Renzo Casellini, MDT – April 25, 2009

American Dental Implant Association
The Miami Implant Update
Renzo Casellini, MDT – April 25, 2009

A New Dimension of Esthetics

· CRAZY introductory video…. Neat!
· 22 yr old in a bar fight lost #8,9
o BAD result of tissue (fired and inflamed) and papillae are flattened
o Needed to use esthetic caps – creates the emergence profile
§ Cut off the chimney and have flipper stay off of the tissue
§ TEMPORIZATION IN anterior zone is VERY important
o Gingiva came back to health
· Teamwork = Success
o Surgeon, Dentist, CDT or MDT, hygienist
· Newest technique in Zirconium
o Full arch fixed: ZirkonZahn
o 1 piece Zirconium bridge
o Connect implant abutments with GC resin… not duralay
o Screw in, cotton plugs, Composite plugs made by lab which get bonded in with flowable
o New zirconium full mouth cases, carved like a key
· http://www.renzoswissquality.com/
· Immediate case
o Index teeth, Immediate ext, place implant, grind extracted tooth, place cover screw, reline extracted tooth with composite, use impressing abutment with composite to get gingival contour and emergence profile à send to lab for temp fabrication, bond ext tooth relieved on cervical by 1.5mm to the adjacent teeth so that there is no load on implant
· Multiple Single Implant Crowns
o Esthetic caps to be used to maintain papillae
o NEED diagnostic wax up
· Titanium CAD/CAM
o Great for Haider bars
· Teeth in an hour
o Reverse engineering
o Need anesthetic and exact depths of gingiva all around missing tooth sites
o Can make porcelain corwns… but don’t fit great
o Would rather recommend temps in a day
· Dentsply makes Esthetic Caps