TOTAL FIT WORKFLOWS (TFW)
What is the aim of TOTAL FIT WORKFLOWS?
To decrease the rate of complications and increase success! The vast majority of the biologic and technical dental implant complications can be significantly reduced or even avoided if risk factors could be addressed and controlled in planning stage. TFW approach to address the features of the implant connection, abutments, prosthetic materials and other factors during the planning stage.
To simplify digital workflow. Digital workflow can become a complex and difficult to manage due to many tools that can be included in it: intraoral scanners (IOS), cone beam computerized tomography (CBCT) unit, face scanners, jaw-tracking devices, dynamic navigation systems, photogrammetry device, 3D printers etc. This can lead to decreased effectiveness and even increase the risk of complications. TFW is organized to simplify the digital workflow and to include only essential digital tools which ensure only highest accuracy.
To control error propagation. Each digital or analog technique can have acceptable level of accuracy, but when included in the workflow can result in significant deviations. TFW allows to limit the error propagation of the workflow.
To provide immediate prosthetics. TFW applies fusion of surgical and prosthetic planning and procedures. Immediate restoration and loading is simplified and becomes a standard procedure benefitting esthetics, function, and patient satisfaction.
To ensure the “TOTAL FIT”. Accuracy is important, but clinically only the “fit” matters. Mainly the passive-fit of implant-supported prosthesis is considered as a criteria of fit. TFW helps to manage many different “fits”: fit (alignment) of digital images, guides, surgical instruments, immediate prosthetics, along with many other fit criteria for the final prosthesis – proximal and occlusal contact fit, passive fit, marginal fit, emergence contour fit, hygienic, biocompatibility, structural strength and other features. No “try-in” appointments!
To increase patient satisfaction and efficiency of the clinic/lab. Meeting all TFW criteria can profoundly affect the efficiency of clinic and lab! Organized workflow, shorter visits, faster treatments, less complications, more satisfied customers and patients!
TFW is organized in 6 steps
STAGE 1
Treatment planning. Digital patient model.
Examination is followed by image acquisition, reference objects placement, alignment, verification, and developing a restorative treatment plan.
STAGE 2
Guides and immediate prosthetics
Implant and abutment selection is followed by guide design and manufacturing, as well as immediate prosthetics design and manufacturing.
STAGE 3
Guided surgery and loading strategy
Guided implant positioning is followed by confirmation, achieving primary stability, placing healing abutments, and proceeding with immediate restoration or loading.
STAGE 4
Digital impressions and registration
Reference selection is followed by occlusion registration, implant position registration, and evaluation of repositioning accuracy.
STAGE 5
Labaratory procedures
Verification of registrations is followed by model fabrication, abutment selection, CAD/CAM and 3D printing, and finalization.
STAGE 6
Delivery of final restorations. Follow-up
Try-in is followed by fit evaluation, ensuring passive-fit, making adjustments, delivery, follow-up, and ongoing maintenance.
TF Workflows – for modern implant prosthodontics
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