Digital workflow to provide an immediate interim restoration after single-implant placement by using a surgical guide and a matrix-positioning device

2019 ◽  
Vol 121 (1) ◽  
pp. 17-21 ◽  
Author(s):  
Kyung Chul Oh ◽  
Changjoo Jeon ◽  
Ji-Man Park ◽  
June-Sung Shim
Keyword(s):  
Digital Workflow ◽  
Surgical Guide ◽  
Implant Placement ◽  
Positioning Device ◽  
Single Implant

scholarly journals From Denture to the Final Implant-Supported Prosthesis Using a Full-Digital Protocol: A Dental Technique

Oral ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 332-339
Author(s):  
Francisco Fernando Todescan ◽  
Marcos Masayuki Hayashi ◽  
Luiz Roberto Giugni ◽  
Marco Antonio Bottino ◽  
João Paulo Mendes Tribst
Keyword(s):  
Digital Tools ◽  
Digital Workflow ◽  
Surgical Guide ◽  
Scanning Device ◽  
Implant Placement ◽  
Minimal Quantity ◽  
3D Positioning ◽  
Intraoral Devices

Proper maxillomandibular relationship registration can be clinically challenging during a digital workflow in full-arch rehabilitations. This dental technique requires the manufacturing and use of a hybrid surgical guide custom scanning device, indicated to be used during implant placement surgery, in addition to being used to simultaneously register the maxillomandibular relationship and transfer the implants’ 3D positioning, ensuring a fully digital workflow in full-arch implant-supported prosthesis rehabilitation. The sequence of steps presented here will allow dentists and dental technicians to conduct rehabilitations from denture to the final implant-supported prosthesis using a full-digital protocol, using a minimal quantity of intraoral devices and digital tools.

scholarly journals Effects of Groove Sealing of the Posterior Occlusal Surface and Offset of the Internal Surface on the Internal Fit and Accuracy of Implant Placements Using 3D-Printed Surgical Guides: An In Vitro Study

Polymers ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1236
Author(s):  
Jung-Hwa Lim ◽  
Enkhjargal Bayarsaikhan ◽  
Seung-Ho Shin ◽  
Na-Eun Nam ◽  
June-Sung Shim ◽  
...  
Keyword(s):  
In Vitro Study ◽  
Internal Surface ◽  
Three Dimensions ◽  
Surface Shape ◽  
Digital Data ◽  
Surgical Guide ◽  
Implant Placement ◽  
Surgical Guides ◽  
Internal Fit

This study evaluated the internal fit and the accuracy of the implant placement position in order to determine how the surface shape of the tooth and the offset influence the accuracy of the surgical guide. The acquired digital data were analyzed in three dimensions using 3D inspection software. The obtained results confirmed that the internal fit was better in the groove sealing (GS) group (164.45 ± 28.34 μm) than the original shape (OS) group (204.07 ± 44.60 μm) (p < 0.001), and for an offset of 100 μm (157.50 ± 17.26 μm) than for offsets of 30 μm (206.48 ± 39.12 μm) and 60 μm (188.82 ± 48.77 μm) (p < 0.001). The accuracy of implant placement was better in the GS than OS group in terms of the entry (OS, 0.229 ± 0.092 mm; GS, 0.169 ± 0.061 mm; p < 0.001), apex (OS, 0.324 ± 0.149 mm; GS, 0.230 ± 0.124 mm; p < 0.001), and depth (OS, 0.041 ± 0.027 mm; GS, 0.025 ± 0.022 mm; p < 0.001). In addition, the entries (30 μm, 0.215 ± 0.044 mm; 60 μm, 0.172 ± 0.049 mm; 100 μm, 0.119 ± 0.050 mm; p < 0.001) were only affected by the amount of offset. These findings indicate that the accuracy of a surgical guide can be improved by directly sealing the groove of the tooth before manufacturing the surgical guide or setting the offset during the design process.

Digital workflow for image-guided immediate implant placement by using the socket-shield technique and custom abutment in the esthetic area

2021 ◽  
Author(s):  
Alan Jony de Moura e Costa ◽  
Shaban Burgoa ◽  
Otavio Henrique Pinhata-Baptista ◽  
Virgilio Gutierrez ◽  
Arthur Rodriguez Gonzalez Cortes
Keyword(s):  
Digital Workflow ◽  
Image Guided ◽  
Implant Placement ◽  
Immediate Implant ◽  
Esthetic Area

Evaluation of the accuracy of a novel surgical guide for flapless dental implant placement for immediate loading in edentulous jaws

2021 ◽  
Author(s):  
Giovanni de Almeida Prado Di Giacomo ◽  
Patrícia Cury ◽  
Airton Moreira da Silva ◽  
Jorge Vicente Lopes da Silva ◽  
Carlos Eduardo Pompeo Souto ◽  
...  
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Selective Laser Sintering ◽  
Apical Region ◽  
Virtual Planning ◽  
Surgical Guide ◽  
Implant Placement ◽  
Surgical Guides ◽  
Edentulous Jaws ◽  
Edentulous Jaw

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.

scholarly journals Digital planning and guided surgery in oral rehabilitation

2020 ◽  
Author(s):  
Larissa Braga dos Santos ◽  
Adriano Relvas Barreira de Oliveira ◽  
Mauro Lefrançois ◽  
Marcos Venício Azevedo ◽  
Pablo Sotelo ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Three Dimensional ◽  
Oral Rehabilitation ◽  
Digital Workflow ◽  
Surgical Guide ◽  
Surgical Guides ◽  
Digital Planning ◽  
Cad Cam ◽  
Correct Understanding ◽  
Plaster Model

