MCD consulting is an intellectual, independent research group capable of inspiring, integrating, developing and producing the most cutting-edge solutions in Odontostomatology and Splanchnocranium Surgery in today’s globalised market.

  • DIAGNOSTICS AND INSTRUMENTAL SEMIOTICS STRATEGY
  • SKELETAL ANALYSIS OF TOOTH POSITION
  • PROSTHETICS AND RESTORATION
  • ORAL AND SPLANCHNOCRANIAL SURGERY

INTRAORAL SCANNING

Intraoral scanning today is a precise, fast and immediate technique that can provide a real-time 3D rendering of the dental arches and perioral tissues in just a few minutes. Classical invasive impressions of the mouth are no longer necessary, forcing time-consuming and tedious procedures.In real time, the intraoral scan can be shared not only with the patient but also with all the specialists able to make an immediate diagnosis remotely.With this technique, safer procedures can be applied, reducing time, costs and increasing the accuracy of the data acquired.

Morphological analysis of soft tissue.
Morphological analysis of tooth hard tissue.
Skeletal analysis.
Occlusion analysis.
Perioral tissue analysis.
Tooth position analysis.
These are just some of the information that the doctor is able to share with the patient in real time during the first visit.

RADIOLOGY 3D – CBCT

Low-dose CBCT opens the way for 3D radiology applications in Odontostomatology.
Only through these latest-generation, ultra-low-dose instruments is it possible to diagnose even complex pathologies, such as severe and very severe bone resorptions, with extreme precision.

These techniques allow us to see the morphology of the oral hard tissues in the diagnostic phase AT FIRST VISIT:

Teeth
Alveolar processes
Hard palate conformations
Upper and lower jaw bone architecture

thus guaranteeing certain diagnoses and minimally invasive therapeutic approaches.

DIGITAL GNATHOLOGY ANALYSIS

The analysis of the patient’s habitual chewing movements is fundamental for the study of occlusion and vertical dimension.

This procedure with analogue methods is extremely time-consuming and complex.
Pre-Treatment Vertical Dimension Planning
Vertical Dimension Planning Posttreatment
Study of the Worn Dentition Syndrome
Study of Obstructive Upper Airway Syndrome OSAS and Sleep Apnoea
Aesthetic Planning s Dynamic Simulation
Instrumental Semeiotics of Parafunctional Syndromes

Modern digital techniques for the study of habitual movements and condylar relationships are applied through the use of digital axiographs. These instruments are able to integrate with optical scanning and three-dimensional radiological data in real time at the first visit. This is a real revolution in diagnostic time and in the accuracy of the data obtained.

TWO-DIMENSIONAL AND TOOTH POSITION ANALYSIS

Every dental treatment today has an aesthetic and functional goal. From simple partial reconstruction to more extensive complex rehabilitations, the ultimate goal is to achieve stable and functional results that are in harmony with the patient’s needs.
Planning virtually every reconstruction and sharing the result with the patient is the absolute goal of the first visit.
The basis of full acceptance of the treatment proposal is sharing with the patient.
Digital methods are able to offer these results in real time: the patient becomes an integral part in the decision-making process of the operative protocol.
Another aspect is the possibility of sharing all technical aspects with expert specialists even remotely in real time.

PPEF Aesthetic Functional Prosthetic Planning.
Dynamic Planning Simulation
Outcome Assessment with The Skeletal Component of the Process.

 

 

 

We perform tooth position analysis with a full digital workflow, making use of the latest diagnostic technologies available to the clinician.

Our alignment not only results in the satisfaction of the patient’s aesthetic expectations, but also ensures functionality, predictability, and longevity of treatment.

By integrating diagnostic records collected during the first visit with our design software, we can process complex data, such as the patient’s chewing movements detected by digital axiograph or tooth root analysis by 3D CBCT, to optimize alignment in all its variables.

Our full digital workflow includes:

Remote live alignment simulation in conjunction with the clinician during the first view
Receipt of the intraoral scan from any cloud platform
Analysis of the arches and key measurements related to them
Whole tooth segmentation via CBCT import
Tooth displacement also in remote connection with the clinician
Placement of customized apps and attachments
Interproximal reduction analysis and evaluation
Contact and occlusion simulation with virtual articulator at average values or with import of patient movements
Analysis and evaluation of treatment staging with the possibility of intervening on the same (changing the number of templates or their movements)
Analysis of antagonistic or synergistic movements and problem resolution
Intermediate revisions at clinician’s discretion
Analysis of tooth displacement by overlaying impressions
Hypercorrection and overtreatment
We can make the invisible aligners, print the 3D models only or send the .stl files for in-house production by the laboratory.

Planning the fabrication of a prosthetic case with minimally invasive preparation. The preparation of the prosthetic elements was carried out with the mockup moulded directly in the mouth during the preparation phase.

This technique allows minimal preparation thanks to the serious removal of enamel. The morphology guides the preparation of the tooth. great attention must be paid to the proximal profiles, which must ensure sufficient space for the minimum thickness of the restorations, strategic during the preparation phase plan the emergence profile of each individual restoration. This step in relation to the planning of the preparation axioms must be compatible with the fabrication method: 4-axis milling, 5-axis milling or 3D printing.

The Chairside direct technique offers clinicians and dental technicians the possibility to use simplified software to design simple or complex prosthetic cases in a very short time. Many companies today approach this world by offering the clinician and dental technician simple interfaces useful to the operator who does not want to venture into complex processes.

The forerunner of these methods is Dentsply Sirona method with the addition of the 3Shape Module and Exocad Crown&Bridge. All these software are perfectly compatible with all scanners on the market. The simplicity of Crown&Bridge software solutions is guaranteed by frendly user interfaces and automatic management of many software steps such as insertion axis, prosthetic morphology, cam module and other fundamental steps that require complex interventions in the most complex software.

“Prosthetically guided” implantology involves the placement of implants in areas where the prosthetic restoration should ideally be placed. In this perspective, the use of surgical templates plays a key role. The use of templates, in fact, reduces the risks associated with improper implant planning and allows the optimization of implant therapy by ensuring the placement of the appropriate number of implants. In addition, it is also possible to preoperatively plan the size and length of the implants themselves, also reducing the cost of operations and of the surgery itself.

Using our software we can design surgical templates for any implant system, proprietary or not.

In direct connection with the clinician we process a virtual wax-up on the edentulous scan or by virtual extraction and by integrating the patient’s DICOM we position the implant ideally.

The fabrication of the template, customized with bars and windows, is done by 3D printing.

Our full-digital flow also allows the fabrication of prosthetically supported double-layered templates for fully edentulous cases.