Clinical implementation of guided implantology
DOI:
https://doi.org/10.55312/op.vi1.4699Abstract
The construction of surgical guides combines three elements: 3D scan radiological images, a patient’s virtual wax-up model and digital images of a patient’s intraoral scan. The software program makes the individualization of the alveolar inferior nerve. It defines the positioning of future prosthetic work and then the position of implants, this is where the concept of planning in reverse takes place. Where virtual positioning of future prosthetic work is initially done, and then the program guides the position of the implants and the construction of the surgical guide. In today’s studies it is widely accepted that this is a technique that facilitates and improves the work of the dental surgeon. Likewise, publications show that surgical guides also have their problematics. Where the most important, the deviations from the axis. According to some authors, the average deviation in the neck is about 1mm and the average deviation in apex about 1.5mm, but with great variation in values from study to study. For many authors, tooth-supported guides have greater accuracy compared to other types.Keywords:
implants,, guided implantology,, intraoral scan.Downloads
References
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Buser D, Bornstein MM, Weber HP, Grütter L, Schmid B, Belser UC. Early implant placement with simultaneous guided bone regeneration following single-tooth extraction in the esthetic zone:
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A cross-sectional, retrospective study in 45 subjects with a 2- to 4-year follow-up. J Periodontol. 2008;79:1773–81.
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Akça K, Iplikçioǧlu H, Cehreli MC. A surgical guide for accurate mesiodistal paralleling of implants in the posterior edentulous mandible. J Prosthet Dent. 2002;87:2335.
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The glossary of prosthodontic terms. J Prosthet Dent. 2005;94:10–92.
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Dyer PV, Patel N, Pell GM, Cummins B, Sandeman DR. The ISG viewing wand: An application to atlanto-axial cervical surgery using the Le Fort I maxillary osteotomy. Br J Oral Maxillofac Surg. 1995;33:370–4.
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Solomon W. The viewing wand--its introduction and uses. Br J Theatre Nurs. 1996;6:114.
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Schlenzka D, Laine T, Lund T. Computer-assisted spine surgery. Eur Spine J. 2000;1:5764.
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D’haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer-guided implant surgery. Periodontol. 2000;2017(73):121–33.
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Tallarico M, Martinolli M, Kim Y, Cocchi F, Meloni SM, Alushi A, et al. Accuracy of computer-assisted template-based implant placement using two different surgical templates designed with or without metallic sleeves: A randomized controlled trial. Dent J (Basel) 2019;7:41–55.
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Platzer S, Bertha G, Heschl A, Wegscheider WA, Lorenzoni M. Three-dimensional accuracy of guided implant placement: Indirect assessment of clinical outcomes. Clin Implant Dent Relat Res. 2013;15:724–34.
-
Tahmaseb A, Wu V, Wismeijer D, Coucke W, Evans C. The accuracy of static computer-aided implant surgery: A systematic review and meta-analysis. Clin Oral Implants Res. 2018;29(Suppl 16):416–35.
-
Meloni SM, De Riu G, Pisano M, Cattina G, Tullio A. Implant treatment software planning and guided flapless surgery with immediate provisional prosthesis delivery in the fully edentulous maxilla. A retrospective analysis of 15 consecutively treated patients. Eur J Oral Implantol. 2010;3:245–51.
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Jung RE, Schneider D, Ganeles J, Wismeijer D, Zwahlen M, Hämmerle CH, et al. Computer technology applications in surgical implant dentistry: A systematic review. Int J Oral Maxillofac Implants. 2009;24:92–109.
-
Tahmaseb A, Wismeijer D, Coucke W, Derksen W. Computer technology applications in surgical implant dentistry: A systematic review. Int J Oral Maxillofac Implants. 2014;29:2542.
-
Schneider D, Marquardt P, Zwahlen M, Jung RE. A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry. Clin Oral Implants Res. 2009;20(Suppl 4):73–86.
-
Ozan O, Orhan K, Turkyilmaz I. Correlation between bone density and angular deviation of implants placed using CT-generated surgical guides. J Craniofac Surg. 2011;22:175561.
