This 3D-planning software implant3D enables a dentist to process
computertomographic scans (CT-scans) in DICOM-3-Format,
which have been acquired by a radiologist and transfered to him
(typically on CD-ROM) directly to his computer,
a "central processing" is not required.
If during CT-scanning the patient wears a barium-sulfate covered
(radioopaque) template, which has been made from a prosthetics wax-up,
then the proposed prosthetics will be well visible in the CT images.
At this time no titanium tube is yet placed.
In the following example image an implant in region 13 has been set at the level of the proposed crown to align it according to the contours from the wax-up. In the next step the implant will be lifted along its axes by keeping its orientation and lateral position, until it has reached its destination.
Using the CT-scans now a detailed exam is made, if there is sufficient bone available and what the ideal position for the implant is in regards to prosthetics and implantology.
The software enables you to move implants freely and interactively in real-time through the CT-dataset and view it in 2D slices and in 3D images, thereby exploring different alternatives for treatment.
After position, length, diameter and product type have been chosen for each implant a drilling plan is generated for the positioning device.
Positioning Device X1med3D
This positioning device for placing titanium tubes is manufactured by
Georg Schick Dental GmbH.
Developed by Schick and med3D for use with the implant3D software,
it is used to transfer the ideal, yet virtual implant positions from the software planning to form a real drilling template.
Because of its highly parallel structure, very similar to a flight simulator, high mechanical strength and excellent precision is achived.
The software generates and prints out a drill plan, that tells for each implant position, which lengths have to be dialed in at the 6 legs, thus positioning very precisely the carrier in relation to the drill.
After drilling a tube holder is inserted, which keeps the titanium tube in place while it is permanently attached to the template using super-glue or polymers.
For the surgical procedure itself only the ready-made drilling template is required, but not software or positioning device any more. This eliminates technical risks during surgery, the implantologist can focus entirely on the patient and is not distracted by extra equipment.