The Model + Antagonist Protocol

See pics and read the text under the pics in this LINK.

Using this (very easy to implement) protocol plus the Inflated Vestibulum Protocol (gap between the jaws, tongue retracted - see this LINK) you can achieve:
- Very accurate model over CT registration
- Very accurate model over antagonist registration (in fact fully automatic)
- Planning implants taking into consideration: bone, soft tissue, antagonist (in the "correct" place as per the dental technician), etc.

WARNING: The antagonist STL (the maxilla in red in the above example) WILL NEVER BE IN SYNC WITH THE CT with this method (even if it looks like...).

NOTE: This protocol can of course be also "Model + Waxup + Antagonist". The Model + Waxup Protocol (following the same principle) in this LINK. In this scenario you import to SIMPLANT three STLs (model, waxup, antagonist) but you do just one registration.

The Model + Waxup Protocol

This is IMHO the best protocol for preparing a case for planning implants (and abutments) using SIMPLANT (or other software). Very easy to implement giving optimal results not depending on the skills of the CAD/CAM technician doing the STL(s) registration(s) and most important, very easy to control by the dentist visually. To be used in conjunction with "The Cotton Rolls Protocol" (in previous item). See this LINK for a full description of the options, samples and how it is done.

The Cotton Rolls CT Protocol

Here you have a simple to implement technique to make very easy the STL registrations and few more great advantages. This Cotton Rolls CT Protocol is a must IMHO, for Kennedy Class I cases, when you have only anterior teeth for the STL registration. See how clearly the posterior gingiva appears in this LINK plus more information. See this LINK (soon) for the full "Inflated Vestibulum Protocol".

Actual (post-op) vs. Planned Implants in 3D

In case you have a post-op CT, here you have a great way to see and evaluate in 3D the delta between the implants planned and the actual (real) implants positions.

In this LINK you have a description of the whole process.

WHAT YOU NEED TO PROVIDE:

- The SIMPLANT .sof file (this is the actual file uploaded to SIMPLANT while ordering a guide)

- A post-op CT in DICOM format (no matter the denture status)

DISCLAIMER: This is not a recommendation to do an extra CT, it is intended for cases a post-op CT was performed anyway for other reasons.

In this LINK is the discussion in DentalXP.

The New HAPro Website

After a great work from Uriel Gross, the HAPro website is finally online at: http://www.hapro.co.il/.

HAPro Ltd. founded in January 2010 by Fanny Gross and Philip Segal, offers state-of-the-art digital dental technologies and services, from SimPlant for CT view and implant planning, surgical guides (SurgiGuides) from Materialise Dental and SAFE systems (as The Navigator System from BIOMET3i), to final restoration infrastructures from Biomain.

Press HERE to see interesting clinical cases included in the HAPro website.

Salo Kegen

http://www.hapro.co.il/

Dual Scan vs. Single Scan

Dual Scan versus Single Scan. In fact, this is a single scan radio-opaque scannoguide masked as base-plate (green) and teeth (red) and again as a single (dual-scan like) stent (all green) for comparison purposes.

Dual Scan: A radiolucent stent with radiographic markers (Gutta-percha or other). Two CTs are needed, patient+stent and stent alone.

Single Scan: A radio-opaque stent (base-plate 10% Barium Sulfate - teeth 30% Barium Sulfate). One CT patient+stent is needed.

Press HERE for the webalbum and HERE for the animation.

First Case in Israel using a Reduction Guide

Thanks to the initiative of Dr. Avraham Finkelman the first case in Israel using a Reduction Guide as a preliminary step for using a bone-supported SurgiGuide is undergoing. You can see HERE the preliminary pictures. As the case advance more pictures will be added.

SimPlant Study Club - Carlton Tel Aviv

Yesterday (31 Aug 2010) we had probably the best SimPlant event (Study Club) in the past years. Press HERE for the pictures.

Thanks to Dr. Barry Marshak who headed the meeting and to all the participants.

This is the way to go: To offer an open platform to share knowledge and experience (good and bad), by the SimPlant users themselves.

Question: Can this be done via the Web? Forums? Webmeetings? Video-conferences? I'm not sure. Maybe the answer is: You Can't. There is no replacement to people sharing the same interest getting together...

Press here for an example of the case presented by Dr. Ronen Dekalo, and here for the case from Dr. Ehud Teperovich.

iTero over SimPlant first case

Thanks to Dr. Ronen Dekalo (SimPlant owner) and Dr. Michael Abba (iTero owner) the first case combining SimPlant and an intra-oral 3D scan with iTero was made possible.
See more pictures here.

