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

2016 ◽  
Vol 42 (5) ◽  
pp. 406-410
Author(s):  
Fawaz Alzoubi ◽  
Nima Massoomi ◽  
Anders Nattestad

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.

2021 ◽  
Vol 11 ◽  
pp. 48-55
Author(s):  
Prajak Jariyapongpaiboon ◽  
Jirawan Chartpitak ◽  
Jaturong Jitsaard

Objectives: Infrazygomatic crest (IZC) surgical guides have been employed to prevent any avoidable complications during miniscrew insertion. The purpose of this study was to evaluate the accuracy of IZC miniscrew placement when using a surgical-guide developed by computer-aided design and manufacturing (CAD/CAM) techniques. Materials and Methods: Ten patients were scanned with cone-beam computed tomography for three-dimensional (3D) planning of IZC miniscrew placements. The upper arches were scanned separately, and virtual miniscrews were placed in the position planned by 3D software. The CAD/CAM surgical guides were designed and fabricated individually to enable accurate miniscrew placement. Subsequently, 20 self-drilling miniscrews were inserted at the right and left IZC areas using 5 CAD/CAM surgical guides (CS group, n = 10) and direct insertion (DI group, n = 10), respectively. Pre- and post-operative digital model images were compared, actual and planned miniscrew positions were superimposed and measured for 3D angular and distance deviations in the two groups. Comparisons between groups were made using the Kruskal–Wallis test. Results: In the CS group, the median coronal and sagittal angular deviations were 2.95 degrees (range 0.34–5.26 degrees) and 2.05 degrees (range 0.38–4.08 degrees), respectively, while the median coronal and apical deviations were 0.39 mm (range 0.24–0.51 mm) and 0.50 mm (range 0.16–0.66 mm). These deviations differed significantly from those of the DI group. Conclusion: The IZC CAD/CAM surgical guide has made it possible to control miniscrew placement with high precision.


1988 ◽  
Vol 4 (04) ◽  
pp. 280-285
Author(s):  
R. V. Shields

Great emphasis has been attached to the achievement of productivity and producibility benefits through the application of computer-aided design and computer-aided manufacturing (CAD/CAM) technologies. To ensure the achievement of these benefits, it is important that the end user have appropriate software and be able to use it to his advantage. The proper procurement, customization, installation, training, and implementation of software can play a significant role in the effectiveness of CAD/CAM.


Author(s):  
Vasilios Alevizakos ◽  
Gergo Mitov ◽  
Constantin von See

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.


2019 ◽  
Vol 09 (02) ◽  
pp. 57-63
Author(s):  
Sushmita V. Palanisamy ◽  
Chethan Hegde

Abstract Background Contemporary dentistry is advancing toward computer-aided design/ computer-aided manufacturing (CAD/CAM) technology. But the budding dentists are unaware about the advancement. This survey aims at detecting the level of awareness among the undergraduate students and then correlating those results to modify the future curriculum. Objective The study aims (1) to assess the awareness among the dental undergraduate students and (2) to correlate the level of awareness among the third years, final years, and interns. Sample Selection Study sample consist of 300 students (third year students, final year students, and interns) of A. B. Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka, India. The information of the survey was collected with the help of a questionnaire. Results More than 70% of the students were aware about the basic functioning of CAD/CAM unit and approximately 74% of the students were unaware about the materials used to fabricate the prosthesis using CAD/CAM technology.


2018 ◽  
Vol 29 (7) ◽  
pp. 1963-1964 ◽  
Author(s):  
Pedro Jorge Cavalcante Costa ◽  
Maurício Silva Demétrio ◽  
Pedro Thalles Bernardo Carvalho Nogueira ◽  
Larissa Raposo Rodrigues ◽  
Paulo Domingos Ribeiro Júnior

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