scholarly journals Virtual Planning for Dental Implant Placement Using Guided Surgery

Author(s):  
Vinicius Nery ◽  
Celso Gustavo Schwalm Lacroix ◽  
Rogerio Miranda ◽  
Marilia Gerhardt de Oliveir
2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Jeong-Kui Ku ◽  
Junggon Lee ◽  
Hyo-Jung Lee ◽  
Pil-Young Yun ◽  
Young-Kyun Kim

Abstract Background The aim of this study was to assess the accuracy of virtual planning of computer-guided surgery based on the actual outcomes of clinical dental implant placement. Methods This retrospective study enrolled patients among whom implant treatment was planned using computer-guided surgery with cone beam computed tomography (CBCT). The patients who received implant according to the guide with the flapless and flapped approach were classified as group 1 and 2, respectively, and the others who could not be placed according to the guide were allocated to the drop-out group. The accuracy of implant placement was evaluated with the superimposition of CBCT. Results We analyzed differences in the deviated distance of the entrance point and deviated angulation of the insertion of implant fixtures. With regard to the surgical approach, group 2 exhibited greater accuracy compared to group 1 in deviation distance (2.22 ± 0.88 and 3.18 ± 0.89 mm, respectively, P < 0.001) and angulation (4.27 ± 2.30 and 6.82 ± 2.71°, respectively, P = 0.001). The limitations of guided surgery were discussed while considering the findings from the drop-out group. Conclusions Computer-guided surgery demonstrates greater accuracy in implant placement with the flapless approach. Further research should be conducted to enhance the availability of guides for cases with unfavorable residual bone conditions.


2010 ◽  
Vol 21 (3) ◽  
pp. 290-295 ◽  
Author(s):  
Vinicius Nery Viegas ◽  
Vinicius Dutra ◽  
Rogério Miranda Pagnoncelli ◽  
Marília Gerhardt de Oliveira

Author(s):  
Giovanni de Almeida Prado Di Giacomo ◽  
Patrícia Cury ◽  
Airton Moreira da Silva ◽  
Jorge Vicente Lopes da Silva ◽  
Carlos Eduardo Pompeo Souto ◽  
...  

This study was designed to evaluate the accuracy of a novel computer-designed and selectively laser sintered surgical guide for flapless dental implant placement in the edentulous jaw. Fifty dental implants were placed in 11 patients with at least one totally edentulous jaw. Initially, cone-beam computed tomography (CBCT) was performed in each patient to define the virtual position of the dental implants based on the assessment of bone availability and the proposed dental prosthesis. After virtual planning, 3D surgical guides were printed using selective laser sintering. CBCT was repeated after the surgery, and the pre-and postoperative images were overlapped in the CAD software to compare the planned and actual positions of the dental implants using a one-sample t-test. The mean ± angular standard deviation between the long axes of the planned and final dental implant positions was 4.58 ±2.85 degrees; The linear deviation in the coronal position was  0.87 ± 0.49 mm and  in the apical region of the dental implants was 1.37 ± 0.69 mm. These differences were statistically significant (p &lt;0.001). The proposed modifications reduced the deviations, resulting in an improvement in the technique. We were able to place implants and temporary prostheses using the present protocol, taking into account the differences between the planned and final positions of the dental implants.


2019 ◽  
Vol 8 (1) ◽  
pp. 54 ◽  
Author(s):  
Se-Wook Pyo ◽  
Young-Jun Lim ◽  
Ki-Tae Koo ◽  
Jungwon Lee

The purpose of this review is to examine various assessment methods in order to compare the accuracy between the virtually planned and clinically achieved implant positions. In this review, comparison methods using pre- and post-operative computed topography (CT) data and digital impressions for definitive prosthesis will be described. The method for the displacement and strain for quantification of the error will also be explored. The difference between the planned and the actual implant placement position in guided implant surgery is expressed as an error. Assessing the accuracy of implant-guided surgery can play an important role as positive feedback in order to reduce errors. All of the assessment methods have their own inevitable errors and require careful interpretation in evaluation.


2018 ◽  
Vol 119 (3) ◽  
pp. 249-253 ◽  
Author(s):  
M.-A. Fauroux ◽  
M. De Boutray ◽  
E. Malthiéry ◽  
J.-H. Torres

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Igor Ashurko ◽  
Artem Trofimov ◽  
Svetlana Tarasenko ◽  
Sabina Mekhtieva

Total rehabilitation is one of the most sophisticated kinds of dental implant-supported prosthetics. The usage of multiunit abutment system allows the clinician an accurate and passive fitting of screw-retained full-arch construction. In addition, it retains a condition of soft and bone tissues around prosthetic construction. The aim of this case is to demonstrate a modern approach in planning and realisation of full-mouth screw-retained dental implant prosthetics. A 59-year-old patient had an extraction of all failed teeth on upper and lower jaws with immediate 16 implant placement (8 implants on maxilla and 8 implants on mandible) using surgical template. Multiunit abutments were installed intraoperatively. Temporary constructions were fixed immediately after surgery. After 3 months of dental impressions, plaster models and their scan were prepared to make final screw-retained zirconium dioxide constructions. Reevaluation of functional and aesthetic result of the treatment was made after 12 months.