Digital planning of the prosthesis associated with surgical planning increased predictability, since surgical guides indicate the best place for implant installation, thus reducing the number of complications, and the CAD/CAM system provides predictability in the preparation of final restorations, according to the procedure previously planned. Our study reported a digital workflow used for the guided installation of two dental implants in regions 14 and 16, extraction of tooth 15 and installation of a fixed prothesis over implants. After anamnesis and clinical evaluation, intra- and extra-oral photographs of the patient were performed, molding the upper arch with polyvinylsiloxane (2-step putty/light-body technique) and requesting computed tomography. The plaster model obtained was sent to the laboratory and scanned. The generated file (STL) was used to create a diagnostic wax-up that was aligned to the tomography (in DICOM format), enabling the three-dimensional planning of the implants, which generated a partial printed surgical guide after approval of the dentist. After six months, the patient received the provisional fixed prosthesis printed in PMMA (polymethylmethacrylate) on an intermediate in PEEK (polyetheretherketone) aiming to condition an emergency profile to receive a definitive prosthesis two months later, with zirconia-milled infrastructure on a ti-base. The correct understanding of the operator about the steps of the digital workflow (diagnosis, prosthetic planning, surgical planning, guide preparation, temporary and final restorations) gives the operator improved predictability at the time of surgery as well as satisfactory aesthetic and functional result of definitive restorations.

scholarly journals Accuracy of Flapless implant placement with 3D printed surgical guide

2017 ◽  
Vol 63 (3) ◽  
pp. 2225-2233
Author(s):  
Inass AbuElmagd ◽  
Alshaimaa Shabaan ◽  
Amr Salah eldin
Keyword(s):  
Surgical Guide ◽  
Implant Placement ◽  
3D Printed

Implant placement in the aesthetic zone: More efficiency in guided surgery

2021 ◽  
Author(s):  
Vasilios Alevizakos ◽  
Gergo Mitov ◽  
Constantin von See
Keyword(s):  
Computer Aided Design ◽  
Partial Denture ◽  
Surgical Guide ◽  
Guided Surgery ◽  
Fixed Partial Denture ◽  
Implant Placement ◽  
Computer Aided ◽  
The Aesthetic ◽  
Implant Bed ◽  
Aided Design

The aim of this case report is to describe the combining of a surgical guide with a temporary restoration to streamline the implant process. A 54-year-old male patient presenting partial edentulism underwent computer-aided template-guided implant placement for the replacement of the missing upper second right incisor. The presented technique was used during the surgical procedures; it introduced the integration of a surgical guide into the temporary fixed partial denture. Using computer-aided design, computer-aided manufacturing technology and virtual implant planning, a temporary-implantation fixed partial denture was constructed, and a guidance sleeve was implemented into it. The implant bed preparation was then performed using the bridge as a surgical guide. After osteotomy, the guidance sleeve within the bridge was sealed, and the bridge was temporarily incorporated for submerged healing of the implant. The usage of a temporary restoration as a surgical guide seems to make the digital workflow of guided implant placement more efficient, by achieving a representative clinical outcome.

scholarly journals How Accurate Is Oral Implant Installation Using Surgical Guides Printed from a Degradable and Steam-Sterilized Biopolymer?

2020 ◽  
Vol 9 (8) ◽  
pp. 2322 ◽  
Author(s):  
Stefano Pieralli ◽  
Benedikt Christopher Spies ◽  
Valentin Hromadnik ◽  
Robert Nicic ◽  
Florian Beuer ◽  
...  
Keyword(s):  
Fused Deposition Modeling ◽  
Reference Group ◽  
Second Molar ◽  
Surgical Workflow ◽  
Surgical Guide ◽  
Fused Deposition ◽  
Implant Placement ◽  
Surgical Guides ◽  
Oral Implant ◽  
Observational Group

3D printed surgical guides are used for prosthetically-driven oral implant placement. When manufacturing these guides, information regarding suitable printing techniques and materials as well as the necessity for additional, non-printed stock parts such as metal sleeves is scarce. The aim of the investigation was to determine the accuracy of a surgical workflow for oral implant placement using guides manufactured by means of fused deposition modeling (FDM) from a biodegradable and sterilizable biopolymer filament. Furthermore, the potential benefit of metal sleeve inserts should be assessed. A surgical guide was designed for the installation of two implants in the region of the second premolar (SP) and second molar (SM) in a mandibular typodont model. For two additive manufacturing techniques (stereolithography [SLA]: reference group, FDM: observational group) n = 10 surgical guides, with (S) and without (NS) metal sleeves, were used. This resulted in 4 groups of 10 samples each (SLA-S/NS, FDM-S/NS). Target and real implant positions were superimposed and compared using a dedicated software. Sagittal, transversal, and vertical discrepancies at the level of the implant shoulder, apex and regarding the main axis were determined. MANOVA with posthoc Tukey tests were performed for statistical analyses. Placed implants showed sagittal and transversal discrepancies of <1 mm, vertical discrepancies of <0.6 mm, and axial deviations of ≤3°. In the vertical dimension, no differences between the four groups were measured (p ≤ 0.054). In the sagittal dimension, SLA groups showed decreased deviations in the implant shoulder region compared to FDM (p ≤ 0.033), whereas no differences in the transversal dimension between the groups were measured (p ≤ 0.054). The use of metal sleeves did not affect axial, vertical, and sagittal accuracy, but resulted in increased transversal deviations (p = 0.001). Regarding accuracy, biopolymer-based surgical guides manufactured by means of FDM present similar accuracy than SLA. Cytotoxicity tests are necessary to confirm their biocompatibility in the oral environment.

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