Digital in dentistry
digital guided surgery blog bioservice

When we talk about digital in dentistry, in reality we are not dealing with a completely new issue. Indeed, already in the mid-eighties these technologies were introduced into the practice of dentistry, but in the last decade their use has increased exponentially.
The modern techniques have changed the flow and sequence of work for the development of dental performance by changing the division of tasks and consequently the productivity of the working group.
Time is money! In this case, we can really say that digital technology has changed the work cycle with great benefits in terms of timing and predictability.
Before the advent of technology in the dental field, the sequence of work was marked by essential steps dictated by traditional methods. For those who use them are still the order of the day: the choice of physical supports, materials for the impression, the sending to the laboratory, the physical realization, the waiting while the technicians materialize and send everything back to the doctor, the verification of the work in test and finished (In some cases are necessary to make changes and it is necessary to repeat the operation of the impression). All these steps entail times and costs ranging from travel, to multiple sessions for the patient, and still waits while the dental technician modifies or resumes the work from scratch.
How much is Well-being worth? And how is the operator’s work optimized? What are the advantages to be gained in one’s work?
The fingerprint revolutionizes roles, times and costs.
The transition from conventional techniques to intraoral scanning has changed the experience of traditional impressions. 8Intraoral scanning requires that the impression made is fully digital and that it is processed directly by a software that manages both the oral scanning part and the subsequent improvement phase. All this takes place together with the patient, who becomes aware of the state of his mouth and what he needs thanks to the screen that shows in real time what the dentist is doing. Great professionalism and technology on the part of the doctor, the ability to monitor on screen for the patient, a direct and understandable channel that needs no explanation. Once this phase is over, we proceed to 3D printing, with very limited margins of error compared to the traditional method.
The procedure becomes much more comfortable and streamlined: for the patient who no longer has to suffer the discomfort of the impression with various materials (between coned and, not infrequently, sense of suffocation), for the elimination of consumables such as plaster, alginates, silicones (zero impact also from the environmental point of view), for the absence of errors considered the possibility of managing the digital file, for the shortened times given the elimination of the intermediate procedures of manufacture of the plaster model (also the data acquired through the scanner can be used by the studio to design the prosthesis with CAD/CAM technology).
What is the value of the patient’s time?
The question is rhetorical. Of course, the timing helps to determine the satisfaction of the patient, who will be all the more satisfied the fewer sessions he will have to face. The loss of time is matched by a loss of time in economic terms: work permits, miles from the dental office (if not nearby), transportation, parking, the baby sitter for children at home alone, and all other daily activities that need to be postponed or anticipated to make room for the appointment at the dentist.
And the doctor?
As far as the doctor is concerned, the supply chain is shortened and times are drastically reduced.
The fee: the fee that before seemed to be motivated by the presence of a longer chain (more steps with the laboratory, more frequent sessions), today is justified by the performance itself that has provided upstream an investment “important” to ensure efficiency, comfort and reduced time and on the other hand the learning curve of the professional who needs to learn, improve and master the digital technique.
The change
In conclusion, the process of approaching this reality must not be sudden and forced, the professional must have a clear understanding of how the progress of their study, what are the most requested services and based on the needs of the patient can invest in equipment and software technology most congenial to their business. Amortisation will be all the faster as the service provided by the digital technology chosen will be offered to the patient in an exhaustive manner.
You can’t stop or ignore innovation or manage it or suffer it. This teaches us history. The patient also has the opportunity to verify the information that his doctor provides; it is essential that these are in accordance with the evolution of the state of the art and are not limited to the techniques used by the dentist himself. Today the patient is very well informed even if the amount of information can paradoxically generate the same effect as the lack of information. For this reason, too, the doctor, today more than ever, plays an essential role for the patient, provided that he supplies objective information and always supported by scientific evidence.
In this way, the patient will become the best sounding board to advertise the study, breaking down the hesitations linked to the “value of the performance”.

Cemented and screw-retained prosthesis on implants: when, how, why
Cemented and screw-retained prosthetis education bioservice matrix

Cemented and screw-retained prosthesis on implants: when, how, why
Indications and contraindications
In the last thirty years, everything has been said about the advantages and disadvantages of implant prosthetics. Often there have been techniques that have been “trend-setting” but then proved unsuitable for specific clinical situations.
The aim of the course is to highlight the advantages and limitations of the various systems for anchoring prostheses on implants, providing useful indications for correct and lasting prosthetic planning.
Dr. Paolo Brunamonti Binello – freelancer –
-Medical Director of the Complex Structure of Level II of the Department of Dentistry at the Galliera Hospitals of Genoa
-Contract Professor of the Master’s Degree Course in Dentistry and Dental Prosthetics
-Contract Professor of the Degree Course in Dental Hygiene at the Faculty of Medicine and Surgery of the University of Genoa
The course will be held in Genoa on 23 May 2019 at the Palazzo Ducale (Sala “Le Cisterne del Ducale”).