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Another dimension T
h e r a p i d l y - expanding implant sector has brought with it a need for a more structured
and co-ordinated training programme to ensure that the procedure is safely devel- oped and delivered. There are various training options available, and a particularly impressive venue is Clinic 95 in Oxford. Clinic 95 is a combined
dental practice and advanced education centre and is the brainchild of Maria Hardman BDS DUI. The training centre was designed to provide a modern, spacious and relaxing environment consisting of a 50-seat lecture room with video links to surgeries allowing the audience to see live, hands-on demonstrations. On-site cone beam 3D
imaging is an integral part of Clinic 95, maximising both the visual impact of the training and the diagnostic accuracy of the procedure. Maria points out: “The bene-
fi ts that cone beam 3D imaging can bring to your diagnosis are enormous. The ability to view the area of interest from all dimensions means you can be much more precise with your surgical treatment plan, substantially reducing the likelihood of unseen complica- tions. Measurements, angles and position are precise,
ensuring that your treatment is more effi cient and, above all, predictable.” Maria has invested in the
Kodak 9000 3D System. An important consideration when choosing the Kodak system was its ability to focus only on the area of interest and so achieve an effective dose similar to that for a traditional panoramic image. Also, by focusing on a smaller fi eld of view, the highest resolution is achieved, providing exception- ally detailed images resulting in very accurate determination
of dental-alveolar structures. At a recent course, delegates were able to see a live demon- stration of a patient undergoing an implant procedure. The patient presented a failing maxillary dentition. (Fig 1). She was wearing a partial upper denture but still had the upper anterior teeth remaining, despite being of poor prognosis. The initial OPG indicated that if the patient desired a full- mouth rehabilitation, sinus grafting would be indicated and possibly some bone grafting
Clinic 95 in Oxford allies dental practice and founder’s hi-tech training programme
in the area of the left lateral incisor. These were both out of the patient’s budget and also not a procedure she felt she could embark upon, as it would have necessitated her wearing a full upper denture during the transition stage. A CBCT image was taken, and the patient considered for the All-on-4 TM concept from Nobel Biocare. This offers the patient imme-
diate placement of implants and immediate loading. It does, however, require meticulous surgical and prosthetic plan- ning and preparation. The case was presented as a training course in collaboration with Richard Brookshaw. Using the images produced from the CBCT Kodak 9000 3D system and using Nobel Guide, Richard was able to plan the case. (Figs 2 and 3) The surgery was successful,
with the implants being placed in accordance with the planning and the prosthesis delivered later that day. (Fig 4) Maria delivers a growing
programme of events covering implant planning and other advanced procedures. Clinic 95 is available for hire for those running their own courses.
® For more information on Clinic 95, visit
www.clinic95.com For Carestream Dental, visit
www.carestreamdental. com, or e-mail Ernesto.
jaconelli@carestream.com
Fig 1 Patient at presentation
Fig 2 Richard Brookshaw’s plan
Fig 3 Another plan view
Fig 4 Implantation went to plan
Scottish Dental magazine 67
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