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Magrin GL, Rafael SNF, Passoni BB, Magini RS, Benfatti CAM, Gruber R, Peruzzo DC. Clinical and tomographic comparison of dental implants placed by guided virtual surgery versus conventional technique: A split-mouth randomized clinical trial. J Clin Periodontol, 14 Nov 2019; 47(1):120-128.
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Kernen F, Kramer J, Wanner L, Wismeijer D, Nelson K, Flügge T. A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing.
References
Buser D, Bornstein MM, Weber HP, Grütter L, Schmid B, Belser UC. Early implant placement with simultaneous guided bone regeneration following single-tooth extraction in the esthetic zone:
A cross-sectional, retrospective study in 45 subjects with a 2- to 4-year follow-up. J Periodontol. 2008;79:1773–81.
Akça K, Iplikçioǧlu H, Cehreli MC. A surgical guide for accurate mesiodistal paralleling of implants in the posterior edentulous mandible. J Prosthet Dent. 2002;87:2335.
The glossary of prosthodontic terms. J Prosthet Dent. 2005;94:10–92.
Dyer PV, Patel N, Pell GM, Cummins B, Sandeman DR. The ISG viewing wand: An application to atlanto-axial cervical surgery using the Le Fort I maxillary osteotomy. Br J Oral Maxillofac Surg. 1995;33:370–4.
Solomon W. The viewing wand--its introduction and uses. Br J Theatre Nurs. 1996;6:114.
Schlenzka D, Laine T, Lund T. Computer-assisted spine surgery. Eur Spine J. 2000;1:5764.
D’haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer-guided implant surgery. Periodontol. 2000;2017(73):121–33.
Tallarico M, Martinolli M, Kim Y, Cocchi F, Meloni SM, Alushi A, et al. Accuracy of computer-assisted template-based implant placement using two different surgical templates designed with or without metallic sleeves: A randomized controlled trial. Dent J (Basel) 2019;7:41–55.
Platzer S, Bertha G, Heschl A, Wegscheider WA, Lorenzoni M. Three-dimensional accuracy of guided implant placement: Indirect assessment of clinical outcomes. Clin Implant Dent Relat Res. 2013;15:724–34.
Tahmaseb A, Wu V, Wismeijer D, Coucke W, Evans C. The accuracy of static computer-aided implant surgery: A systematic review and meta-analysis. Clin Oral Implants Res. 2018;29(Suppl 16):416–35.
Meloni SM, De Riu G, Pisano M, Cattina G, Tullio A. Implant treatment software planning and guided flapless surgery with immediate provisional prosthesis delivery in the fully edentulous maxilla. A retrospective analysis of 15 consecutively treated patients. Eur J Oral Implantol. 2010;3:245–51.
Jung RE, Schneider D, Ganeles J, Wismeijer D, Zwahlen M, Hämmerle CH, et al. Computer technology applications in surgical implant dentistry: A systematic review. Int J Oral Maxillofac Implants. 2009;24:92–109.
Tahmaseb A, Wismeijer D, Coucke W, Derksen W. Computer technology applications in surgical implant dentistry: A systematic review. Int J Oral Maxillofac Implants. 2014;29:2542.
Schneider D, Marquardt P, Zwahlen M, Jung RE. A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry. Clin Oral Implants Res. 2009;20(Suppl 4):73–86.
Ozan O, Orhan K, Turkyilmaz I. Correlation between bone density and angular deviation of implants placed using CT-generated surgical guides. J Craniofac Surg. 2011;22:175561.
Magrin GL, Rafael SNF, Passoni BB, Magini RS, Benfatti CAM, Gruber R, Peruzzo DC. Clinical and tomographic comparison of dental implants placed by guided virtual surgery versus conventional technique: A split-mouth randomized clinical trial. J Clin Periodontol, 14 Nov 2019; 47(1):120-128.
Kernen F, Kramer J, Wanner L, Wismeijer D, Nelson K, Flügge T. A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing.
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