Page 1

Is It Hot In Here Or Is It Just Me? DEKA laser assisted Guided Case Case Study by: August de Oliveira, DDS

Here is one of those "Sounded like a good idea at the time" type cases that took a bit to complete. Non-restorable bridge #29-31. Planned on an immediate molar implant in #31 and conventional #30.


Is It Hot In Here Or Is It Just Me? DEKA laser assisted Guided Case

We did an upper immediate molar as well, but planned on an optiguide for the lower. Just scanned the model with the bridge and SICAT sectioned it on their end. Really close to the nerve so we panned on a Legacy4 3.7mmD by 10mmL for #30 and a 5.2mmD by 11.5mmL for #31 and plan on splinting them in the finals.

2|P a ge


Is It Hot In Here Or Is It Just Me? DEKA laser assisted Guided Case

Planned on laying a flap and lateralizing some tissue from the distal. Used my DEKA Smart CO2 Laser. Wow, now that’s got some power to it!

3|P a ge


Is It Hot In Here Or Is It Just Me? DEKA laser assisted Guided Case

Got into it and just had no stability on #31, too much bone removal. DFDBA and collagen membrane with primary closure.

4|P a ge


Is It Hot In Here Or Is It Just Me? DEKA laser assisted Guided Case

Came back 4 months later. Not in love on how the tissue healed on #30, so we planned an apically positioned flap, again using the DEKA. Pumped the tissue up with 1:50K epi as blood freaks me out. ď Š

5|P a ge


Is It Hot In Here Or Is It Just Me? DEKA laser assisted Guided Case

Placed a Legacy4 in #31 (5.2mmD by 11.5mmL). Nice stability. Placed the flap apically and we will see how it heals. #32 may need a bit of recontouring and will use custom titanium abutments to parallel things up.

Dr August de Oliveira graduated from dental school in 1997 from the University of Washington and completed his General Practice Residency in Los Angeles in 1998. Dr de Oliveira has been lecturing on 3D technology since 2004, when he started as a CEREC Basic trainer. Since 2008 he has been involved with Implant Direct’s R and D department developing Guided Surgery Software and Hardware and testing their CAD Milled Bars and Substructure Department. Dr de Oliveira has written two books on Implantology: Implants Made Easy and Guided Implantology Made Easy. He has been involved with beta testing Sirona’s Sidexis Program, as well as developing the Opti and CEREC Milled Surgical Guides. Dr de Oliveira lectures nationwide for Sirona on the Galileos Cone Beam system and Sirona Guided Implant Surgery. He also teaches for Implant Direct at their Las Vegas Educational Facility and with the Engel Institute in Charlotte NC. Dr de Oliveira lives and practices in Los Angeles CA.

6|P a ge

Is It Hot In Here Or Is It Just Me Deka Laser Assisted Guided Case  
Read more
Read more
Similar to
Popular now
Just for you