Perfect Implant Proposals
Have you ever wondered the secret to a great implant proposal? How much time and frustration would that save you? Dr. Mike Skramstad, one of the most experienced clinicians in the world with the Sirona Implant Design, explains what the software looks for and how to use a systematic, simple recipe to manipulate each step into great proposals every time.
Rules for getting good proposals on teeth
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to watch the full version of this video plus hundreds more. Subscribe TodayIntroduction to implant proposals
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Does the Trim Tool Matter?
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to watch the full version of this video plus hundreds more. Subscribe TodayDoes how you click on ScanBody head matter?
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to watch the full version of this video plus hundreds more. Subscribe TodayHow Use Gingiva Mask can affect your proposal
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to watch the full version of this video plus hundreds more. Subscribe TodayIntroduction to Implant Model Axis
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to watch the full version of this video plus hundreds more. Subscribe TodayImportance of Model Axis
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to watch the full version of this video plus hundreds more. Subscribe TodayPerfect Proposal Case 1
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to watch the full version of this video plus hundreds more. Subscribe TodayPerfect Proposal Case 2
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These videos are immensely helpful and Ive been making implant restorations with my cerec for years. This really streamlines things from the first timer to the old timers like myself.
Wow. so much has changed since we first started doing implants. Thanks so much for this. Very helpful. One question. Since we are not using the gingival mask, are we now commiting ourselves to using releasing incisions?
Thanks
Jeff
Jeff
This is just for proposals. You still use the gingival mask as normal to check and adjust tissue pressure.
Chuckles... you can eliminate most of the worries and simply deal with an ordinary crown design using Bicon (except for being model-based). OK, OK, I know, you still have to restore implants done by others and nothing is cooler than tibase, custom abutment, screw retained crown, etc. with Sirona... I still love doing these because they constantly amaze me, especially when you consider the alternatives with a lab. 
Actually Karl that is not the case. These principles would apply to the bicon stock abutment you use as well (model axis). It's universal. In fact, our proposals will be much better than yours on average. Your design will take longer because you cannot control emergence as easy and have to manually do it
Thank you Mike for the great videos. And thank you Flem for posting them all together. If these find their way into Digital Learning so we can reference them, that would be perfect.
The evolution of perfecting design never stops. Thanks Mike and Marc for putting this thread together.
On 6/19/2015 at 7:21 am, Mark Fleming (Faculty & Magazine Editor) said... Skramy did ALL the heavy lifting with this!!!
Mike,
thank you for such great videos! Thanks Mark for posting them early. Can't wait to see you, Just 5 weeks!
Carrie
Videos are up in Digital Learning.
Software>4.3>Implant Proposals or CEREC Clinical Applications>Implants and Abutments>Implant Proposals
How well does this work when you are doing multiple adjacent implants?
I know you can link them together, but there must be times when the axis of one implant is moderately different than the other. Linking will get them parallel, but now at least one of the proposals will be off.
Hi Michael-
It depends on the case really. If the angulation is not close to parallel between the two implants, I tend to split one of them because inserting two screw retained implants on different axis can be difficult and not clinically ideal. In that case, I will generally design on at a time in the software to get the contact position in the right spot and the propose the other one.
Hope that makes sense
MIke, this stuff is absolute gold. What a huge time-saver with implant design, so thanks for putting all this together.
Thanks MIke. That makes sense. May be nice to see a case like that if you have a video of it. In your spare time of course 
Thank you Mike and Mark.
So the model does not actually sit on the occlusal plane in the Model Axis step? It can be either above or below the horzontal axis?
I'm at the office designing 2 implant crowns for Monday. This series has been on my to do watch list... so I did my normal approach first. Proposal had, lots of issues to be solved... ripples, ledges rotations etc. Then I stopped, watched the entire series, did the step by step as Mike describes and voila, perfect. No ledges, ripples etc. Amazing stuff Mike. Thanks Mike and Mark for putting this series together. Just saved me 20 minutes per implant crown in the future... See you at C30!
Awesome videos skrammy!
I have no idea how you make time for all that you do! Absolutely amazing work!
-BT
A model axis question. Say you are doing a first molar and the second molar is abnormally tipped to the buccal or lingual. I assume for a biogeneric proposal the software is looking at that distal tooth to calculate the position and anatomy. Do you set the model axis to that abnormal plane, or do you set it for what the plane *should* be on the resulting restoration?
On 7/22/2015 at 10:22 am, Gary Templeman said...A model axis question. Say you are doing a first molar and the second molar is abnormally tipped to the buccal or lingual. I assume for a biogeneric proposal the software is looking at that distal tooth to calculate the position and anatomy. Do you set the model axis to that abnormal plane, or do you set it for what the plane *should* be on the resulting restoration?
The model axis will determine the emergence of the restoration. So if your distal tooth is tipped abnormally, I would default to the mesial tooth. If both are tipped, then set the model axis in the direction where you want the implant to emerge-ie looking down the long axis of the scan body.
