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A Novel Surgical Template Design in Staged Dental Implant Rehabilitations

Identifieur interne : 000222 ( Pmc/Curation ); précédent : 000221; suivant : 000223

A Novel Surgical Template Design in Staged Dental Implant Rehabilitations

Auteurs : Michael Patras ; William Martin ; Nikitas Sykaras

Source :

RBID : PMC:3886099

Abstract

ABSTRACTBackground

The philosophy of a gradual transition to an implant retained prosthesis in cases of full-mouth or extensive rehabilitation usually involves a staged treatment concept. In this therapeutic approach, the placement of implants may sometimes be divided into phases. During a subsequent surgical phase of treatment, the pre-existing implants can serve as anchors for the surgical template. Those modified surgical templates help in the precise transferring of restorative information into the surgical field and guide the optimal three-dimensional implant positioning.

Methods

This article highlights the rationale of implant-retained surgical templates and illustrates them through the presentation of two clinical cases. The templates are duplicates of the provisional restorations and are secured to the existing implants through the utilization of implant mounts.

Results

This template design in such staged procedures provided stability in the surgical field and enhanced the accuracy in implant positioning based upon the planned restoration, thus ensuring predictable treatment outcomes.

Conclusions

Successful rehabilitation lies in the correct sequence of surgical and prosthetic procedures. Whenever a staged approach of implant placement is planned, the clinician can effectively use the initially placed implants as anchors for the surgical template during the second phase of implant surgery.


Url:
DOI: 10.5037/jomr.2012.3205
PubMed: 24422012
PubMed Central: 3886099

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Michael Patras
<affiliation>
<nlm:aff id="aff1">
<institution>Department of Oral and Maxillofacial Surgery, Center for Implant Dentistry, University of Florida</institution>
<addr-line>Gainesville, Florida</addr-line>
<country>USA.</country>
</nlm:aff>
<wicri:noCountry code="nlm country">USA.</wicri:noCountry>
</affiliation>
William Martin
<affiliation>
<nlm:aff id="aff1">
<institution>Department of Oral and Maxillofacial Surgery, Center for Implant Dentistry, University of Florida</institution>
<addr-line>Gainesville, Florida</addr-line>
<country>USA.</country>
</nlm:aff>
<wicri:noCountry code="nlm country">USA.</wicri:noCountry>
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Nikitas Sykaras
<affiliation>
<nlm:aff id="aff2">
<institution>Department of Prosthodontics, University of Athens</institution>
<addr-line>Athens</addr-line>
<country>Greece.</country>
</nlm:aff>
<wicri:noCountry code="nlm country">Greece.</wicri:noCountry>
</affiliation>

