Genesis guided system review

Dr. Gregory A. Toback, DMD, MS | Philip Segal MDT

Genesis guided system review

Digital requirements for computer guided implant planning

1. Clinical images 2. Raw Dicom files 3. STL files of both jaws in occlusion

Digital requirements for computer guided implant planning

* STL files closed occlusion
* CBCT open occlusion

Import of STL files into planning software

Import of DICOM files into planning software

Cropping of DICOM files in planning software

Scan alignment to dicom – “0.00mm deviation”

CBCT open bite
STL files closed occlusion

Anatomy design – prosthetic driven planning

Anatomy design – prosthetic driven planning

Anatomy design – Occlusal adjustment

Choosing from the Genesis implant library

Choosing from the Genesis implant library

Preliminary placement of virtual implant

Implant planning & prosthetic evaluation

Implant planning & prosthetic evaluation

Desired outcome screw retained crown

Surgical guide design

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Surgical Report

Drilling Report

Understanding the drilling report

Drilling report - 5

Genesis 13 x 4.5mm FLAPLESS Drilling protocol

First tissue punch

Pilot (Stepped approach) 10.00L x Ø2.00/2.90mm drill

Pilot (Stepped approach) 13.00L x Ø2.00/2.90mm drill

Genesis 13 x 4.5mm Completion of finishing drills to Ø4.5mm

Surgical guide manufacturing file

Seating of surgical guide

Keystone Guided Surgery Kit

Tissue punch + pilot drill combined

10mm L 2.0/2.9 Ø twist drill
13mm L 2.0/2.9 Ø twist drill

Reduced drill length to increase initial stability in soft bone

Ø3.50 drill | Ø3.80 drill | Ø4.50 drill

Color coding visible thru DGS

Ø3.50 drill | Ø3.80 drill | Ø4.50 drill

Predictable prosthetic outcome

Implant placement

Correct orientation of implant Implant Key Without color coding

Placement of healing abutment