Upcoming speaking dates

We're very proud and honoured to be asked to share our knowledge and experience with CAD/CAM and implant restorations for both the ADi and Atlantis Isus.

 The upcoming dates are :-

Location - Birmingham

Speakers - Dr Tim Doswell - Steve Campbell


Date - 19th September - Atlantis Isus - A guide to using the system for surgeons & technicians

Tim & Steve will demonstrate the unique clinical and cost effective advantages offered by using a premium CAD/CAM partner compared with the old, inconsistent and expensive cast methods used to fabricate multi unit screw retained implant restorations.

Venue

Hotel La Tour, Albert Street, Birmingham, B5 5JE

Registration, refreshments & buffet are available from 6.30pm ready to start at 7.00pm

Location - London Stansted Airport

Speaker -  Steve Campbell

Date - 24th October - ADi Essex/Herts Study Club - Restoring Dental Implants - What's New?

Steve will outline the latest developments in CAD/CAM technology for the fabrication of custom abutments and screw retained implant restorations, along with looking at some new materials and techniques that offer us advantages over the traditional porcelains and acrylics that we sometimes use to restore implant restorations.

We will also see how these new solutions are often vastly more cost effective than what we have on offer with traditional restorative materials we have had in the past

Venue

Radisson Blu Hotel London Stansted Airport, Waltham Close, London Stansted Airport,                Essex, CM24 1PP

Registration, refreshments & buffet are available from 7.00pm ready to start at 7.30pm

Location - Belfast

Speaker -  Steve Campbell

Date - 14th November - ADi Belfast Study Club - Restoring Dental Implants - What's New?

Steve will outline the latest developments in CAD/CAM technology for the fabrication of custom abutments and screw retained implant restorations, along with looking at some new materials and techniques that offer us advantages over the traditional porcelains and acrylics that we sometimes use to restore implant restorations.

We will also see how these new solutions are often vastly more cost effective than what we have on offer with traditional restorative materials we have had in the past

Venue

The Ramada Hotel, Shaws Bridge, Belfast, Ireland, BT8 7XP

Registration, refreshments & buffet are available from 7.00pm ready to start at 7.30pm

Location - Warwickshire

Speaker -  Steve Campbell

Date - 20th November - ADi Warwick Study Club - Restoring Dental Implants - What's New?

Steve will outline the latest developments in CAD/CAM technology for the fabrication of custom abutments and screw retained implant restorations, along with looking at some new materials and techniques that offer us advantages over the traditional porcelains and acrylics that we sometimes use to restore implant restorations.

We will also see how these new solutions are often vastly more cost effective than what we have on offer with traditional restorative materials we have had in the past

Venue

Hilton Warwick, Junction 15, M40, A429 Stratford Road, Warwickshire, CV34 6RE

Registration, refreshments & buffet are available from 7.00pm ready to start at 7.30pm

Location - Edinburgh

Speakers - Dr Tim Doswell - Steve Campbell

Date - 28th November - Atlantis Isus - A guide to using the system for surgeons & technicians

Tim & Steve will demonstrate the unique clinical and cost effective advantages offered by using a premium CAD/CAM partner compared with the old, inconsistent and expensive cast methods used to fabricate multi unit screw retained implant restorations.

Venue

Edinburgh Dakota Hotel, 11 Ferrymuir Retail Park, South Queensferry, EH30 9QZ

Registration, refreshments & buffet are available from 6.30pm ready to start at 7.00pm

Booking

To book for any ADi Study Club you can either visit the website www.adi.org.uk and book 

or call the office, 020 8487 5555, or email info@adi.org.uk

To Book for any of the Atlantis Isus dates please contact Gill Hallet on 01453 793273 

or email gill.hallett@dentsply.com

I know we bang on about CAD/CAM but this shows exactly why you need to work with premium partners like Atlantis.

Online editor to ensure we have complete control of our designs and as you can see, we've even made a few alterations to ensure it's perfectly within our prosthetic envelope.

Online viewer that we can use to communicate any potential issues to our surgical partners And a level of milling and finish that we still believe is the market leader.

Not only are CAD/CAM custom abutments more cost effective and clinically superior to any official stock components available, they also allow us to produce a completely unique, custom solution to be tailored the each cases specific requirements.

The icing on the cake fro peace of mind has to be the Warranty backed by the biggest dental company in the world which covers both the abutment and the fixture, regardless of which manufacturer the original implant is supplied by!

There is plenty of CAD/CAM available out there, but does yours offer all these benefits along with technicians that know how to get the very best from it? We only believe in providing the very best to our clients which is why we only partner with premium service and material providers like Atlantis.

We were fortunate enough to be in the Beta program at the very beginning of this system launch in the UK and have since gone on to teach how to get the best from this and other CAD/CAM systems across the UK and Europe and have seen many additions to the range that have improved the restorative options available to the surgeon and patient.

We'll be updating with more Atlantis, Atlantis Isus & ADi lecture dates in the near future.

Overcoming the aesthetic challenge of a resorbed bone ridge

This is is a 4 unit screw retained implant bridge where the patient did not want any block grafting or treatments to try and increase the volume of bone.

This left us with the situation where we wanted to ensure the very best aesthetic outcome for the patient by replacing the the space where the bone and tissue has resorbed with an artificial replacement.

The problem for laboratories is that most ceramic pinks are very difficult to make look natural and match the patients tissue tone.

