Dr. Lars-Magnus Almgren has worked with patients requiring dental implants for over 20 years and always with the main focus on the patient. As digital implant workflow is becoming increasingly important for clinicians, dental technicians and patients, Dr. Almgren has embraced this efficient way of working.
Dr. Almgren places up to 200 implants each year and handles all the related prosthetic elements. In 90% of cases, the suprastructures are screw-retained. Cement-retained suprastructures are only used if the esthetic aspects are particularly important, as in the upper front.
A successful case using digital implant workflow
One of Dr. Almgren’s patients was newly diagnosed and as the first step in the Digital Implant Workflow a CBCT scan was conducted.
“The highly accurate 3D image tells me about the anatomy of the patient and where the implant will be placed. Apart from information about anatomical structures, I also receive information about the bone quality,”
Dr. Almgren says.
In this case an intraoral scan was required to obtain information about the patient’s dentition and soft tissue. The scan provided information about the position of the implant based on the desired esthetic outcome and was a key part of the implant treatment planning.
Digital treatment planning
In most cases today, Dr. Almgren uses the mySimplant Planning Service to plan the procedure. The application involves sending X-ray files to Dentsply Sirona, who then send a technical planning schedule back to him based on the CBCT and the intraoral scan. This way he can ensure that the implant is placed correctly and that the distance to the adjacent roots and bone walls is taken into account.
If he accepts the surgical plan, he orders the surgical guide. “The point of using the guide is that the implant can be placed more precisely, making the whole procedure safer,” Dr. Almgren says.
In this particular case, there was a sloped ridge anatomy. Picking the right implant with the right design was a challenge. Resorption is often pronounced on the buccal side, resulting in a sloped lingual-to-buccal ridge, but since Dentsply Sirona introduced the OsseoSpeed Profile EV with its sloped implant neck that follows the bone, this was an excellent implant option for this kind of case. OsseoSpeed Profile EV is in fact an implant that Dr. Almgren finds suitable in many clinical situations due to its design.
“As I work with the mySimplant Planning Service, I can apply what is termed soft tissue management and place the implant correctly without damaging the surrounding soft tissue. The need for suturing is eliminated, resulting in optimal healing and a good esthetic appearance,” Dr. Almgren confirms.
After the two implants were placed according to the surgical guide, there was a healing period of at least three months. Dr. Almgren then took the digital impression on implant level and sent the files to the dental laboratory.
“The result depends on the quality of the impression, and I know how easy it can be to jeopardize a conventional impression. Now I always get a predictable and precise result,” says Dr. Almgren.
In this case, as in many other cases, Dr. Almgren uses the Atlantis CustomBase Solution. This means he receives an Atlantis Abutment with an abutment screw from the dental laboratory, together with an Atlantis Crown complete with a screw access hole, with the possibility to angulate.
Why digital dentistry?
The patient underwent careful treatment without spending a lot of time in the chair, and the outcome was excellent. Apart from satisfied patients, the goal for the clinician and dental technician is to achieve predictable and optimized results.
“Working with digital techniques and a digital implant workflow makes my day-to-day clinical work safer and more efficient,” Dr. Almgren concludes.
Here you can learn more about digital implant workflow.