scholarly journals A New Methodology for the Digital Planning of Micro-Implant-Supported Maxillary Skeletal Expansion

2020 ◽  
Vol Volume 13 ◽  
pp. 93-106 ◽  
Author(s):  
Daniele Cantarella ◽  
Gianpaolo Savio ◽  
Luca Grigolato ◽  
Paolo Zanata ◽  
Chiara Berveglieri ◽  
...  
Keyword(s):  
Digital Planning ◽  
Skeletal Expansion

scholarly journals Full Zirconia Implant-Born Prosthetic Rehabilitation with CAD/CAM Technology after Accurate Digital Planning. A Case Report

2021 ◽  
Vol 18 (15) ◽  
pp. 7998
Author(s):  
Riccardo Scaringi ◽  
Michele Nannelli ◽  
Alessio Franchina ◽  
Giuseppe Lizio ◽  
Luigi V. Stefanelli ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Ceramic Materials ◽  
Surgical Removal ◽  
Holistic Treatment ◽  
Single Crown ◽  
Digital Planning ◽  
Cad Cam ◽  
Treatment Philosophy ◽  
Zirconia Implant

CAD/CAM technology can enhance the dentistry application of ceramic materials that meet the more relevant biocompatibility and aesthetics demands. In implant-borne prosthesis rehabilitation, yttria-stabilized zirconia appeared to be a valid alternative to metal-alloys and titanium, with comparable mechanical properties and even better interaction with bone and soft tissues. The improvement of monolithic CAD/CAM manufacturing allows for a reliable, predictable, and rapid workflow that can correspond to a holistic treatment philosophy associated with zirconia fixtures. This reported clinical case highlights the advantages of this approach in resolving particularly functionally and aesthetically complex situations. A 40-year-old patient with permanent canine impaction and the persistence of a deciduous tooth compromised by caries was successfully rehabilitated with the surgical removal of the enclosed tooth, the seating of a mono-phase zirconia implant after the deciduous extraction and its loading with a zirconia single crown, without any clinical or radiographical alteration up to seven years follow-up.

scholarly journals Accuracy of digital planning in zygomatic implants

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
B. Xing Gao ◽  
O. Iglesias-Velázquez ◽  
F. G.F. Tresguerres ◽  
A. Rodríguez González Cortes ◽  
I. F. Tresguerres ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Angular Deviation ◽  
Surgical Experience ◽  
Proper Position ◽  
Zygomatic Implants ◽  
Digital Planning ◽  
Key Factor ◽  
Implant Length ◽  
Zygomatic Implant ◽  
Maxillary Atrophy

Abstract Background Zygomatic implants have been described as a therapeutic alternative for patients with severe maxillary atrophy in order to avoid bone augmentation procedures. Taking that into account, in these treatments, the key factor is the position of the implant, the virtual surgical planning (VSP) is widespread among most clinicians before surgery on the patient. However, there are no studies which evaluate the clinical relevance of these VSP. The aim of this study is to determine whether digital planning on zygomatic implants has any influence on the implant dimensions and position, even when performing conventional surgery afterwards. Results Fourteen zygomatic implants were placed in four patients. Pre-operative and post-operative helicoidal computed tomography were performed to each patient to allow the comparison between the digital planning and the final position of implants. Tridimensional deviation (TD), mesio-distal deviation (MDD), bucco-palatine deviation (BPD), and apico-coronal deviation (ACD) were evaluated as well as angular deviation (AD). Significative differences in apical TD were observed with a mean of 6.114 ± 4.28 mm (p < 0.05). Regarding implant position, only implants placed in the area of the first right molar reported significant differences (p < 0.05) for ACD. Also, implant length larger than 45 mm showed BPD significative differences (p < 0.05). Conclusions Zygomatic implant surgery is a complex surgical procedure, and although VSP is a useful tool which helps the clinician determine the number and the length of zygomatic implants as well as its proper position, surgical experience is still mandatory.

scholarly journals CBCT Comparison of Dentoskeletal Effects of Haas-Type and Hyrax-Type Expanders Using Deciduous Teeth as Anchorage: A Randomized Clinical Trial

