CDOCS a SPEAR Company

routine place and restore with azento


I used to restore all of my implants with a TiBase, then Atlantis came along and I found that workflow to be just so easy, that it is now my go to workflow even though it costs more. Almost all of my implant surgeries were with a cg2, but then Azento was introduced and now I'm doing a lot of my surgeries with Azento because the workflow is so predictable.  One of the best features of CEREC is that you have multiple workflows for people that want to save money and control every step of the process (I still do sometimes) vs. spending more but having someone else take care of the majority of the work.  Best of all, you don't have to choose one or the other, you can do both or pieces of each when it comes to implant placement and restoration.

This is just a routine Azento case where I chose to spend more, but have most of the work done for me.

The first appointment, my assistant did the CEREC and CBCT scans.

The plan was ready in a day and the surgery was the following week.

The patient was scheduled 3 months later for delivery. One week before her appointment, my assistant pulled the core file into CEREC, designed a standard crown on the included abutment, and cemented to the abutment that came with my Azento case to deliver a screw retained crown.

My total involvement was approving the Azento case, doing the guided surgery and placing the custom healing abutment (20 minutes), and seating the screw retained crown (10 minutes).  I for sure could have saved money milling a cg2, scanning a scanpost and designing a screw retained crown, and the result would have likely been just as good, but I would have been much more heavily involved time wise in the whole process.  Sometimes it's ok to be a little lazy :)

 

 


I could not agree more Dan. As crazy busy as things have been for us, lately I can not send cases to Azento fast enough.
There is a finite number of things we can delegate to free us up, and this is a very predictable delegation with excellent results. Great case and results.


Great work as usual Dan. What is Azento cost for everything on this case? I assuming a core file was used. 


Dan,
I have really enjoyed the Azento workflow, because the ease and predictability, too. Just love being able to test fit the abutment and temp crown at time of surgery and no more worry about perfect placement in relation to crestal bone in flapless surgeries.

What cement are you typically using to pre cement the crown and abutment when you do screw retained crowns?

- Kevin

P. S. Do you you think Dentsply will ever go to 2 adjacent implant Azento workflows in the future?


On 2/16/2019 at 12:48 pm, Kevin Hicks said... Dan, I have really enjoyed the Azento workflow, because the ease and predictability, too. Just love being able to test fit the abutment and temp crown at time of surgery and no more worry about perfect placement in relation to crestal bone in flapless surgeries. What cement are you typically using to pre cement the crown and abutment when you do screw retained crowns? - Kevin P. S. Do you you think Dentsply will ever go to 2 adjacent implant Azento workflows in the future?

If I order a titanium color abutment and I'm worried about show through, then I use the Multilink Hybrid abutment cement (same as for a TiBase).  Otherwise, I just use a self adhesive resin cement like Panavia SA.  If cementing intra orally, I usually use an RMGI cement.

As far as 2 implants in a single guide, I would guess not in the near future since "single tooth replacement" is in their tag line.  I wouldn't be surprised if it was introduced down the road, since they already have this capability with a Simplant guide.  Azento will likely continue to evolve, when it was first introduced, you couldn't use it for a terminal tooth, but once this workflow was validated, they started to allow terminal teeth.


What is the approx cost start to finish?


On 2/16/2019 at 5:22 pm, Mark Elice said... What is the approx cost start to finish?

Mark, It's $1650 if you get the final abutment and temporary (plus core file). And, $1450, I believe, if you just get the healing abutment. Kevin

On 2/16/2019 at 6:12 pm, Kevin Hicks said...
On 2/16/2019 at 5:22 pm, Mark Elice said... What is the approx cost start to finish?

 

Mark, It's $1650 if you get the final abutment and temporary (plus core file). And, $1450, I believe, if you just get the healing abutment. Kevin

They were doing an introductory price of $1,000 per case for 3 cases no matter what you choose, but I don’t know if they’re still offering that.