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CAMLOG
®
Implant Position Planning
LABORATORY
CAST ANALYSIS
It is essential to mount a diagnostic cast in an adjustable articulator to as-
sess jaw relations. Specifically, a check should be made whether a change
of the occlusal position is worthwhile or required. If at all possible, it should
be done before the actual implant-supported prosthetic treatment gets un-
der way. In any case, a change in occlusal height must be preceded by treat-
ment with a long-term provisional.
DIAGNOSTIC CASTS
The diagnostic casts must clearly show not only the occlusal surfaces but
also the vestibular fold and retromolar areas (see arrows).
The centric registration must be freely adjustable to enable the casts to be
mounted in correct axial alignment and position.
The impression should reproduce the soft-tissue situation and any hard- or
soft-tissue deficits as far as the vestibular fold, since it is here we detect the
first indications to incline the implant or the necessity for bone augmenta-
tion. Just as in perioprosthetics, the retromolar areas must be reproduced
to allow specification of the dental arch and assessment of the vertical
space available (see arrows).
Planning and implementation of periodontal implant-supported rehabilita-
tion is much simpler when templates are used.