The other issue is that some composites can discolour or dull after a couple of years after being fitted which tends to let the whole restoration down.

By using Crea.lign pinks from the Visio.lign range we are able to get a beautiful, natural soft tissue contour, especially if the surgeon chooses to use some of the Crea.lign range at the final fit (as practiced by Dr Christian Coachman which you can see by following this link) Crea.ligh also has excellent wear properties and similar discolouration tendencies as ceramic due to it's dense homogenous structure which ensure is will look good for a very long time indeed.

Another huge benefit of using Crea.lign is the future maintenance and ability to alter in future if needed as it can simply be polished, modified or added to in the mouth.

We are getting more cases like this coming through the laboratory as we hear that some patients simply do not want to have the bone grafts or other procedures required to increase the bone volume, so the ability to create natural, maintainable and alterable soft tissue tones is becoming more critical in meeting the patients high aesthetic expectations.

One more tip, please ensure the patient is told to brush their teeth AND the new false gum they now have as it's something many patients do not think to do.

A solution to access holes emerging through full arch implant restorations

This is proving to be a very popular implant solution for the problem of access holes that would normally emerge in the aesthetic zone.

A full arch case which can be fitted so that the occlusion and function can be checked with the patient and then the veneers bonded afterwards.

Working with the Visio.lign system allows Iain to make a really natural restoration which is also shock absorbing and allows the restoration to be repaired and maintained without removing from the patients mouth

Beautiful work as always by Iain.

Article published in the European Journal of Dental Implantologists

Congratulations to Dr Tim Doswell & Steve Campbell from the lab on having their
article published in The EDI (Issue 2/2013 Vol.9).

We think it's fair to say that The European Journal for Dental Implantologists is among the most well respected journals to have your work published in? It's certainly one that we've always looked forward to reading in the lab.

This is a technique that we started to develop together whilst out doing the Atlantis Roadshows in 2011/2012.

The whole team are very proud to have been able to support Tim in both the technique and the final crown that was finished by Mark Ambridge.

http://www.dental-online-community.de/images/magazin/literatur/edi2_13_doswell_lit.pdf

Skilled Ceramist Required

We still have an opportunity for someone with the right talents and attitude to join our award winning team.

If you know anyone who would be suitable then please let them know.

Angle Corrected CAD/CAM screw retained single units are here

A new solution for screw retained implant crowns

In this blog update we are going to look at a new technology that allows us to bend the access holes in screw retained restorations.

Screw retained implant units have always been popular with our surgeons for many reasons but I think a main advantage is the lack of cementation needed at fit, which negates any associated risks of retained cement causing issues sub gingivally later on.

However the access hole can be a problem in certain situations where the emergence angle leaves the hole coming through the aesthetic facings of the crowns, which often then means we have to switch to an abutment and cement retained restoration.

As our regular followers will know we have a belief that CAD/CAM restorations really are the only way to go when designing and producing implant sub structures to ensure the best clinical results, but this did mean there was no solution to the access hole problem as these structures are milled from a solid block of material and therefore the burs had to have a line of sight the section of the element that was being milled.

For a while we have been able to offer angle correction on the access holes for multiple unit cases but nothing was available for single units in CAD/CAM due to the complexity of the milling strategies required.

Thanks to new milling strategies and partnerships it is now possible to offer angle corrected screw retained CAD/CAM crowns on most of the popular implant systems, even down to some narrow platforms such as this Nobel Biocare Replace NP fixture that we restored with Dr Pav Khaira
 

 Original design

 

Angle corrected design

The red tube illustrates the original access hole direction, which would have been coming through the buccal of the crown and the green shows where the access hole was corrected to come out of the centre of the occlusal surface of the crown.

Once we have approved the new correction design the abutment can be milled from chrome with the access hole now corrected to come out of the occlusal of the crown, rather than the buccal where it would have been previously.



By using this new technology we can now have screw retained units with the clinical benefits they bring, without the compromise to aesthetics or the very challenging prospect of the surgeon having to fill the hole and blend the composite to match the surrounding crown in an aesthetic area of the restoration.

This image of the final crown back on the model shows that we have been able to bring the access hole well clear of the buccal of the crown (we will post up final fitted pictures when the patient comes back in for a review with Dr Khaira)

Fitting an angle corrected screw retained crown

For the surgeon these are to be fitted following the same protocols as any other screw retained crown, the only exception is that they must have a specially designed screwdriver, which we will look at below.

Screwdriver

To fit these crowns you need a specially designed screwdriver that has a thin shank to allow the head of the driver to engage with the head of the screw but a large head which is similar in design to a rosehead bur, this allows the grooves to stay engaged with the hex in the head of the screw, even if the shank of the driver is angled back.




the engaging head of screwdriver in action




The benefits of using this new solution are :-


All the traditional benefits of screw retained restorations (easy retrievability, no risk of retained cement etc.)

No change to the restorative procedure (you simply need a new screwdriver)

Control of where the access hole will emerge from our restorations

Incredibly cost effective as there is no need for a separate abutment and cement retained crown

Consistency and cost efficiency of CAD/CAM technology


We have also covered the difference between cement and screw retained and the advantages of CAD/CAM technology over traditional lab cast methods in this previous article which we wrote for the dental site Dentinal Tubules, and may be useful if you are unfamiliar with these types of restorations

For more information you can visit our website page for angle corrected screw retained implant crowns, call sean on 10765 607347 or email sean@ambridgeceramics.com