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Healthcare

Creating a Surgical Guide – Learn Blue Sky Plan in 15 Minutes

By | Healthcare | 2 Comments

Blue Sky Bio have created a very nice overview of dental surgical guide creation for implants using their excellent Blue Sky Plan software. This software is free to use with a charge for export, this is an excellent business model giving users access to learn and experiment with the software without a huge upfront cost.

Check out the guide here http://www.blueskyplan.com/stepbystep

After following this guide the next step is physically creating the guide, this is even easier with Robox.

Automaker Animation

Robox is the most popular FFF/FDM 3D printer in dentistry. We think this is because it is the easiest to use. Dental professionals are very skilled with their hands and can visualise and create very accurate and detailed objects. They are also very busy with valuable time. Being able to work through cases quickly and simply send them to the printer without fiddling or dealing with nasty resins makes the whole process clean, fast and predictable.

Robox is the best 3D printer for dental surgical guides because it is very easy to set up and use, Robox is clean and compact with safe and very cost effective consumable materials. Best of all it has dedicated and knowledgable support staff who are ready and able to help along with the best warranty of any 3D printer.

There is a comparison of SLA vs FDM here.

Learn how to Fabricate an In-Office 3D Printed Surgical Guide for $20 with a $1500 3D printer with free software.

By | Education, Healthcare | 3 Comments

Presented by: Dr. Rick Ferguson

Date: Saturday, January 28th, 2017
Time: 8:00AM-6:30PM
Tuition: $1095. Optional Second Day $500 – Fabricate a guide for your own case.
CE: 8 Hours

Location: Porsche West Broward
4641 SW 148th Ave
Davie, FL 3331

REGISTER NOW. CALL 1-954-319-5606

Rick Ferguson lectures throughout the world on a variety of implant surgery and restorative topics. He is the Director of Implant Educators which runs a seven month program teaching general dentists and specialists how to become implantologists. Dr. Ferguson is a Diplomate of the ICOI, an Associate Fellow of the AAID, clinical assistant professor at the University of Florida and a visiting lecturer at the University of Miami. Dr. Ferguson has taught implant dentistry and hands-on bone grafting courses which have been attended by thousands of dentists over the last 18 years. He is currently in private practice in Davie, Florida.

REGISTER NOW. CALL 1-954-319-5606

DENTAL SCHOOL OFFER: Free Surgical Guide Exports. Print Surgical Guides on Campus.

By | Education, Healthcare | 2 Comments

Blue Sky Plan has become the favoured surgical planning tool for dental work. The software lets you work and plan your cases for free and has an excellent selection of tools to allow accurate matching of scan inputs and implant hardware plus the ability to create digital surgical guides. The software is constantly evolving to keep up with the advances in dental technology and improving methods.

If you are an educator in dentistry you probably already know all this. Take advantage of the offer below to allow your students to work all the way though the export phase of case planning. Grab a Robox and print your surgical guides accurately, incredibly cheaply and without any fuss in house.

blueskyplanfreeexporteducation

Dr. Cory Glenn’s Implant Pearls and Products

By | Healthcare | No Comments

Based on Cory Glenn’s Dental Town Post ‘Cory Glenn’s Implant Pearls and Products‘.

If you have a Dental Town login you can see the discussion here: Dental Town Message Board

  • CBCT planning and guided surgery will save you money by decreasing the time needed for surgery, making your surgeries more precise, decreasing the need for lots of inventory, and making your restorative costs more predictable.
  • CBCT planning and guided surgery will make you more money through increased case acceptance, more referrals, giving you confidence to tackle more cases, and by helping determine which cases will be complicated and/or less profitable

Dr Glenn writes:

Which Implants To Use

Everyone’s titanium integrates……. some just integrate much cheaper!

