Implant placement with a guided surgery system based on stress analyses utilizing the bone density: A clinical case report

2012 ◽  
pp. 141208072802005 ◽  
Author(s):  
Masahiro Wada ◽  
Takanori Ando ◽  
Tomoya Gonda ◽  
Yoshinobu Maeda
2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Nikolaos Soldatos ◽  
Georgios E. Romanos ◽  
Michelle Michaiel ◽  
Ali Sajadi ◽  
Nikola Angelov ◽  
...  

Background. The placement of an implant in a previously infected site is an important etiologic factor contributing to implant failure. The aim of this case report is to present the management of retrograde peri-implantitis (RPI) in a first maxillary molar site, 2 years after the implant placement. The RPI was treated using an air-abrasive device, Er,Cr:YSGG laser, and guided bone regeneration (GBR). Case Description. A 65-year-old Caucasian male presented with a draining fistula associated with an implant at tooth #3. Tooth #3 revealed periapical radiolucency two years before the implant placement. Tooth #3 was extracted, and a ridge preservation procedure was performed followed by implant rehabilitation. A periapical radiograph (PA) showed lack of bone density around the implant apex. The site was decontaminated with an air-abrasive device and Er,Cr:YSGG laser, and GBR was performed. The patient was seen every two weeks until suture removal, followed by monthly visits for 12 months. The periapical X-rays, from 6 to 13 months postoperatively, showed increased bone density around the implant apex, with no signs of residual clinical or radiographic pathology and probing depths ≤4 mm. Conclusions. The etiology of RPI in this case was the placement of an implant in a previously infected site. The use of an air-abrasive device, Er,Cr:YSGG, and GBR was utilized to treat this case of RPI. The site was monitored for 13 months, and increased radiographic bone density was noted.


2020 ◽  
Vol 10 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Kerri Thomas Simpson ◽  
Matthew Bryington ◽  
Michele Agusto ◽  
Matthew Harper ◽  
Arif Salman ◽  
...  

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Ramadhan Hardani Putra ◽  
Nobuhiro Yoda ◽  
Masahiro Iikubo ◽  
Yoshihiro Kataoka ◽  
Kensuke Yamauchi ◽  
...  

Abstract Background The impact of the jaw bone condition, such as bone quantity and quality in the implant placement site, affecting the accuracy of implant placement with computer-guided surgery (CGS) remains unclear. Therefore, this study aimed to evaluate the influence of bone condition, i.e., bone density, bone width, and cortical bone thickness at the crestal bone on the accuracy of implant placement with CGS. Methods A total of 47 tissue-level implants from 25 patients placed in the posterior mandibular area were studied. Implant placement position was planned on the simulation software, Simplant® Pro 16, by superimposing preoperative computed tomography images with stereolithography data of diagnostic wax-up on the dental cast. Implant placement surgery was performed using the surgical guide plate to reflect the planned implant position. The post-surgical dental cast was scanned to determine the position of the placed implant. Linear and vertical deviations between planned and placed implants were calculated. Deviations at both platform and apical of the implant were measured in the bucco-lingual and mesio-distal directions. Intra- and inter-observer variabilities were calculated to ensure measurement reliability. Multiple linear regression analysis was employed to investigate the effect of the bone condition, such as density, width, and cortical bone thickness at the implant site area, on the accuracy of implant placement (α = 0.05). Result Intra- and inter-observer variabilities of these measurements showed excellent agreement (intra class correlation coefficient ± 0.90). Bone condition significantly influenced the accuracy of implant placement using CGS (p < 0.05). Both bone density and width were found to be significant predictors. Conclusions Low bone density and/or narrow bucco-lingual width near the alveolar bone crest in the implant placement site might be a risk factor influencing the accuracy of implant placement with CGS.


2020 ◽  
Vol 9 (2) ◽  
pp. 54
Author(s):  
Fernanda Angeloni de Souza ◽  
Lucas Pradebon Brondani ◽  
Tulio Del Conte Valcanaia ◽  
Alessandra Kuhn Dall'Magro ◽  
Catarina Borges da Fonseca Cumerlato ◽  
...  

Objetivos: O objetivo deste caso clínico foi relatar uma reabilitação unitária da região posterior da maxila, e descrever a cirurgia de levantamento de seio maxilar através da técnica de janela lateral, com colocação imediata de implante. Métodos: A cirurgia de levantamento de seio foi realizada através da técnica de janela lateral, seguida da instalação imediata do implante e posterior confecção de prótese unitária aparafusada. Resultados: Foi observada a reabilitação do elemento dental perdido através do reestabelecimento do espaço ósseo por meio da cirurgia de levantamento de seio, permitindo assim a instalação do implante imediato e confecção da prótese final. Conclusões: Seguindo um planejamento sólido e meticuloso, mesmo em cristas com menos de 5 mm de espessura, a técnica de janela lateral pode ser usada de forma previsível com um resultado clínico e radiológico adequado, dando aos pacientes excelente estabilidade do material enxertado e excelentes resultados clínicos.


Author(s):  
Maurício Saraiva Meirelles ◽  
Daniel Costa Ferreira de Almeida ◽  
Glauco Rodrigues Velloso ◽  
Madelaine Torres ◽  
Suelen Cristina Sartoretto ◽  
...  

Atrophic maxilla rehabilitation through dental implants is always a challenging procedure. However, alternative approaches such as guided surgery and the installation of short implants are progressively supplanting more invasive bone regeneration procedures. A V-4 technique described in 2016 facilitates the installation of dental implants in patients with atrophic maxilla; however, its authors recommend incision, flap opening, and elevation of the anterior area of the maxillary sinuses. This case report describes a less invasive proposal for modifying the technique through the association of guided surgery, which improves implant placement accuracy, shortens surgical time, and reduces morbidity.


2020 ◽  
Vol 9 (2) ◽  
pp. 43
Author(s):  
Catarina Borges da Fonseca Cumerlato ◽  
Fernanda Angeloni de Souza ◽  
Rodrigo Nunes Rotta ◽  
Matheus Coelho Blois

Objetivos: O objetivo deste relato de caso foi descrever a técnica de elevação atraumática de seio maxilar junto da instalação de implante imediato em região posterior de maxila, visando o restabelecimento funcional e estético da paciente. Métodos: A cirurgia envolveu o uso de osteótomos de Summers para o restabelecimento da quantidade óssea e preparo do local onde o implante foi inserido. Resultados: Observou-se a osseointegração do implante instalado e a reabilitação do elemento perdido, restabelecendo função, estética e impactando na qualidade de vida da paciente. Conclusões: O tratamento demonstrou ser uma excelente alternativa para resolução de casos com pouca altura óssea, sendo um procedimento previsível e menos invasivo que a técnica traumática de levantamento de seio. 


2014 ◽  
Vol 45 (S 01) ◽  
Author(s):  
L. Voges ◽  
G. Stettner ◽  
D. Weise ◽  
K. Brockmann ◽  
J. Gärtner ◽  
...  

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