The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
권호 표지

Need-to-knows about Digital Implant Surgery

디지털 가이드 수술의 이해와 임상적 적용

  • Paek, Janghyun (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kwon, Kung-Rock (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kim, Hyeong-Seob (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Pae, Ahran (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Noh, Kwantae (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Hong, Sung-Jin (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Lee, Hyeon-jong (Department of Prosthodontics, School of Dentistry, Kyung Hee University)
  • 백장현 (경희대학교 치과대학 치과보철학교실) ;
  • 권긍록 (경희대학교 치과대학 치과보철학교실) ;
  • 김형섭 (경희대학교 치과대학 치과보철학교실) ;
  • 배아란 (경희대학교 치과대학 치과보철학교실) ;
  • 노관태 (경희대학교 치과대학 치과보철학교실) ;
  • 홍성진 (경희대학교 치과대학 치과보철학교실) ;
  • 이현종 (경희대학교 치과대학 치과보철학교실)
  • Published : 2018.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Nowadays computer-guided "flapless" surgery for implant placement using templates is gaining popularity among clinicians and patients. The advantages of this surgical protocol are its minimally invasive nature, accuracy of implant placement, predictability, less post-surgical discomfort and reduced time required for definitive rehabilitation. Aim of this study is to describe the digital implant protocol, thanks to which is now possible to do a mini-invasive static guided implant surgery. This is possible thanks to a procedure named surface mapping based on the matching between numerous points on the surface of patient's dental casts and the corresponding anatomical surface points in the CBCT data. With some critical points and needing an adequate learning curve, this protocol allows to select the ideal implant position in depth, inclination and mesio-distal distance between natural teeth and or other implants enabling a very safe and predictable rehabilitation compared with conventional surgery. It represents a good tool for the best compromise between anatomy, function and aesthetic, able to guarantee better results in all clinical situations.

Keywords

References

  1. Lal K, et al: Use of Stereolithographic Templates for Surgical and Prosthodontic Implant Planning and Placement. Part I. The Concept. J Prosthodont 15:51, 2006 https://doi.org/10.1111/j.1532-849X.2006.00069.x
  2. Lal K, et al: Use of Stereolithographic Templates for Surgical and Prosthodontic Implant Planning and Placement. Part II. A clinical report. J Prosthodont 15:117, 2006 https://doi.org/10.1111/j.1532-849X.2006.00084.x
  3. Oguz Ozan et al: Clinical Accuracy of 3 Different Types of Computed Tomography-Derived Stereolithographic Surgical Guides in Implant Placement. J Oral Maxillofac Surg 67:394-401, 2009 https://doi.org/10.1016/j.joms.2008.09.033
  4. Van Steenberghe D, et al. A custom template and definitive prosthesis allowing immediate implant loading in the maxilla: a clinical report. Int J Oral Maxillofac Implants 2002;17(5):663-70.
  5. Van Steenberghe D, et al. High precision planning for oral implants based on 3-D CT scanning. A new surgical technique for immediate and delayed loading. Appl Osseointegration Res 2004;4:27-31.
  6. Van Steenberghe D, et al. A computed tomographic scan-derived customized surgical template and fi xed prosthesis for fi apless surgery and immediate loading of implants in fully edentulous maxillae: a prospective multicenter study. Clin Implant Dent Relat Res 2005;7 Suppl 1:111-20. https://doi.org/10.1111/j.1708-8208.2005.tb00083.x
  7. Parel SM, Triplett RG. Interactive imaging for implant planning, placement, and prosthesis construction. J Oral Maxillofac Surg 2004; 62(9 Suppl 2):41-7.
  8. Marchack CB. An immediately loaded CAD/CAMguided definitive prosthesis: a clinical report. J Prosthet Dent 2005;93(1):8-12. https://doi.org/10.1016/j.prosdent.2004.10.012
  9. Balshi SF, Wolfi nger GJ, Balshi TJ. Surgical planning and prosthesis construction using computed tomography, CAD/CAM technology, and the Internet for immediate loading of dental implants. J Esthet Restor Dent 2006;18(6):312-25. https://doi.org/10.1111/j.1708-8240.2006.00029.x
  10. Balshi SF, Wolfi nger GJ, Balshi TJ. Surgical planning and prosthesis construction using computer technology and medical imaging for immediate loading of implants in the pterygomaxillary region. Int J Periodontics Restorative Dent 2006;26(3):239-47.
  11. Kupeyan HK, M. Shaffner M, Armstrong J. Definitive CAD/CAM- guided prosthesis for immediate loading of bone-grafted maxilla: a case report. Clin Implant Dent Relat Res 2006;8(3):161-7. https://doi.org/10.1111/j.1708-8208.2006.00018.x
  12. Yong LT, Moy PK. Complications of Computer-Aided-Design/Computer-Aided-Machining-Guided (NobelGuide) Surgical Implant Placement: An Evaluation of Early Clinical Results. Clin Implant Dent Relat Res 2008.
  13. Sanna AM, Molly L, Van Steenberghe D. Immediately loaded CAD-CAM manufactured fi xed complete dentures using fi apless implant placement procedures: a cohort study of consecutive patients. J Prosthet Dent 2007;97(6):331-9. https://doi.org/10.1016/S0022-3913(07)60021-3
  14. Van Assche N, et al. Accuracy of implant placement based on pre-surgical planning of three-dimensional cone-beam images: a pilot study. J Clin Periodontol 2007;34(9):816-21. https://doi.org/10.1111/j.1600-051X.2007.01110.x
  15. Vercruyssen M, et al. The use of CT scan based planning for oral rehabilitation by means of implants and its transfer to the surgical field: a critical review on accuracy. J Oral Rehabil 2008;35(6):454-74. https://doi.org/10.1111/j.1365-2842.2007.01816.x