scholarly journals Methods Used to Assess the 3D Accuracy of Dental Implant Positions in Computer-Guided Implant Placement: A Review

2019 ◽  
Vol 8 (1) ◽  
pp. 54 ◽  
Author(s):  
Se-Wook Pyo ◽  
Young-Jun Lim ◽  
Ki-Tae Koo ◽  
Jungwon Lee
Keyword(s):  
Dental Implant ◽  
Positive Feedback ◽  
Assessment Methods ◽  
Implant Surgery ◽  
Guided Surgery ◽  
Implant Placement ◽  
Digital Impressions ◽  
The Difference ◽  
Ct Data ◽  
Computed Topography

The purpose of this review is to examine various assessment methods in order to compare the accuracy between the virtually planned and clinically achieved implant positions. In this review, comparison methods using pre- and post-operative computed topography (CT) data and digital impressions for definitive prosthesis will be described. The method for the displacement and strain for quantification of the error will also be explored. The difference between the planned and the actual implant placement position in guided implant surgery is expressed as an error. Assessing the accuracy of implant-guided surgery can play an important role as positive feedback in order to reduce errors. All of the assessment methods have their own inevitable errors and require careful interpretation in evaluation.

scholarly journals Accuracy And Efficiency Of Digital Implant Planning And Guided Implant Surgery

2021 ◽  
Vol 38 (SI-2) ◽  
pp. 148-156
Author(s):  
Ceylan ÇİÇEKDAĞI İLHAN ◽  
Mehmet DİKMEN ◽  
Emir YÜZBAŞIOĞLU
Keyword(s):  
Dental Implant ◽  
Digital Technologies ◽  
Computer Assisted ◽  
Error Sources ◽  
Implant Surgery ◽  
Guided Surgery ◽  
Potential Error ◽  
Implant Placement ◽  
Different Types

Advances in digital technologies offer 3D integrated solutions for digital implnat planning.Virtual implant placement and guided implant surgery are claimed to provide more predictable results even in complicated implant treatments.Technology is now capable to properly transfer the virtually planned optimal positon of implants to reality during surgery.However clinicians have to be aware of the potential deviation factors and risks of the different types of guided surgery systems to reduce the risk of complications.The aim of this review is to evaluate the efficiency and accuracy of different computer-assisted dental implant placement techniques and to discuss potential error sources for each technique.

scholarly journals Dental implants and risk of bleeding in patients on oral anticoagulants: a systematic review and meta-analysis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Basim E. S. Dawoud ◽  
Samuel Kent ◽  
Oliver Tabbenor ◽  
Pynadath George ◽  
Jagtar Dhanda
Keyword(s):  
Systematic Review ◽  
Dental Implant ◽  
Meta Analysis ◽  
Bleeding Complications ◽  
Implant Surgery ◽  
Risk Of Bleeding ◽  
Implant Placement ◽  
Increased Risk ◽  
Dental Implant Surgery ◽  
Anticoagulated Patients

Abstract Background Dental implant placement is safe and predictable, yet optimal management of anticoagulated patients remains controversial. Whilst cessation of anticoagulation pre-operatively should decrease risks of bleeding, risk of thrombosis increases. We aim to define risk of bleeding in patients on oral anticoagulation who are undergoing dental implant placement, in order to establish best management. Methods This systematic review is registered with the National Institute for Health Research (NIHR) PROSPERO database (Registration No: CRD42021233929). We performed a systematic review as per Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance. Studies were identified using an agreed search strategy within the OVID Gateway (this included Pubmed, MEDLINE, Cochrane Collaborative). Studies assessing bleeding complications in patients who were undergoing dental implant placement were selected. The primary outcome was bleeding events in anticoagulated patients undergoing dental implant placement. Secondary outcomes included any complication requiring further intervention. Results We identified 182 studies through screening, and after review of titles and abstracts reduced this to 8 studies. In these studies, 1467 participants received at least 2366 implants. Studies were analysed for quality using the ROBINS-I risk of bias tool. Four studies were retrospective case reviews, and four were prospective reviews, three of which also blinded the operator to anticoagulation status. There was significant heterogeneity between the included studies. Meta-analysis showed an increased risk of bleeding (RR, 2.30; 95% CI, 1.25-4.24 p = 0.37 I = 7%) when implants were placed in the presence of anticoagulation however these were not clinically significant haemorrhagic events. Conclusion The continuation of anticoagulants peri-operatively during dental implant surgery does increase the risk of clinically non-significant peri- and post-operative bleeding. Dental implant surgery encompasses a broad spectrum of procedures ranging from minor to more invasive surgery with simple local haemostatic measures mitigating the risk of bleeding. The decision to discontinue anticoagulants prior to dental implant surgery must consider patient and surgical factors with the clinician undertaking a risk-balance assessment.

