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Flapless CAD/CAM-guided surgery for staged transition from failing dentition to complete arch implant rehabilitation: a 3-year clinical report.

Identifieur interne : 003270 ( Main/Curation ); précédent : 003269; suivant : 003271

Flapless CAD/CAM-guided surgery for staged transition from failing dentition to complete arch implant rehabilitation: a 3-year clinical report.

Auteurs : Panos Papaspyridakos [États-Unis] ; George Shelby White ; Kunal Lal

Source :

The Journal of prosthetic dentistry [ 1097-6841 ] ; 2012.

RBID : pubmed:22385689

Descripteurs français

English descriptors

KwdEn :
- Aged, Computer-Aided Design, Dental Abutments, Dental Caries (therapy), Dental Implant-Abutment Design, Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Partial, Fixed, Denture, Partial, Temporary, Female, Follow-Up Studies, Humans, Imaging, Three-Dimensional (methods), Jaw Relation Record, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Minimally Invasive Surgical Procedures, Mouth Rehabilitation (methods), Patient Care Planning, Periodontal Diseases (therapy), Surgery, Computer-Assisted, Tomography, X-Ray Computed (methods), Treatment Outcome, User-Computer Interface, Vertical Dimension.
MESH :
- chemical : Dental Implants.
- instrumentation : Dental Implantation, Endosseous.
- methods : Dental Implantation, Endosseous, Imaging, Three-Dimensional, Mouth Rehabilitation, Tomography, X-Ray Computed.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially.
- therapy : Dental Caries, Periodontal Diseases.
- Aged, Computer-Aided Design, Dental Abutments, Dental Implant-Abutment Design, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Partial, Fixed, Denture, Partial, Temporary, Female, Follow-Up Studies, Humans, Jaw Relation Record, Minimally Invasive Surgical Procedures, Patient Care Planning, Surgery, Computer-Assisted, Treatment Outcome, User-Computer Interface, Vertical Dimension.

Abstract

The transition of patients from failing dentition to complete arch implant rehabilitation often requires that the patient be rendered edentulous and has to wear a complete removable dental prosthesis for varying periods of time. This is objectionable to many patients. A staged treatment approach allows a fixed interim restoration, patient comfort, and prosthodontic control throughout the rehabilitation process. CAD/CAM-guided flapless implant surgery has the advantage of prosthetically driven implant placement and minimal postoperative sequelae. A patient with a failing dentition was treated with this combined protocol and was followed up for 3 years after loading. Implant and prosthesis survival rates were 100%, with no technical complications encountered up to the last recall. The purpose of this clinical report is to describe a combination of CAD/CAM-guided flapless surgery and a staged treatment approach, thereby giving the patient a tooth-supported or implant-supported fixed interim prosthesis during the entire rehabilitation process. The various surgical, laboratory, and prosthetic stages are illustrated for the complete arch prosthetic rehabilitation, and the 3-year follow-up outcome is reported.

DOI: 10.1016/S0022-3913(12)00025-X
PubMed: 22385689

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Le document en format XML

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<author><name sortKey="Papaspyridakos, Panos" sort="Papaspyridakos, Panos" uniqKey="Papaspyridakos P" first="Panos" last="Papaspyridakos">Panos Papaspyridakos</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, MA 02115, USA. panpapaspyridakos@gmail.com</nlm:affiliation>
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<wicri:regionArea>Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, MA 02115</wicri:regionArea>
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<term>Computer-Aided Design</term>
<term>Dental Abutments</term>
<term>Dental Caries (therapy)</term>
<term>Dental Implant-Abutment Design</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Temporary</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Jaw Relation Record</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Mouth Rehabilitation (methods)</term>
<term>Patient Care Planning</term>
<term>Periodontal Diseases (therapy)</term>
<term>Surgery, Computer-Assisted</term>
<term>Tomography, X-Ray Computed (methods)</term>
<term>Treatment Outcome</term>
<term>User-Computer Interface</term>
<term>Vertical Dimension</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Caries dentaires ()</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception d'implant dentaire et de pilier</term>
<term>Dimension verticale</term>
<term>Enregistrement des rapports intermaxillaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Interventions chirurgicales mini-invasives</term>
<term>Maladies parodontales ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Piliers dentaires</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle provisoire</term>
<term>Prothèse partielle fixe</term>
<term>Résultat thérapeutique</term>
<term>Rééducation buccale ()</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie ()</term>
<term>Études de suivi</term>
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</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Imaging, Three-Dimensional</term>
<term>Mouth Rehabilitation</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
</keywords>
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<term>Periodontal Diseases</term>
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<term>Computer-Aided Design</term>
<term>Dental Abutments</term>
<term>Dental Implant-Abutment Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Temporary</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw Relation Record</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Patient Care Planning</term>
<term>Surgery, Computer-Assisted</term>
<term>Treatment Outcome</term>
<term>User-Computer Interface</term>
<term>Vertical Dimension</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Caries dentaires</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception d'implant dentaire et de pilier</term>
<term>Dimension verticale</term>
<term>Enregistrement des rapports intermaxillaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Interventions chirurgicales mini-invasives</term>
<term>Maladies parodontales</term>
<term>Mâchoire partiellement édentée</term>
<term>Piliers dentaires</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle provisoire</term>
<term>Prothèse partielle fixe</term>
<term>Résultat thérapeutique</term>
<term>Rééducation buccale</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">The transition of patients from failing dentition to complete arch implant rehabilitation often requires that the patient be rendered edentulous and has to wear a complete removable dental prosthesis for varying periods of time. This is objectionable to many patients. A staged treatment approach allows a fixed interim restoration, patient comfort, and prosthodontic control throughout the rehabilitation process. CAD/CAM-guided flapless implant surgery has the advantage of prosthetically driven implant placement and minimal postoperative sequelae. A patient with a failing dentition was treated with this combined protocol and was followed up for 3 years after loading. Implant and prosthesis survival rates were 100%, with no technical complications encountered up to the last recall. The purpose of this clinical report is to describe a combination of CAD/CAM-guided flapless surgery and a staged treatment approach, thereby giving the patient a tooth-supported or implant-supported fixed interim prosthesis during the entire rehabilitation process. The various surgical, laboratory, and prosthetic stages are illustrated for the complete arch prosthetic rehabilitation, and the 3-year follow-up outcome is reported.</div>
</front>
</TEI>
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Flapless CAD/CAM-guided surgery for staged transition from failing dentition to complete arch implant rehabilitation: a 3-year clinical report.

Flapless CAD/CAM-guided surgery for staged transition from failing dentition to complete arch implant rehabilitation: a 3-year clinical report.

Source :

Descripteurs français

English descriptors

Abstract

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