  • Use a value branded implants with a good track record like Blue Sky Bio (my favorite)
  • Use a conical connection with a platform switch
  • Use implants with aggressive threading

Reduce Your Risks:  Failures are the Kiss of Death

  • Flap everything you can and bury the implants with primary closure in a 2 stage approach.
  • Flap rather than punch at uncover to gain keratinized gingival by rolling it to the buccal
  • Avoid immediate placement until you’re very experienced.  I suggest grafting all sites with                 Maxxues 50:50 Mineralized/Demineralized FDBA ($51 for 0.5cc) mixed with Fusion Bone Binder (Woodland Hills Pharmacy) and covered with a collaplug in single rooted teeth or a Cytoplast TXT-200 Nonresorbable membranes ($40) in molar sockets
  • Stick with shorter implants (8 and 10mm lengths).  There’s almost no value in a longer implant unless primary stability is of the utmost importance (ie immediate and single staged implants which you’re not going to do…… right!?
  • Stay 2-3 mm from anything with a name (inferior alveolar canal, mental foramen, etc)

Tips to do More Implants

  • Learn to do conservative crestal sinus lifts. 30% of all potential implant sites you encounter will need a sinus bump or a sinus lift.
  • Buy a CBCT.  Having to refer out for scans creates a much bigger barrier than you realize.  Most dentists find that the number of implants they do doubles once they get CBCT in office.
  • Plan cases in front of the patient.  The purpose is twofold:  you will be able to confidently tell them whether you can do the case and what it will cost right then and there.  It also creates a significant “wow factor” when your patients see you using this level of technology and planning.
  • Lower your prices.  Price is your gas pedal.  If you want to do more, step on the gas and lower fees.  A routine single tooth placed guided takes me an average of 2 hours total time and 3 appointments from start to finish.  Even by charging a bundle fee of $2500, you’ll still generate over $1,000 an hour.
  • Offer in house financing:  Implants are perfect for financing since they won’t get the final product for several months after starting the process.  Not staying current with payments? No implant crown for you!
  • New to Blue Sky Bio?  Listen to this webinar to learn more about the company, the owners, and their products. http://www.blueskybio.academy/public/New-to-BlueSkyBio.cfm

Recommended Product List for Guided Surgery

Read Full Post on Dental Town Including:

3d Printers… 
3d Printing Labs…
What you will need to get started…
Much More
.

Dental Town Message Board

SLA vs FFF / FDM workflow and space requirements

By | Education, Healthcare, Materials, News | No Comments

SLA (Stereolithography ) is often compared to the FFF (Fused Filament Fabrication) / FDM (Fused Deposition Modelling) process of 3D printing and always shows very impressive results. The detail level is far superior for SLA but there are a lot of complications to the process. Due to the huge numbers of dentists, dental labs and orthodontists contacting us recently I thought I would share some of what I have learned.

The most common comparison is the strength of the parts created from resin vs those created with fused filament which always comes out on top. Next are the many resin handling issues which make filament printers much easier and safer to use.

It is easy to discount FFF/FDM completely by just looking at pictures of the excellent smoothness of an SLA print vs an FDM print. The SLA process can create a smoother and more detailed surface finish and and can create a fully solid, partially transparent part which is difficult to achieve on FFF /FDM machines without post processing. This makes it harder for those of us demonstrating fused filament fabrication printers to keep a viewers attention.

