The use of CT technology has been a part of my diagnostic workup for the past 16 years. However, in the past, the transfer of prosthetically directed information to perform implant surgery has lacked precision and guidance. Despite the use of CT information, surgical execution remained largely intuitive not guided.
In June of 2002 I experienced a paradigm shift which has been remarkable and exciting. Today, implant placement can be prosthetically directed. Through the use of special scanning appliances it is now possible to transfer prosthetic outcomes to the CT study, develop a computer generated treatment plan and through the use of rapid prototyping have a surgical guide built to facilitate the outcome.
Because there are many surgical guide options to select from, I would recommend the incorporating a guide type which most closely reflects your current philosophy of implant placement. This would most likely involve the use a bone-supported surgical guide. The use of a bone-supported surgical guide would enable the surgeon to compare both the old and new way of implant placement. Develop trust and confidence in the use of SimPlant®. Like any type of radiograph the doctor will need to master the learning curve to understand its clinical relevance and subtleties. Become comfortable with the development of a prosthetically directed treatment plan and its surgical implementation. After gaining confidence move to a tooth supported and eventually to a mucosal supported guide. By incrementally incorporating the various guide strategies, you will avoid setbacks, improve your understanding and interpretation of CT information and eventually place implants without bone exposure.
I have assembled a series of computer guides treatment plans and cases which reflect my experiences since June of 2002. On a personal note, I would like to thank Dr. Philippe Tardieu for his guidance and encouragement. These cases, in large part, reflect his influence, creativity and enthusiasm for this paradigm shift in implant treatment.
Along with the other mentors we are available by e-mail to answer questions you may have regarding SimPlant® and its application to clinical practice.
Alan L. Rosenfeld, DDS, FACD
Mentor SimPlant® Academy
Dr. Alan Rosenfeld has generously offered to share his presentations and case studies with the members of the SimPlant® Academy. The SimPlant® Academy would like to thank Dr. Rosenfeld for his willingness to share his experiences with other users!
Because of the amount of work, time and energy taken to prepare all this material, it cannot be copied or used without the author's permission. Thank you for your understanding
When you click on the presentation icon ( 
), you will see a presentation of the particular case. When you click on the document download icon ( 
), the SimPlant® program will open this case for you on your computer and you can see how the treatment planning was made in SimPlant®.
| Bone-supported SurgiGuide® | ||
|---|---|---|
| D.A - Max - Advanced periodontitis | |
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| J.F - Man - Advanced periodontitis |
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| W.M. - Max - Partial edentulism maxillary |
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| T.R. - Man - Advanced alveolor and basal bone atrophy | |
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| J.S. - Max - Partial edentulism |
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| Mucosa-supported SurgiGuide® | ||
|---|---|---|
| J.F. - Max - Advanced periodontitis | |
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| S.G. - Man - Advanced periodontitis | |
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| SAFE System | ||
|---|---|---|
| S.A. - Max - Partial edentulism | |
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| P.F. - Man - Advanced mandibular atrophy | |
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| E.S. - Man - Mandibular edentulism | |
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| E.V. - Max - Maxillary edentulism | |
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| Single tooth restorations-regular guides | ||
|---|---|---|
| E.B. - Man - Congenitally missing mandibular central incisors | |
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| K.D. - Max - Congenitally missing maxillary canines | |
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| K.F. - Max - Congenitally missing maxillary right lateral incisor | |
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| R.M. - Max - Partial edentulism | |
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| Tooth-supported SurgiGuide® | ||
|---|---|---|
| S.A. - Max - Partial edentulism | |
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| E.C. - Max - Alveolar fracture | |
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| Tooth/Mucosa-supported SurgiGuide® | ||
|---|---|---|
| G.M. - Max - Maxillary right alveolar atrophy | |
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| P.M. - Man - Partially edentulous | |
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| J.R. - Max - Maxillary left posterior | |
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