Dr Barbara Sobczak
Edentulism is a worldwide problem. Patients loose their teeth due to dental, medical and psychological factors or because of mechanical trauma. Even with development of dental science and possibilities to maintain dentition, teeth losing is still a major issue. It affects all life aspects: social life and life of the individual. Edentulism is not only esthetic and functional problem but also psychological. Patients often do not accept dentures not due to denture itself but because of emotional effects. Progressive dynamic periodontitis can occur in different age. Young patients who are social and career active, do not accept full dentures. These patients are willing to regain the natural dentition. Not only they would aim for a fixed solution but also for the most esthetic and natural one, with their own gingiva. Sobczak Concept® was developed to meet such expectations. Digital tools used in dentistry nowadays include laboratory CAD software, intraoral scanners and CAM devices, like 3D printers and milling machines.
Digital technology comes along with immediate implantology. We want to treat patients in a repeatable and reliable way. Patients want to have a guarantee, that they will always leave the clinic „with teeth” and that they will not have to feel uncomfortable during the treatment for example using removable temporary dentures or provisionals that limit their everyday life. The promise of immediate implant placement, that can be immediately loaded, can be fulfilled. Either Straumann BLT or BLX implants can achieve stability of over 35 Ncm. Rich component portfolio gives us a chance to prepare a chair side provisional for single crown or a small bridge.
But the chair side provisionals are not that esthetic and accurate as provisionals designed in laboratory CAD software and 3D printed or milled. Therefore this fully digital protocol shows the complete workflow from the planning of digital wax up, placing implants using a 3D printed surgical guide through scanning the patient after the surgery and production of the already ideal temporary prosthesis, which after the healing period is easy to replace by the full monolithic zirconia prosthesis.