CAMLOG ROOT-LINE 2 Surgical Procedure

14 CAMLOG ® ROOT-LINE 2 IMPLANT WAX-UP/SET-UP The wax-up or set-up is prepared on the diagnostic cast in the dental labo- ratory. This permits planning of optimal tooth positioning from both func- tional and esthetic perspectives. It also enables early recognition of the need for augmentation procedures if a discrepancy is detected between the atrophied crestal bone and the required position for a prosthetic crown. The ideal articulation concept to aim at is a situation-adapted anterior-­ cuspid guidance with early disclusion of the posteriors (“freedom in centric” should be possible). PLANNING TEMPLATE A planning template is fabricated to review the planned implant positions in the mouth. The template can be converted to a drilling template later. The dental technician initially fabricates a complete wax-up/set-up with all missing teeth in their ideal prosthetic position for preliminary planning of the prosthetic reconstruction. In accordance with the “backward planning” principle, any anatomical deficits are not considered at this stage. The treat- ment goal specifies the surgical and prosthetic procedure. A silicone index is fabricated from this set-up. After hardening, the index is divided along the central occlusion to form a vestibular and an oral section. An acrylic template can be fabricated with the aid of the silicone index. Alternatively, the work can be done with a rigid vacuum foil via a duplicate cast. Depending on the x-ray methods, radio-opaque markers (e.g. titanium, steel, barium sulfate coating) are integrated. IMPLANT POSITION PLANNING