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<p>The philosophy of a gradual transition to an implant retained prosthesis in cases of full-mouth or extensive rehabilitation usually involves a staged treatment concept. In this therapeutic approach, the placement of implants may sometimes be divided into phases. During a subsequent surgical phase of treatment, the pre-existing implants can serve as anchors for the surgical template. Those modified surgical templates help in the precise transferring of restorative information into the surgical field and guide the optimal three-dimensional implant positioning.</p>
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<p>This template design in such staged procedures provided stability in the surgical field and enhanced the accuracy in implant positioning based upon the planned restoration, thus ensuring predictable treatment outcomes.</p>
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<p>Successful rehabilitation lies in the correct sequence of surgical and prosthetic procedures. Whenever a staged approach of implant placement is planned, the clinician can effectively use the initially placed implants as anchors for the surgical template during the second phase of implant surgery.</p>
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<pmc article-type="case-report">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Oral Maxillofac Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J Oral Maxillofac Res</journal-id>
<journal-id journal-id-type="publisher-id">JORM</journal-id>
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<journal-title>Journal of Oral & Maxillofacial Research</journal-title>
</journal-title-group>
<issn pub-type="epub">2029-283X</issn>
<publisher>
<publisher-name>Stilus Optimus</publisher-name>
<publisher-loc>Kaunas, Lithuania</publisher-loc>
</publisher>
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<article-id pub-id-type="pmid">24422012</article-id>
<article-id pub-id-type="pmc">3886099</article-id>
<article-id pub-id-type="publisher-id">v3n2e5ht</article-id>
<article-id pub-id-type="doi">10.5037/jomr.2012.3205</article-id>
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<subj-group subj-group-type="heading">
<subject>Case Report</subject>
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<title-group>
<article-title>A Novel Surgical Template Design in Staged Dental Implant Rehabilitations</article-title>
</title-group>
<contrib-group>
<contrib id="contrib1" contrib-type="author">
<name>
<surname>Patras</surname>
<given-names>Michael</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
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<contrib id="contrib2" contrib-type="author">
<name>
<surname>Martin</surname>
<given-names>William</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
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<name>
<surname>Sykaras</surname>
<given-names>Nikitas</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
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<aff id="aff1" rid="aff1">
<sup>1</sup>
<institution>Department of Oral and Maxillofacial Surgery, Center for Implant Dentistry, University of Florida</institution>
<addr-line>Gainesville, Florida</addr-line>
<country>USA.</country>
</aff>
<aff id="aff2" rid="aff2">
<sup>2</sup>
<institution>Department of Prosthodontics, University of Athens</institution>
<addr-line>Athens</addr-line>
<country>Greece.</country>
</aff>
<author-notes>
<corresp>Nikitas Sykaras,
<addr-line>25 Nikis str., GR - 15233, Halandri</addr-line>
<country>Greece</country>
<phone>+30 210 6800 636</phone>
Fax: +30 210 7236051
<email>nsykaras@otenet.gr</email>
</corresp>
</author-notes>
<pub-date pub-type="collection">
<season>Apr-Jun</season>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>1</day>
<month>7</month>
<year>2012</year>
</pub-date>
<volume>3</volume>
<issue>2</issue>
<elocation-id>e5</elocation-id>
<history>
<date date-type="received">
<day>4</day>
<month>11</month>
<year>2011</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>5</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement> Copyright © Patras M, Martin W, Sykaras N. Published in the JOURNAL OF ORAL & MAXILLOFACIAL RESEARCH (http://www.ejomr.org), 1 July 2012.</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/">
<license-p>This is an open-access article, first published in the JOURNAL OF ORAL & MAXILLOFACIAL RESEARCH, distributed under the terms of the Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 Unported License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/">http://creativecommons.org/licenses/by-nc-nd/3.0/</ext-link>
), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work and is properly cited. The copyright, license information and link to the original publication on
<ext-link ext-link-type="uri" xlink:href="http://www.ejomr.org">http://www.ejomr.org</ext-link>
must be included.</license-p>
</license>
</permissions>
<self-uri xlink:type="simple" xlink:href="http://www.ejomr.org/JOMR/archives/2012/2/e5/v3n2e5ht.htm"></self-uri>
<abstract>
<title>ABSTRACT</title>
<sec sec-type="background">
<title>Background</title>
<p>The philosophy of a gradual transition to an implant retained prosthesis in cases of full-mouth or extensive rehabilitation usually involves a staged treatment concept. In this therapeutic approach, the placement of implants may sometimes be divided into phases. During a subsequent surgical phase of treatment, the pre-existing implants can serve as anchors for the surgical template. Those modified surgical templates help in the precise transferring of restorative information into the surgical field and guide the optimal three-dimensional implant positioning.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>This article highlights the rationale of implant-retained surgical templates and illustrates them through the presentation of two clinical cases. The templates are duplicates of the provisional restorations and are secured to the existing implants through the utilization of implant mounts.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>This template design in such staged procedures provided stability in the surgical field and enhanced the accuracy in implant positioning based upon the planned restoration, thus ensuring predictable treatment outcomes.</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusions</title>
<p>Successful rehabilitation lies in the correct sequence of surgical and prosthetic procedures. Whenever a staged approach of implant placement is planned, the clinician can effectively use the initially placed implants as anchors for the surgical template during the second phase of implant surgery.</p>
</sec>
</abstract>
<kwd-group>
<kwd>implantation</kwd>
<kwd>dental</kwd>
<kwd>dental implant</kwd>
<kwd>implant-supported dental prosthesis</kwd>
<kwd>temporary dental restoration.</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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