned by the dentist and
dental technician working closely together. This requires both to be fully in-
formed of the treatment options.
If implant positions (implants approximating the former tooth positions)
cannot be implemented for a fixed denture for whatever reason – functional
(implant loading, crown length), esthetic (soft-tissue support) or hygienic –
a removable denture must be planned.
OVERVIEW
A planning project may be divided into the following modules:
ACTUAL SITUATION/PROSTHETIC
INITIAL SITUATION
Find out and document the actual situation by
taking a general and special (dental) history and
performing intra- and extraoral clinical, func-
tional and radiographic examinations. Together,
these findings are the basis for a description of
the initial situation of the oral-maxillofacial sys-
tem.
INDIVIDUAL TREATMENT GOAL
A full analysis is conducted with the patient, in-
cluding a cost/benefit, work/benefit, and risk/
benefit analysis. The final result will be a treat-
ment goal customized to the desires and options
of the patient.
TREATMENT SEQUENCE
With the individualized treatment goal as guide,
prosthetically oriented implant positioning is de-
fined and verified clinically and radiographically.
Then, a treatment sequence is set up. It includes
the planning of accompanying measures, aug-
mentation, and any required pre-treatment.