Digital Workflow for Full‐Arch Immediate Implant Placement Using a Stackable Surgical Guide Fabricated Using SLM Technology

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.

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Digital Occlusion in the Workflow of Implant Rehabilitations

Advances in Medical Technologies and Clinical Practice - Handbook of Research on Clinical Applications of Computerized Occlusal Analysis in Dental Medicine ◽

10.4018/978-1-5225-9254-9.ch013 ◽

2020 ◽

pp. 945-995

Author(s):

Henriette Lerner, DMD

Keyword(s):

Immediate Loading ◽

Digital Workflow ◽

Rehabilitation Treatment ◽

Guided Surgery ◽

Implant Placement ◽

Digital Planning ◽

Immediate Implant ◽

Implant Prosthesis ◽

Implant Loading

Contemporary implant rehabilitations are esthetically driven. Consequently, digital planning and guided surgery deliver higher esthetic predictability and precision than do analog procedures. The aim of this chapter is to show the integration of digital occlusion in the different phases of full arch implant rehabilitation with immediate implant placement and immediate loading procedures. Digital occlusal analysis raises the precision of functional occlusal adjustments, while improving the long-term predictability and stability of both case function and esthetics. This chapter will present a systematic digital workflow detailing every stage of full arch rehabilitation treatment, while showcasing digital occlusal diagnosis with the T-Scan 9 system, to install a precise implant prosthesis occlusal scheme. A full arch rehabilitation case involving immediate implant placement and immediate implant loading will be presented, with it occlusally finished with the T-Scan.

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Root Guided Immediate Implant Placement at Mandibular Molar Site: A Case Report

Journal of Nepalese Prosthodontic Society ◽

10.3126/jnprossoc.v2i2.31216 ◽

2019 ◽

Vol 2 (2) ◽

pp. 102-107

Author(s):

Bismita Pradhan ◽

SP Joshi ◽

S Sah

Keyword(s):

Primary Stability ◽

Traditional Treatment ◽

Treatment Protocols ◽

Surgical Guide ◽

Implant Positioning ◽

Implant Placement ◽

Alternative Approach ◽

Mandibular Molar ◽

Immediate Implant ◽

Implant Bed

With the advancement in science and technology, Immediate implant placement has become a widely used and well accepted alternative to traditional treatment protocols. Post extraction implant placement in multicoated molar area is challenging. The primary stability in molar areas is achieved by engaging the interradicular bone but slipping of osteotomy drill to mesial or distal root socket during implant bed preparation is the main problem in post extraction immediate implant placement. Use of surgical guide, pre- extractive interradicular implant bed preparation and the combination of both these techniques has been used to overcome the problem related to immediate implant placement at molar sites. This paper presents an alternative approach in immediate Implant placement in multi rooted molar area that uses the anatomy and morphology of roots in guiding the osteotomy to provide an ideal3-dimensional implant positioning.

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Open Surgical Guides – A Novel Concept in Computer Guided Implantology

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl4.4079 ◽

2020 ◽

Vol 11 (SPL4) ◽

pp. 817-822

Author(s):

Anil Kumar CH ◽

Ramana Kumar K.V. ◽

Paul T Joyes ◽

Padmanabhan P

Keyword(s):

Positive Impact ◽

The United States ◽

Drilling Depth ◽

Surgical Guide ◽

Point Of Entry ◽

Implant Placement ◽

Surgical Guides ◽

Immediate Implant ◽

Novel Concept ◽

Implant Treatment

Dental implants have become so popular that more than 5 million implants are placed each year by dentists in the United States alone. However, it is generally observed that a majority of implants are placed in a less-than-ideal manner. Computer-guided surgeries are proven to have a positive impact on implant placement as well as implant treatment planning. But, despite the indisputable compensations, only a partial number of clinicians regularly practice directed transplant surgery nowadays. This article aims to examine the challenges in guided implant surgery and how a novel concept of the open guide is trying to solve these issues. The latter was used during a CT scan and was eventually converted into an actual surgical guide. However, using conventional guides is not a guarantee for proper implant placement. The reason for that was inherent in their design. Conventional guides take marvelous leeway in the drilling trajectory and no drilling depth control. Using them relies on several variables that may not be trustworthy, such as hand stability, patient immobility, and another person’s feedback on the drilling angle. Bone quality can also affect the osteotomy in situations of immediate implant placement, as the drills commonly bounce off dense bone affecting the angulation and point of entry. From a safety perspective, conventional guides do not consider the patient’s relevant anatomy.

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Bone Reduction to Facilitate Immediate Implant Placement and Loading Using CAD/CAM Surgical Guides for Patients With Terminal Dentition

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-16-00016 ◽

2016 ◽

Vol 42 (5) ◽

pp. 406-410

Author(s):

Fawaz Alzoubi ◽

Nima Massoomi ◽

Anders Nattestad

Keyword(s):

Computer Aided Design ◽

Immediate Loading ◽

Computer Aided Manufacturing ◽

Surgical Guide ◽

Implant Placement ◽

Surgical Guides ◽

Computer Aided ◽

Cad Cam ◽

Immediate Implant ◽

Aided Design

The aim of this study is to present a method, using 3 computer-aided design/computer-aided manufacturing (CAD/CAM) surgical guides, to accurately obtain the desired bone reduction followed by immediate implant placements and loading for patients diagnosed with terminal dentition. Patients who had bone reduction, implants placed, and immediate loading using Anatomage Invivo 5 CAD/CAM surgical guides between the period 2013 and 2015 were evaluated retrospectively. Patients diagnosed with terminal dentition and treated using the “3-guide technique” were identified. Pre- and postsurgical images were superimposed to evaluate deviations of the bone reduction and deviations at the crest, apex, and angle of implants placed. Twenty-six implants placed in 5 patients were included in this study. The overall deviation means measured for bone reduction was 1.98 mm. The overall deviation means measured for implant placement at the crest, apex, and angle were 1.43 mm, 1.90 mm, and 4.14°, respectively. The CAD/CAM surgical guide fabrication is an emerging tool that may facilitate the surgical process and aid in safe and predictable execution of bone reduction and immediate implant placement. Using 3 CAD/CAM surgical guides, a method is presented to obtain the desired bone reduction followed by immediate implant placement and loading for patients diagnosed with terminal dentition. This method may improve guide stability for patients with terminal dentition undergoing complete implant-supported treatment by taking advantage of the teeth to be extracted.

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