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Implant planning for partially endentulous patient with Trios
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<blockquote data-quote="Jaemin Lee" data-source="post: 188715" data-attributes="member: 14640"><p>Hello.</p><p></p><p>I'm going to show you how Implant Studio works with Trios.</p><p></p><p>For the accracy, the integration between CT image and Oral Surface image is critical.</p><p>And for the proper integration, you need some natural teeth which can be used as standards for merging.</p><p>However for edentulous patients you have to use a radiopaque material to merge oral surface image with CT image.</p><p></p><p>In that case, without Trios, you should make a cast model of patient and then you need a recording base which contains 'marker' for the integration.</p><p>With that recording base with marker, you can take a CT shot for the implant surgery planning.</p><p></p><p>However if you have Trios, you can easily attach the 'marker' on the gingiva with composite resin.</p><p>After that, you can just scan the patient's oral surface as markers attched, and then take a CT image</p><p>That is all you should do before planning the implant surgery.</p><p></p><p>It becomes shorter, easier and more precise with Trios.</p><p></p><p>Here is an example of implant planning with Implant Studio and Trios.</p><p>Note that the result is not a fianl one, I just only wanted to show the work flow of IS with Trios.</p><p></p><p>[GALLERY=media, 54]Order by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY]</p><p></p><p>Order page</p><p></p><p>[GALLERY=media, 53]Marker For Merging Images by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY]</p><p></p><p>Trios scan with markers on the gingiva.</p><p></p><p>With those markers you can integrate CT image and oral scan images easily.</p><p></p><p>[GALLERY=media, 52]Cropping CT Image by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY]</p><p></p><p>Cropping CT</p><p></p><p>You don't need the image of other area which are not related to surgery</p><p></p><p>[GALLERY=media, 51]Scan Alignment by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY]</p><p></p><p>Scan Alignment</p><p></p><p>You can merge the oral scan image with CT image by pointing three different spots.</p><p>With the markers you can easily integrate images.</p><p></p><p>[GALLERY=media, 50]Panoramic Curve by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY]</p><p></p><p>Panoramic Curve</p><p></p><p>[GALLERY=media, 48]Nerve Definition by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY]</p><p></p><p>Nerve definition</p><p></p><p>It's easy to draw the nerve line.</p><p></p><p>[GALLERY=media, 47]Provisional Design by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY]</p><p></p><p>Designing provisionals</p><p></p><p>You can design the shape and position of the provisionals.</p><p></p><p>[GALLERY=media, 46]Implant Planning by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY]</p><p></p><p>Implant planning</p><p></p><p>Now you can place the implants, there can be more implants which are supported by 3Shape.</p><p></p><p>[GALLERY=media, 45]Implant Planning2 by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY]</p><p></p><p>You can check the safety zone around the projected drilling site, and you can easily reposition the implants by dragging or rotating it.</p><p></p><p></p><p>After the planning has ended, you can send the plan to the lab so that they can make the guide and provisionals.</p><p></p><p>Usually I only send implant planning order to the 3 Shape based lab with Trios Scan image and CT image.</p><p>Regarding implant surgery planning, they are faster and experienced than I am.</p><p>Only thing I have to do is just doublechecking the plan by reading the report from the lab.</p><p></p><p>But if you are interested, you can do it by yourself.</p><p>Even though you did it by yourself, still you need to discuss the plan with the experts in the lab.</p><p></p><p>I hope someone got help from this thread.</p></blockquote><p></p>
[QUOTE="Jaemin Lee, post: 188715, member: 14640"] Hello. I'm going to show you how Implant Studio works with Trios. For the accracy, the integration between CT image and Oral Surface image is critical. And for the proper integration, you need some natural teeth which can be used as standards for merging. However for edentulous patients you have to use a radiopaque material to merge oral surface image with CT image. In that case, without Trios, you should make a cast model of patient and then you need a recording base which contains 'marker' for the integration. With that recording base with marker, you can take a CT shot for the implant surgery planning. However if you have Trios, you can easily attach the 'marker' on the gingiva with composite resin. After that, you can just scan the patient's oral surface as markers attched, and then take a CT image That is all you should do before planning the implant surgery. It becomes shorter, easier and more precise with Trios. Here is an example of implant planning with Implant Studio and Trios. Note that the result is not a fianl one, I just only wanted to show the work flow of IS with Trios. [GALLERY=media, 54]Order by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY] Order page [GALLERY=media, 53]Marker For Merging Images by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY] Trios scan with markers on the gingiva. With those markers you can integrate CT image and oral scan images easily. [GALLERY=media, 52]Cropping CT Image by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY] Cropping CT You don't need the image of other area which are not related to surgery [GALLERY=media, 51]Scan Alignment by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY] Scan Alignment You can merge the oral scan image with CT image by pointing three different spots. With the markers you can easily integrate images. [GALLERY=media, 50]Panoramic Curve by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY] Panoramic Curve [GALLERY=media, 48]Nerve Definition by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY] Nerve definition It's easy to draw the nerve line. [GALLERY=media, 47]Provisional Design by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY] Designing provisionals You can design the shape and position of the provisionals. [GALLERY=media, 46]Implant Planning by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY] Implant planning Now you can place the implants, there can be more implants which are supported by 3Shape. [GALLERY=media, 45]Implant Planning2 by Jaemin Lee posted Sep 18, 2015 at 2:03 PM[/GALLERY] You can check the safety zone around the projected drilling site, and you can easily reposition the implants by dragging or rotating it. After the planning has ended, you can send the plan to the lab so that they can make the guide and provisionals. Usually I only send implant planning order to the 3 Shape based lab with Trios Scan image and CT image. Regarding implant surgery planning, they are faster and experienced than I am. Only thing I have to do is just doublechecking the plan by reading the report from the lab. But if you are interested, you can do it by yourself. Even though you did it by yourself, still you need to discuss the plan with the experts in the lab. I hope someone got help from this thread. [/QUOTE]
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