2018 ◽  
Vol 12 (01) ◽  
pp. 153-160 ◽  
Author(s):  
Daniel Amaral Alves Marlière ◽  
Maurício Silva Demètrio ◽  
Leonardo Santos Picinini ◽  
Rodrigo Guerra De Oliveira ◽  
Henrique Duque De Miranda Chaves Netto

ABSTRACTAssess clinical studies regarding accuracy between virtual planning of computer-guided surgery and actual outcomes of dental implant placements in total edentulous alveolar ridges. A PubMed search was performed to identify only clinical studies published between 2011 and 2016, searching the following combinations of keywords: “Accuracy AND Computer-Assisted Surgery AND Dental Implants.” Study designs were identified using the terms: Case Reports, Clinical study, Randomized Controlled Trial, Systematic Reviews, Meta-Analysis, humans. Level of agreement between the authors in the study selection process was substantial (k = 0.767), and the study eligibility was considered excellent (k = 0.863). Seven articles were included in this review. They describe the use of bone and muco-supported guides, demonstrating angular deviations cervically and apically ranging from (minimum and maximum means), respectively, 1.85-8.4 (°), 0.17-2.17 (mm), and 0.77-2.86 (mm). Angular deviations obtained most inaccuracy in maxila. For cervical and apical deviations, accuracy was preponderantly lower in maxilla. Despite the similar deviations measurement approaches described, clinical relevance of this study may be useful to warn the surgeon that safety margins in clinical situations.


2021 ◽  
Vol 38 (SI-2) ◽  
pp. 148-156
Author(s):  
Ceylan ÇİÇEKDAĞI İLHAN ◽  
Mehmet DİKMEN ◽  
Emir YÜZBAŞIOĞLU

Advances in digital technologies offer 3D integrated solutions for digital implnat planning.Virtual implant placement and guided implant surgery are claimed to provide more predictable results even in complicated implant treatments.Technology is now capable to properly transfer the virtually planned optimal positon of implants to reality during surgery.However clinicians have to be aware of the potential deviation factors and risks of the different types of guided surgery systems to reduce the risk of complications.The aim of this review is to evaluate the efficiency and accuracy of different computer-assisted dental implant placement techniques and to discuss potential error sources for each technique.


2021 ◽  
Vol 10 (39) ◽  
pp. 3492-3495
Author(s):  
Sam Jebaraj ◽  
Subhasree R ◽  
Thiyaneswaran N. ◽  
Dimple Rani

BACKGROUND The factors that influence the implant accuracy are the anatomy of the patient, the experience of the practitioner and the surgical approach. However, the relative importance of each factor is poorly understood. Favourable function, occlusion, aesthetics and implant loading patterns can be obtained by optimal positioning. The experience of the surgeon is of utmost importance for the skill of placing a dental implant with proper angulation. The purpose of this retrospective study was to determine the increased accuracy obtained in performing freehand surgical placement of implants. METHODS This study was conducted in the Department of Implantology. A total of 1216 postoperative periapical radiographs from which single implant placement with adjacent straight root morphology was collected from the department in the period of June 2019 to June 2020 and checked for angulation, practitioner’s experience and the site of placement. Mesio-distal angulation was calculated. Statistical analysis was performed using the SPSS method. RESULTS The results showed accuracy in angulation and positioning of implants increased with an increase in experience of the dental surgeon (oral surgeons, prosthodontists, periodontists). Within the limitations of the study, it showed that the freehand dental implant placement angulation was less than a degree for experienced surgeons. The postgraduates had a better understanding and orientation of the angulation than the undergraduates. Moreover, the difficult site was the second and third quadrant to assess the angulation properly. CONCLUSIONS With proper assessment of the anatomy and with experience freehand dental implant placement shows significant results with less angulation which can be prosthetically accepted. KEY WORDS Free Hand Surgery, Guided Surgery, Angulation Of Implants.


Author(s):  
Elçin Bedeloğlu ◽  
Mustafa Yalçın ◽  
Cenker Zeki Koyuncuoğlu

The purpose of this non-random retrospective cohort study was to evaluate the impact of prophylactic antibiotic on early outcomes including postoperative pain, swelling, bleeding and cyanosis in patients undergoing dental implant placement before prosthetic loading. Seventy-five patients (45 males, 30 females) whose dental implant placement were completed, included to the study. Patients used prophylactic antibiotics were defined as the experimental group and those who did not, were defined as the control group. The experimental group received 2 g amoxicillin + clavulanic acid 1 h preoperatively and 1 g amoxicillin + clavulanic acid twice a day for 5 days postoperatively while the control group had received no prophylactic antibiotic therapy perioperatively. Data on pain, swelling, bleeding, cyanosis, flap dehiscence, suppuration and implant failure were analyzed on postoperative days 2, 7, and 14 and week 12. No statistically significant difference was detected between the two groups with regard to pain and swelling on postoperative days 2, 7, and 14 and week 12 ( p &gt;0.05), while the severity of pain and swelling were greater on day 2 compared to day 7 and 14 and week 12 in both groups ( p =0.001 and p &lt;0.05, respectively). Similarly, no significant difference was found between the two groups with regard to postoperative bleeding and cyanosis. Although flap dehiscence was more severe on day 7 in the experimental group, no significant difference was found between the two groups with regard to the percentage of flap dehiscence assessed at other time points. Within limitations of the study, it has been demonstrated that antibiotic use has no effect on implant failure rates in dental implant surgery with a limited number of implants. We conclude that perioperative antibiotic use may not be required in straightforward implant placement procedures. Further randomized control clinical studies with higher numbers of patients and implants are needed to substantiate our findings.


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