SimPlant Israel - Now moving to HAPro...

SimPlant Israel - Now moving to HAPro... (Under construction).

Our SimPlant Page at H.A. Systems

- http://www.hasystems.co.il/?CategoryID=219

First Cases In Israel with SimPlant and the Navigator System

That's it! We started to work. The first stock of the Navigator System Kits (Lab and Surgical Kits) is already here, and we started to perform cases with the leading doctors in Israel to create a knowledge database related to SimPlant and the Navigator System.

Click HERE for my Navigator webpage with info and cases.

This is a good time to THANK with all my heart all the persons who made this possible:

Preparations Stage (one of the most exciting years of my life):
- Dr. Philippe Tardieu (The main spirit behind all I do and (think) I know)
- Prof. Martin Gross (Knowledge and how to think)
- Dr. Dov Kischinovsky (Mentor and advisor)
- Dr. Alexander Gross (First SimPlant cases and infinite patience with me)
- Amnon Leitner (Panorama CT - i-CAT Israel)

Production Stage (Just started):
- Dr. Barry Marshak
- Dr. Moshe Goldstein
- Dr. Yuval Wind
- Dr. Hadar Better

And of course, Mrs. Fanny Gross, CEO - HA Systems Ltd., who gave me this great opportunity to work with the exceptional professionals above and with all our clients and potential future clients here in Israel.

http://www.simplant.co.il/

All CT Guided Systems Available In the Market

Even if you believe you are the best, it is important from time to time to compare yourself with others.

Here is a list that I'm compiling for the past months with what I believe are all the companies and brand names in the market related to CT Guided Systems for Implant Dental Purposes.

Press here for the full list with links.
Press here to email comments/corrections/additions/etc.

- Astra Tech - Facilitate (SimPlant as OEM)
- BIOMET 3i - The Navigator System (w\SimPlant)
- BIOMET 3i - The Navigator System (w\iDent)
- Bioparts - DentalSlice
- Dentsply - Friadent - ExpertEase (SimPlant as OEM)
- DenX - IGI - DentSim
- Dolphin Imaging - Implanner
- ERA Scientific - Dental Vox
- iDent - ImplantMaster - Scan2Guide - iGuide
- Implant Logic Systems - Compu-Guide Templates - VIP SW
- Implant Solutions - coDiagnostix System
- IMTEC - (ILUMA V-Implant) - DigiGuide MDI
- Keystone Dental - EasyGuide
- Materialise Dental - SimPlant – SurgiGuides - The SAFE System
- med3D - Software implant3D
- Media Lab Software - Implant3D
- Nobel Biocare – NobelGuide
- Robodent
- Sirona Dental Systems - GALILEOS - GALAXIS
- Tactile Technologies - ILS - Implant Location System
- TIMC Lab – CADImplant
- 10DR Implant System
- 3ddx - OsseoView

www.simplant.co.il

The Dental Industry Moving to Digital by Leaps and Bounds

With the introduction of new products offering Oral Scanners (Digital Impressions), the race for a "plaster-free" Digital Dental Platform has moved from the future to... now.

Components moving to be totally digital in the Dental Industry:

- Appointments, Accounting, etc. (already a few years totally computerized)

- CT / X-ray (already distributed mainly via CD from the CT Lab - or - local X-ray digital equipment instead of film)

- Volumetric (3D) Visualizations (already distributed from the CT Labs)

- 3D Implant Planning and Surgery Stents (SimPlant, NobelGuide, iDent, ILS, OsseoView, etc. - With SimPlant as number one in all reviews complimented with the Navigator System from BIOMET3i)

- Digital Impressions and Scanning (3M COS, iTero, D4DTech, etc. - No more trays and putty impressions - Samples)

- Digital Restorations Design (CAD - Nobel, Degudent, D4D, BIOMET3i, etc.)

- Computerized Aided Manufacturing (CAM - Models, crowns, bridges, stents, etc. - By stereolithography, sintering, milling, etc. - Nobel, Degudent, BIOMET3i, etc.)

A Real Revolution?

I often hear these questions:
- Is this a real Revolution all the issues around CT Guidance?
- Aren't you exagerating a little bit in order to promote just a new model of dental kits?

