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Advanced Digital Implant Dentistry a Peer-Reviewed Publication Written by Scotty L

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Advanced Digital Implant Dentistry a Peer-Reviewed Publication Written by Scotty L Earn 2 CE credits This course was written for dentists, dental hygienists, and assistants. Advanced Digital Implant Dentistry A Peer-Reviewed Publication Written by Scotty L. Bolding DDS, MS Abstract Learning Objectives: Author Profile The Dental Implant industry has seen significant advances Scotty L. Bolding, DDS, MS was born in Arkansas where he attended the University of Arkansas 1. Develop an understanding of digital and received a Bachelor of Science Degree in Medical Sciences. He then attended Baylor College in the past three decades, however there are still millions impression scanners of Dentistry in Dallas, TX, where he earned his DDS degree in 1989. Dr. Bolding completed a of people across the globe with missing teeth that have not 2. Learn the procedures involved with Masters Degree in Craniofacial Biology at Baylor University in Waco, TX in 1992 and completed his enjoyed the benefits of replacing their teeth with dental taking a digital implant impression Oral and Maxillofacial Surgery training at Baylor University Medical Center in Dallas, TX in 1993. implants. There are many factors that prevent patients from Post-graduation, Dr. Bolding has remained very active in research and education. Throughout 3. Develop an understanding of digital his career he has continued to strive for advancing the art and science of Oral and Maxillofacial choosing implants such as fear, cost, and lack of knowledge. implant treatment planning Surgery. He has written multiple publications and is a sought after and active speaker in Oral However, even in developed countries there are still many and Maxillofacial Surgery. In addition to being a diplomate of the American Board of Oral and 4. Develop an understanding of how Maxillofacial Surgeons, he also served as a Board Examiner for six years. dentists who do not offer implants to their patients because CAD/CAM is utilized in implant of the perceived complexity and associated costs. Dr. Bolding is very active in developing technologies that advance the science of surgically dentistry facilitated orthodontics, dental implant therapy, and Temporomandibular Joint Management. He New digital technologies are beginning to streamline the is a leader in the evolution of digital implant dentistry, digital orthognathic surgery, and digital dental implant workflow simplifying the delivery for the records management. In addition, Dr. Bolding is the President and Founder of MaxSurge Healthcare Solutions. dental implant team. Through advanced digital engineer- MaxSurge is a healthcare consulting and business resource firm that is working to enhance the ing, dentists are now able to offer precise guided planning, delivery of healthcare to the public by improving business processes for the provider, patient digital impressions, CAD/CAM models, and restorations. and the employer. These techniques are providing the revolutionary Dr. Bolding enjoys spending time with his family, flying, traveling, boating and golfing. opportunity for the dental team to collaborate and plan Author Disclosure dental implant cases virtually with more predictable cost The author of this course has no commercial ties with the sponsors or the providers of the and more predictable outcomes. unrestricted educational grant for this course. Publication date: June 2012 Go Green, Go Online to take your course Expiration date: May 2015 PennWell designates this activity for 2 Continuing Educational Credits This course has been made possible through an unrestricted educational grant. Supplement to PennWell Publications CE Planner Disclosure: Michelle Fox, CE Coordinator does not have a leadership or commercial interest with Align This course was written for dentists, dental hygienists and assistants, from novice to skilled. Technologies, the commercial supporter, or with products or services discussed in this educational activity. Educational Methods: This course is a self-instructional journal and web activity. Educational Disclaimer: Completing a single continuing education course does not provide enough information Provider Disclosure: PennWell does not have a leadership position or a commercial interest in any to result in the participant being an expert in the field related to the course topic. It is a combination of many products or services discussed or shared in this educational activity nor with the commercial supporter. educational courses and clinical experience that allows the participant to develop skills and expertise. No manufacturer or third party has had any input into the development of course content. Registration: The cost of this CE course is $49.00 for 2 CE credits. Requirements for Successful Completion: To obtain 2 CE credits for this educational activity you must pay Cancellation/Refund Policy: Any participant who is not 100% satisfied with this course can request a the required fee, review the material, complete the course evaluation and obtain a score of at least 70%. full refund by contacting PennWell in writing. Educational Objectives While dental implants have seen significant advance- 1. Develop an understanding of digital impression scanners ments, these precision designed and engineered fixtures 2. Learn the procedures involved with taking a digital have relied on traditional non-precision manual surgical implant impression placement, traditional restorative methods, and traditional 3. Develop an understanding of digital implant treatment laboratory techniques for the delivery and replacement of planning the missing tooth. This lack of engineering in the delivery 4. Develop an understanding of how CAD/CAM is utilized of the dental implant has paved the way for the new frontier in implant dentistry for dental implants. Dental implant companies are now taking advantage of the new digital solutions in dentistry to Introduction improve dental implant ease of use, and provide more preci- The art and science of dentistry has provided significant ad- sion and cost effective delivery.1 Precision surgical guided vancements in our abilities to treat patients with both simple placement using restorative driven three-dimensional imag- and complex dental problems. Over the past twenty five years ing and planning allows for more predictable surgical place- we have biologically improved and developed techniques to ment. High surface digital impression scanning and CAD/ prevent and treat caries and periodontal disease, replace CAM milling allows for precision design and modeling for missing teeth, reposition teeth, and change overall facial improved fit and accuracy of both the abutment and restora- structures. Additionally, we have developed wear resistant tions. Combining these digital technologies allows the den- esthetic materials that have allowed us to replace the miss- tist to plan and treat the patient in a more efficient manner ing teeth with very natural, biologically friendly, beautiful with more predictable results. The digital implant dentistry replacements. The past twenty five to fifty years have allowed workflow is now redefining and paving a new standard of dentistry to advance significantly from a professional stand- delivery for the replacement of missing teeth, giving the point, offering patients predictable clinical results. dental team more confidence when treating their patients. While the biological sciences and material sciences have allowed for these advancements, we are now seeing evidence Intraoral scanning and CAD/CAM in dentistry of a new wave of digital solutions that are offering even more One of the critical components of the digital implant den- predictable treatment outcomes. Over the past five years tistry workflow involves the digital capture of the patient’s we have seen the introduction of digital radiology solutions, dentition for planning, placement, and restoration. Intraoral three-dimensional cone beam tomography, digital impres- scanning in its simplest form is a way for the dental team to sions, digital models, and CAD/CAM (computer-aided take an impression without traditional impression material design and computer-aided manufacturing) restorations that and create an accurate virtual model of the patient’s denti- are now making their way into the mainstream dental prac- tion.2 (Fig 1 and 2) Once the virtual model has been created tice. These advancements are providing advanced engineer- ing technology to the practice of dentistry that will add to the Figure 1. The iTero®Intra-oral Scanner by Align Technology, Inc. art and science of dentistry and make it even more predictable and more precise. I call this the Digital Age of Dentistry. History of digital implant dentistry Dental Implants are one of the most significant advancements in dentistry in the past two decades. Today, the dental implant is becoming the standard of care to replace missing teeth. The advancements in the science and engineering of dental im- plants adds a whole new dimension to the replacement of the missing tooth. Not only can dental implants replace a missing tooth, they can absorb load and have the biological capa- bilities to integrate into the patient’s bone, providing in many cases a lifetime restoration. Dental implant systems have improved their interface attachments at the mucosal surface level of the implant which reduces abutment loosening and enhances overall esthetics. However, while dental implant technology has significantly advanced in the past twenty five years from both a surgical and restorative standpoint, there have been some limitations. These limitations in many ways have
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