scholarly journals Virtual Planning for Dental Implant Placement Using Guided Surgery

10.5772/20086 ◽  
2011 ◽  
Author(s):  
Vinicius Nery ◽  
Celso Gustavo Schwalm Lacroix ◽  
Rogerio Miranda ◽  
Marilia Gerhardt de Oliveir
Keyword(s):  
Dental Implant ◽  
Virtual Planning ◽  
Guided Surgery ◽  
Implant Placement

scholarly journals Guided surgery in dental implant: a systematic review

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
José Fernando Paschoal Guimarães ◽  
Lafayete Caruzi Junior ◽  
Elias Naim Kassis
Keyword(s):  
Systematic Review ◽  
Dental Implant ◽  
Surgical Intervention ◽  
Cone Beam ◽  
Oral Rehabilitation ◽  
Guided Surgery ◽  
The Subject ◽  
Ct Data ◽  
Implant Dentistry

Introduction: In the context of implant dentistry, dental implants represent about 1,000,000 procedures per year worldwide. Virtual implant planning systems integrate cone beam computed tomography (CT) data to assess the amount of bone and virtual models for the project of a dental implant. Objective: It presented, through a systematic review, the main considerations of guided surgery in implant dentistry through evidence from clinical studies and important systematic reviews on the subject. Methods: The research was carried out from May 2021 to June 2021 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar, following the Systematic Review-PRISMA rules. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: A total of 112 articles were found on guided surgery and implantology. Initially, duplication of articles was excluded. In total, 54 articles were fully evaluated and 23 were included and evaluated in this study. In the GS scenario, advances in technology have contributed to the improvement of models with favorable positioning of implants in aesthetic terms. This provides the predictability of techniques and difficulties that may be encountered during surgical intervention, reducing time and the possibility of errors, allowing for an overall reduction in the costs of oral rehabilitation. Conclusion: Guided surgery is considered accurate and reliable compared to free implant surgery. However, the learning curve is undeniable and a clinician with basic surgical skills, including conventional implant dentistry.

scholarly journals Accuracy of dental implant placement with computer-guided surgery: a retrospective cohort study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Jeong-Kui Ku ◽  
Junggon Lee ◽  
Hyo-Jung Lee ◽  
Pil-Young Yun ◽  
Young-Kyun Kim
Keyword(s):  
Dental Implant ◽  
Drop Out ◽  
Cone Beam ◽  
Virtual Planning ◽  
Guided Surgery ◽  
Implant Placement ◽  
Group 2 ◽  
Implant Treatment ◽  
Approach Group ◽  
Group 1

Abstract Background The aim of this study was to assess the accuracy of virtual planning of computer-guided surgery based on the actual outcomes of clinical dental implant placement. Methods This retrospective study enrolled patients among whom implant treatment was planned using computer-guided surgery with cone beam computed tomography (CBCT). The patients who received implant according to the guide with the flapless and flapped approach were classified as group 1 and 2, respectively, and the others who could not be placed according to the guide were allocated to the drop-out group. The accuracy of implant placement was evaluated with the superimposition of CBCT. Results We analyzed differences in the deviated distance of the entrance point and deviated angulation of the insertion of implant fixtures. With regard to the surgical approach, group 2 exhibited greater accuracy compared to group 1 in deviation distance (2.22 ± 0.88 and 3.18 ± 0.89 mm, respectively, P < 0.001) and angulation (4.27 ± 2.30 and 6.82 ± 2.71°, respectively, P = 0.001). The limitations of guided surgery were discussed while considering the findings from the drop-out group. Conclusions Computer-guided surgery demonstrates greater accuracy in implant placement with the flapless approach. Further research should be conducted to enhance the availability of guides for cases with unfavorable residual bone conditions.