Let's see. This will happen to you the moment you will start using 3D Guidance Technologies (as SimPlant, The Navigator System, other 3D technologies):

- Use of your PC not just for emails and browsing the Internet (but a "real" use for your computer power).
- Detailed planning of all dental procedures before the treatment (press here for the advantages).
- Communication between surgeon, perio, prosthetic, lab, etc. experts via electronic media.
- The main medical-legal question will now be: Did you do everything possible to foresee and avoid possible problems? (as CT; planning using a dental simulation software, etc.).
- Sending plaster models via the Internet as 3D files.
- Dental planning software communicating directly with CAD/CAM equipment in the dental lab.
- 3D scanning claster models, bite impressions or directly 3D scanning the patient mouth (press here for samples).
- 3D "printing" or direct fabrication of models, stents, restorations, prosthesis, bars, etc. (press here for samples).
- Professional lectures explaining the procedures using 3D visuals (no more boring presentations).
- Explaining the possibilities to the patients in front of a PC display.

OK, now you see. We are talking about a Real Revolution in Dental Therapy, a whole new platform putting together until now individual technical advances; very similar to what happened to engineers and architects with CAD/CAM (Computer Aided Development / Computer Aided Manufacturing) a few years ago.

New SimPlant OMS

SimPlant OMS (Oral and Maxillofacial Surgery) is a new (optional) simulation module on top of SimPlant, replacing SimPlant CMF. It's purpose is bite corrections simulations and it is targeted mainly to orthognathic surgeons.

SimPlant OMS permits to digitalize the patient’s treatment starting from the CT, digitalized stone models, virtual planning, the use of digital wafers, virtual occludator, photo-mapping, etc.

Press here for a few screen captures of SimPlant OMS.

Press here to go to the SimPlant OMS Homepage.

SimPlant Nostalgia and Roots

Now that SimPlant Version 12 is under Beta tests, it is a good time to go back half of the versions to Ver 6.0 and remember all the basic features that made SimPlant even then (1999), the most advanced implant planning software in the world.

As all software developers know one of the toughest challenges in software development is what to do in the next version when you already have a state-of-the-art piece of software. Sometimes better is the worst enemy of good.

In order to really work with SIM/Plant Ver 6.0 press here to download a VMWare Application containing Windows 95 and SIM/Plant Ver 6.0. You will need also to download the VMWare Player from here. This should be "Exhibit A" in a future CT Guidance Museum, so I hope no one will complain about license issues here. To be impressed from the included audio-visual Tutorial back then ten years ago, press here.

Join the CT Guidance revolution!

BIOMET 3i and SimPlant - Navigator System US Educational Programs

CT Guidance technology has transformed conventional methods of dental implant treatment planning, surgery, provisionalization and the final restoration. In the last few years, there has been a growing acceptance and availability of three-dimensional imaging to better utilize diagnostic information. Clinicians are getting involved with CT Guidance in order to improve the precision of their dental implant cases, while being on the cutting edge of technology.

Press here for a short (1 min) movie presentation.

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Press here to download a brochure for our upcoming CT Guidance Programs, “Clinical Application of Computer Guided Implant Therapy” that will take place throughout the U.S. This two days course will offer an exciting opportunity for your doctors who want to learn more about implant treatment planning, surgery, provisionalization and the final restoration using our Navigator™ System in conjunction with SimPlant software.

Tuition (Course only): $1250 per person.

Salo Kegen

H.A. Systems Ltd.

BIOMET 3i and SimPlant Distributors in Israel

BIOMET 3i and Materialise Navigator System

You can imagine the excitement at H.A. Systems (BIOMET3i and SimPlant official distributors in Israel) from the announcement of the Navigator System, the new 3i platform for Computer Guided Implant Therapy, embedding both state-of-the-art technologies: 3i components and SimPlant software.

The Navigator System consists of the SimPlant software for 3D diagnostic and implant planning, a Surgical Kit for the clinician and a Lab Kit for the dental technician in order to prepare the prosthesis prior to the surgery, including hex orientation.

More information, including demos and courses in Israel coming soon...
Here are some initial Navigator links: Newsletter from 3i President, Announcement, US courses.

ScannoGuide Preparation

The ScannoGuide also known as Radiological Template or CT Guide, is the first and probably the most important ingredient for a successful SimPlant implementation. Press here for a pictorial documentation of the preparation of a ScannoGuide for a Tooth-supported SurgiGuide. Advanced SimPlant users can use the Virtual Teeth feature to mimic a tooth setup and skip (in some cases) this ScannoGuide step.