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CAD0111

Fig. 1_Owing to precise NobelGuide 3-D planning, a sinus lift was not necessary. Figs. 2 & 3_NobelActive implants enable high primary stability even in compromised bone. Figs. 4a–f_Treatment plan. 30 I I industry report _ navigated implant placement _The cases presented in this article differ in level of difficulty in order to illustrate that navi- gatedimplantplacementistheprocedureofchoice for many cases. We also wish to demonstrate that template-guided navigated implant placement is advisable not only in very complex cases. From the very first time the patient presents to the dental office, the focus of the entire team contributing to the treatment is on thinking and acting from the patient’s perspective and his or her foremost wish to receive a treatment that is safe, not time- consuming, and associated with as little pain as possible. The advantages of case plan- ning with the NobelGuide soft- ware (Nobel Biocare) in com- bination with template-guided navigated implant placement include: _backward planning; _pre-surgical planning in the dental laboratory; _maximal certainty of the diagnosis; _minimally invasive intervention; _evaluation of complications ahead of time, to the extent possible; and _optimal prosthetic preparation (Figs. 1–3). As a concept, navigated implant placement can even be utilised for the purposes of patient marketing, mainly through word-of-mouth com- munication, as will become evident in case II. _Teamwork The dental laboratory is an important partner in the team working with the NobelGuide software. One of the earliest steps, the preparation of the X-raytemplatesdefiningthelaterprosthetictargets in detail, is carried out in the laboratory. During the planning phase, the results can be discussed by meansofNobelConnect,anInternet-basednetwork of all participating spe- cialists, and the necessary decisions concerning the fine-tuning between sur- gery and later prosthetic requirements can be made. Accordingly, the resulting casedesignsweredeveloped on the basis of teamwork and are therefore support- ed by the entire team. CAD/CAM 1_2011 Fig. 1 Fig. 4d Fig. 4e Fig. 4f Fig. 4a Fig. 4b Fig. 4c Fig. 2 Fig. 3 From the patient’s perspective: Design, implementation and prosthetics Authors_ Dr Götz Grebe & Dr Melanie Grebe, Germany