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Nobel Biocare Global Symposium 12 products by KaVo Kerr Group n The KaVo MASTERsurg LUX Wireless was designed to redefine surgical standards, of- fering all dentists and oral surgeons an ideal surgical solution, no matter what their indi- vidual needs. With an eye toward maximizing comfort, the unit features wireless foot control, allow- ing the user great freedom of movement, and a modern touchscreen with a non-reflecting display to allow optimal viewing from all an- gles. Valuable for the comfort that comes from peace of mind, the data documentation function supports procedures with real-time display of the torque and other important digital data, saving it concurrently. Another critical feature is the customiz- able programming to address individual require- ments. With simple and intuitive settings for dif- ferent bone densities, implant systems and users, a clinician can customize up to ten pro- grams, each with ten individually program- mable steps. These outstanding features are the foun- dation for the quality and high performance provided by the INTRA LUX S600 LED, one of the world’s lightest surgical motors. Delivering on the promise of innovation and quality KaVo users worldwide have come to expect, the KaVo MASTERsurg LUX Wireless is taking dental surgery to a whole new level, providing a feature set that makes a substantial difference in delivering maxi- mum performance on a daily basis. 7 KaVo MASTERsurg LUX Wireless surgical unit Taking dental surgery to a whole new level Treatment planning: Begin with the end in mind The value of planning for final results before treatment initiation by Dr. Gary Orentlicher, US nI have frequently remarked that in the last 15 years there has not been a greater prac- tice builder for me, as an oral and maxillofa- cial surgeon, than my involvement in guided surgery. Using my i-CAT (Imaging Sciences International), in combination with Nobel- Clinician Software (Nobel Biocare), has made me a better, more accurate dental implant surgeon, and most importantly, has greatly improved my patients’ case outcomes. It has changed the way I practice daily in all aspects of patient diagnosis, planning and surgery. i-CAT and NobelClinician allow for treat- ment planning and surgical predictability with full 3-D and restorative outcomes in mind. i-CAT’s high-resolution volumetric im- ages provide complete views for a more thor- ough analysis of bone volume and structure and of tooth and implant orientation. This means more precise evaluations, minimally invasive procedures, more predictable treat- ment results, shorter appointment times and happier patients. In a presentation I made this spring, I spoke about what I regard as the indica- tions for guided surgery. They include 8 three or more implants in sequence 8 cases with anatomical and/or structural issues 8 implant position critical to a planned res- toration 8 problems related to proximity of adjacent teeth 8 fully edentulous patient cases 8 immediate extraction and implant place- ment 8 significant alteration of bony anat- omy (e.g., trauma, grafting, distrac- tion and pathology) 8 medical problems (e.g., radiation therapy, bleeding dyscrasias, and orthopedic and psychological prob- lems). In each case, there are four primary steps to a successful guided surgery workflow: 8 Step 1: 3-D imaging with a scanning prosthesis or optical scans 8 Step 2: 3-D treatment planning with planning software 8 Step 3: Creation of a computer- generated guide, laboratory and sur- gery 8 Step 4: Knowledge of the appropriate implant-specific drilling instrumentation. In my clinical ex- perience, the quality of the products one uses makes a signifi- cant difference in the process and final treatment result. I look for quality, ease of use and support that helps me prac- tice with the great- est amount of confi- dence. I use the i-CAT cone beam 3-D unit, which offers many valuable features, in- cluding flexible im- aging control. This allows me to custom- ize my scans by min- imizing the field of view and radiation dosage while maxi- mizing resolution. With i-CAT, I gain greater control over my workflow and the entire scanning pro- cess. I have my CBCT scans converted into DICOM data sets and imported into Nobel- Clinician for treatment planning. I have used most implant software on the market and I feel strongly that NobelClinician is the pre- mier product. For clinicians with an interest in using the power of 3-D to create implant treatment plans, they will be making an investment in their clinical skills and improving their pa- tients’ experiences and outcomes. This will lay the groundwork for increasing treatment acceptance rates and implant practice growth. 7 About the author Dr. Gary Orentlicher is Chief of Oral and Maxillofacial Surgery at White Plains Hos- pital in White Plains, New York. He is a dip- lomate of the American Board of Oral and Maxillofacial Surgery, a fellow of the Amer- ican Association of Oral and Maxillofacial Surgeons, and a member of many regional and national dental and oral and maxillofa- cial surgery organizations. He is a partner in the New York Oral, Maxillofacial, and Im- plant Surgery private practice in Scarsdale, New York. Treatment planning software used for fully edentulous patients. Dr. Gary Orentlicher