The Efficacy of Mylohyoid Nerve Anesthesia in Dental Implant Placement at the Edentulous Posterior Mandibular Ridge

2012 ◽  
Vol 38 (2) ◽  
pp. 141-147 ◽  
Author(s):  
Hasan Ayberk Altug ◽  
Metin Sencimen ◽  
Altan Varol ◽  
Necdet Kocabiyik ◽  
Necdet Dogan ◽  
...  
Keyword(s):  
Dental Implant ◽  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Alternative Methods ◽  
Implant Surgery ◽  
Implant Placement ◽  
Edentulous Mandible ◽  
Group A ◽  
Mylohyoid Nerve ◽  
Group B

The aim of this study is to evaluate the anesthetic efficacy of mylohyoid and buccal nerve anesthesia at the posterior edentulous mandible versus regional anesthetic block to the inferior alveolar nerve in dental implant surgery. The study was composed of 2 groups. In the first group (group A), 14 voluntary adults (7 female and 7 male) received local infiltrations of 1 mL articaine HCl 4% with epinephrine 1/200 000 to the ipsilateral mylohyoid and buccal nerves. In the second group (group B, control; 9 female and 5 male adults), the inferior alveolar and the buccal nerve blocks were performed. Visual analog scales were obtained from patients to determine the level of pain during incision, drilling, implant placement, and suturing stages of implant surgery. A combination of buccal and mylohyoid nerve block offered an acceptable level of anesthesia. Two patients from group A stopped the ongoing surgery and had extraregional anesthesia by inferior alveolar nerve block. In group B, patients were operated on successfully. Local anesthetic infiltrations of the mylohyoid and the buccal nerve may be considered alternative methods of providing a convenient anesthetic state of the posterior mandibular ridge.

New innovative method relating guided surgery to dental implant placement

2018 ◽  
Vol 119 (3) ◽  
pp. 249-253 ◽  
Author(s):  
M.-A. Fauroux ◽  
M. De Boutray ◽  
E. Malthiéry ◽  
J.-H. Torres
Keyword(s):  
Dental Implant ◽  
Guided Surgery ◽  
Implant Placement ◽  
Innovative Method

scholarly journals Full-Mouth Screw-Retained Implant-Supported Rehabilitation with Multiunit Abutments Using Virtual Guided Surgery and Digital Prosthetics Protocol

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Igor Ashurko ◽  
Artem Trofimov ◽  
Svetlana Tarasenko ◽  
Sabina Mekhtieva
Keyword(s):  
Dental Implant ◽  
Zirconium Dioxide ◽  
Modern Approach ◽  
Aesthetic Result ◽  
Guided Surgery ◽  
Implant Placement ◽  
Surgical Template ◽  
Plaster Models ◽  
Arch Construction

Total rehabilitation is one of the most sophisticated kinds of dental implant-supported prosthetics. The usage of multiunit abutment system allows the clinician an accurate and passive fitting of screw-retained full-arch construction. In addition, it retains a condition of soft and bone tissues around prosthetic construction. The aim of this case is to demonstrate a modern approach in planning and realisation of full-mouth screw-retained dental implant prosthetics. A 59-year-old patient had an extraction of all failed teeth on upper and lower jaws with immediate 16 implant placement (8 implants on maxilla and 8 implants on mandible) using surgical template. Multiunit abutments were installed intraoperatively. Temporary constructions were fixed immediately after surgery. After 3 months of dental impressions, plaster models and their scan were prepared to make final screw-retained zirconium dioxide constructions. Reevaluation of functional and aesthetic result of the treatment was made after 12 months.

Cylindrical Ringbone Allograft to Restore Atrophic Implant Sites: A Pilot Study

2016 ◽  
Vol 42 (2) ◽  
pp. 159-163 ◽  
Author(s):  
Dennis Flanagan
Keyword(s):  
Pilot Study ◽  
Dental Implant ◽  
Treatment Time ◽  
Site Preparation ◽  
Implant Surgery ◽  
Implant Placement ◽  
Immediate Placement ◽  
Single Tooth ◽  
Dental Implant Surgery ◽  
Entire Procedure

Atrophic or severely deficient edentulous single tooth dental implant sites require osseous augmentation before any dental implant surgery. This may be accomplished by several procedures, allowing for several months of healing in order to achieve osteogenesis. After the initial site preparation, an implant may be placed and then allowed to heal for 3–6 months before the prosthetics are placed. This entire procedure may take several months to a year to complete. With the technique described herein, these cases were treated with an allograft ring or cylinder of bone that allowed for immediate placement of an implant. The allograft augmentation and implant placement are done at the same appointment. This technique shortens treatment time and may be valuable in treatment of failed implant sites. Further study is needed to refine and improve this technique.

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