To someone viewing the printed results of 2 models side by side it would be hard to choose the FFF / FDM print if visual quality or surface detail was the goal. In a comparison of useability which requires strength, the FFF /FDM print is far more likely to come out on top particularly due to the huge selection of material types available. The SLA materials tend to be closely linked to specific printers, it is unlikely a 3rd party resin will be allowed or compatible. This limits the SLA user to the resins developed by that manufacturer. In a comparison of workflow the SLA process is quite scary, warning labels and notes on resin handling and cleanup dominate but the consumption of core components of the SLA printer along with litres at a time of IPA (Isopropyl alcohol) and the expensive resin is certainly worth exploring before any decision is made to exclude filament printing. The accuracy of the two methods should theoretically be the same but I have yet to see an SLA print which has been perfectly dimensionally accurate while my Robox is within 0.01mm in all axes without my input all day every day. Cost comparisons are far further apart than the price of the printers would suggest. SLA resin cost is high, plastic filament cost is low. This expensive resin is wasted with every print, plastic filament is only extruded as required. This cost in particular is not shown in “part cost comparisons”, nor is the very wasteful rinsing in IPA to remove excess resin following a print or the cost of the consumable resin carrying and curing parts, or the disposal and storage as well as low shelf life for expensive SLA resins. Oh and the space required for SLA printing is rarely mentioned, you really need a spare room and some strict policies to control the spread of sticky resin the smell and the harm to the environment.

Click the image to make it bigger.

In the chart below I’ve listed some positives and negatives of each method along with typical usage and costs. Blue indicates the best in my opinion for each row. I obviously support filament printers in this, perhaps your comments can sway my opinion?

FDM SLA
Limited detail, high accuracy, layer lines visible High detail and accuracy, layer lines hard to see in some cases
Parts and excess material can be disposed of in regular waste Resin waste and printed parts require special disposal. H413: May cause long-lasting harmful effects to aquatic life
No material wasted except with support creation, no mess Wasted resin is washed away in IPA and disposed of regularly in build tank, sticky residue from resin spreads around work area and is hard to clean. Disposal of cleaning products restricted
No use by date on filament with low cost 12 month shelf life and high cost
Material is inert and harmless before and after printing Requires special handling equipment
Can be used in any work area Requires special work area
Materials are widely available and cross compatible Only specified resins can be used with most SLA printers
Minimal requirements for storage of material Requires special storage conditions for resins and required cleaning chemicals in large quantities
No additional equipment Cleaning baths, UV Light booth, safety, storage and disposal equipment
Minimal space required to function Considerable space requirement to keep several large pieces of equipment away from other equipment and work areas
Range of materials in many colours and with a huge range of mechanical properties Very limited range of materials, locked to manufacturer
Opaque parts unless post processed Optical clarity in some materials
Material dependant useable indefinitely  Low shelf life of parts due to UV exposure
Low cost of consumable parts High cost of consumable parts
Material cost is low $25 per kg Material cost is high $99 per kg + processing and waste!
Medium flexural strength  (material relevant to medical use) Low flexural strength (material relevant to medical use)
Low upfront equipment cost High upfront equipment cost, printer and additional equipment
Potential for dual material with dissolvable or peel away support Single material with mechanical removal of support
System allows dual material for overmolded parts and pause features for inserting captive objects No system for inserted or overmolded parts
No training required for use or handling High level of materials handling trainingrequired

 

My conclusion is this:

SLA is not a threat to FFF / FDM printing, if anything the 2 methods can work side by side as their benefits do not overlap. Personally I would not let the resin (or the smell of it) near my home or my family but if I had a dedicated space within a business and the training and staff to run this then I would consider SLA as an addition to several far lower priced FFF /FDM printers. I could print many iterations of a design on the filament printers and perhaps a surface model on the SLA machine once the design was final, actually it might be best to just outsource that part…

SLA should remain in the hands of professional labs or dedicated service providers, FFF /FDM is for everyone. In fact with the low cost of filament printers, every designer should have one on their desk.

The Ferguson Technique – Dental implants using 3D printed surgical guides

By | Design, Healthcare, News | No Comments

Dr Rick Ferguson DMD presents a webinar hosted by Michael Saltzman, Director of Guided Surgery from Blue Sky Bio.