2021 ◽  
Vol 11 (15) ◽  
pp. 7110
Author(s):  
Marco Serafin ◽  
Luca Esposito ◽  
Viviana Conti ◽  
Rosamaria Fastuca ◽  
Manuel Lagravère ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Statistical Significance ◽  
Three Dimensional ◽  
T Test ◽  
Mixed Dentition ◽  
Deciduous Teeth ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Clinical Changes ◽  
Skeletal Expansion

The aim of this study was to compare the three-dimensional dentoskeletal effects of Haas-type and Hyrax-type expanders using primary teeth as anchorage for rapid palatal expansion (RPE). Thirty-four subjects in mixed dentition were divided according to their expander’s type: Hyrax (n = 16; 6F, 10M; mean age 8 ± 3 years) or Haas (n = 18; 14F, 4M; mean age 8 ± 2 years). Each patient underwent CBCTs before (T0) and after RPE (T1). Dentoskeletal changes were collected. A paired sample t-test and independent t-test were used to compare each variable within the same group and between groups, respectively, with a 5% significance. The Hyrax group showed an increase in all dentoskeletal parameters; skeletal expansion was significantly increased anteriorly (1.76 mm) and posteriorly (1.93 mm). The greatest dental expansion was observed in the anchorage unit (6.47 mm), about twice as much as permanent molars (3.42 mm). The same statistical significance of Haas group measurements was observed; anteriorly skeletal expansion (2.97 mm) was greater than posteriorly (1.93 mm) and dental expansion was greater on anchored teeth (6.80 mm) than non-anchored teeth (4.57 mm). No statistical significance was observed between Hyrax and Hass groups. CBCT analysis showed that, in RPE, the dental expansion was greater than skeletal expansion. No significant or clinical changes were observed between Hyrax and Haas appliances anchored to primary teeth.

Intuitive, digitale Strukturlayoutplanung*/Intuitive digital planning of structure layouts – Overcoming the challenges of disruptive production programs in the automotive industry

2018 ◽  
Vol 108 (09) ◽  
pp. 611-616
Author(s):  
S. F. Schäfer ◽  
U. Bracht
Keyword(s):  
Automotive Industry ◽  
New Technologies ◽  
Know How ◽  
Digital Planning ◽  
The Future ◽  
Factory Of The Future ◽  
Future Technologies ◽  
The Impact

Zukünftige Antriebstechnologien sowie neue Fabrik- und Logistikkonzepte verändern die Rahmenbedingungen der Automobilproduktion grundlegend. Schon heute muss die Strukturlayoutplanung Innovationen und Unsicherheiten in Form von mehr Varianten, abgestimmt in sehr kurzer Zeit, durch die Einbeziehung von weiteren Know-how-Trägern berücksichtigen. Neue Herausforderungen, wie die Planung der Batteriefertigungen, müssen schnell und intuitiv gelöst werden. Einen Beitrag dafür liefert dieser Artikel. &nbsp; Future technologies in automotive mobility as well as new factory and logistic concepts are changing the framework in car production. Innovations and uncertainties (e. g. the impact of new technologies) have to be taken in consideration for the factory of the future. New tasks, such as planning the assembly of batteries, need to be solved fast and intuitively. This paper presents an approach to this topic.

Site controlling in infrastructure projects by digital methods

2021 ◽  
Author(s):  
Tino Walther ◽  
Marianne Pieper ◽  
Hans-Joachim Bargstädt
Keyword(s):  
Performance Measurement ◽  
Construction Industry ◽  
Process Model ◽  
Current Practice ◽  
Early Stage ◽  
Recommendations For Action ◽  
Digital Planning ◽  
The Status ◽  
Project Controlling ◽  
Digital Methods

<p>The construction industry is essentially determined by digital transformation and an increasingly complex market environment. Project controlling and monitoring is of high importance for construction site activities to achieve the project goals. Digital planning and recording methods make it possible to identify deviations at an early stage and to ensure the profitability of the project. To discuss the current practice of construction performance measurement as well as digital approaches in this domain, a qualitative study was carried out. The results of this empirical analysis examine the status quo of the construction performance measurement in civil engineering companies to illustrate the currently used methods and trends. Findings for the future use of digital planning and recording methods were obtained from the investigation. Based on empirical hypotheses, recommendations for action as well as for an improved process model are given.</p>

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.

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