Dr. Ferguson is a Diplomat of the ICOI, Associate Fellow of the AAID, Clinical Assistant Professor University of Florida. He has lectured nationally and internationally He teaches live surgery and is a visiting lecturer at the University of Miami GPR Program. He has a full time private practice in Davie, FL. His course in dental implants can be viewed on his website here http://www.implanteducators.com/index.php/courses/3d-course

Dr Ferguson gives a brief look at previous guided surgery techniques and guides and compares them to the current method he uses and teaches in using 3D printed surgical guides. Rick describes the development of his technique which enables in practice low cost guided surgery.

Several cases are presented during this webinar including each stage of the workflow for each case, reasoning and options, costs and alternatives. Please note that case documentation includes 3D scans of bones as well as photos and video of guided surgery taking place which is quite graphic, the information presented is more suited to dentists than patients.

Examples of workflows in past high cost methods and current low cost 3D printed guides. Dr Ferguson shows examples using Robox and provides comparisons to Form2 DentalSG workflows and printed surgical guides.

The free software Dr Ferguson uses in this video can be found in the links below:

You can buy a Robox as used by Dr Ferguson directly from Blue Sky Bio’s US website (select United States from the dropdown on their site) https://blueskybio.com/store/cel-robox or from a Robox reseller closer to you www.cel-robox.com/where-to-buy/. The material used to print surgical guides with Robox is nGen by Dutch company Colorfabb, you can buy this from Robox resellers on Robox SmartReels. Robox does allow printing with materials from other suppliers and the range of materials available on SmartReels is constantly being updated.

3D printed horse shoes

By | Healthcare | No Comments

Customised to the horse with shaping to enhance gait.

Source: www.abc.net.au

CSIRO 3D printing expert John Barnes says it’s a breakthrough for 3D printing technology.

“You can get an extraordinary amount of detail basically for free, which if you’re doing it conventionally that detail would cost a lot of money,” he said.

“The other area that is important is customisation – he (the podiatrist) can tell us the way he wants the shoe to be designed.”

The “horse-thotic” was specifically designed to help combat a foot disease.

“In this case it had an extra curvature to it,” Mr Barnes said.

“The apex of that curvature may be different for a different horse.

“And that’s what we’re able to design on the computer and that takes a relatively short period of time.

“Then we can print them in our machine which takes somewhere between two to four hours depending upon how many we want and that type of thing.”

 

3D printing and biomodelling applications

By | Healthcare | No Comments

The applications for 3D printing for home users and SMEs (Small and Medium Enterprises) are developing rapidly. Over the coming years devices like Robox will encourage users who aren’t engineers or 3D printing enthusiasts to create and manufacture useful objects.

As these excerpts from the article below show – biomodelling is a fantastic example of how a device like Robox can make a real difference to healthcare professionals in their daily work.  It would be great to hear from other healthcare professionals about other potential applications of this technology. Who knows – perhaps Robox can help!

“When Ms. S presented with a missing front tooth after a sport accident, she was concerned and anxious about the process of replacing it with a dental implant. There were many questions and unknowns about her condition. With an in-office Computed Tomography (CT) scanner, the clinical examination could be followed immediately by the 3D radiograph. Within minutes, we knew what bone anatomy was available, and could plan the surgery quickly. We could plan implant position and size using dedicated software. Yet, transposing planning to surgery remains a problem. Third party companies can fabricate a CAD/CAM surgical guide, using 3D printing. However, it takes about a week or more to obtain the guide. In addition, the process is complex: CT data needs to be uploaded, planning needs to be checked and approved, and guide providers often need to be mailed a plaster model for accuracy.”

“… in-office 3D printing is an opportunity to simplify and accelerate the process. At the moment, fabrication of biomodels is simple: CT data is segmented using simple software, and STL files are sent to the printer within minutes. Biomodels allow for visualization, manipulation and communication. Patients can better understand their condition, and general practitioners who are not surgeons can better communicate and coordinate care. If a change needs to be made, re-printing is simple and fast.”

See the full article at –

http://3dprintingindustry.com/2013/11/20/bringing-3d-printing-biomodels-house-aids-patient-care/

Image of 3D printed jawbone