Depth deviation and occurrence of early surgical complications or unexpected events using a single stereolithographic surgi-guide.
Identifieur interne : 004239 ( Main/Curation ); précédent : 004238; suivant : 004240Depth deviation and occurrence of early surgical complications or unexpected events using a single stereolithographic surgi-guide.
Auteurs : M. Cassetta [Italie] ; L V Stefanelli ; M. Giansanti ; A. Di Mambro ; S. CalassoSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Chirurgie assistée par ordinateur, Complications peropératoires, Complications postopératoires, Conception assistée par ordinateur (normes), Conception d'appareillage, Femelle, Humains, Imagerie tridimensionnelle (), Implants dentaires (effets indésirables), Logiciel, Mandibule (), Maxillaire (), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéotomie (effets indésirables), Ostéotomie (instrumentation), Planification des soins du patient (normes), Pose d'implant dentaire endo-osseux (effets indésirables), Pose d'implant dentaire endo-osseux (instrumentation), Propriétés de surface, Rotation, Tomodensitométrie hélicoïdale (), Traitement d'image par ordinateur (), Études de suivi, Études rétrospectives.
- MESH :
- effets indésirables : Implants dentaires, Ostéotomie, Pose d'implant dentaire endo-osseux.
- normes : Conception assistée par ordinateur, Planification des soins du patient.
- rééducation et réadaptation : Mâchoire partiellement édentée, Mâchoire édentée.
- instrumentation : Adulte, Adulte d'âge moyen, Chirurgie assistée par ordinateur, Complications peropératoires, Complications postopératoires, Conception d'appareillage, Femelle, Humains, Imagerie tridimensionnelle, Logiciel, Mandibule, Maxillaire, Mâchoire partiellement édentée, Mâchoire édentée, Mâle, Ostéotomie, Pose d'implant dentaire endo-osseux, Propriétés de surface, Rotation, Tomodensitométrie hélicoïdale, Traitement d'image par ordinateur, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Computer-Aided Design (standards), Dental Implantation, Endosseous (adverse effects), Dental Implantation, Endosseous (instrumentation), Dental Implants (adverse effects), Equipment Design, Female, Follow-Up Studies, Humans, Image Processing, Computer-Assisted (methods), Imaging, Three-Dimensional (methods), Intraoperative Complications, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Male, Mandible (surgery), Maxilla (surgery), Middle Aged, Osteotomy (adverse effects), Osteotomy (instrumentation), Patient Care Planning (standards), Postoperative Complications, Retrospective Studies, Rotation, Software, Surface Properties, Surgery, Computer-Assisted, Tomography, Spiral Computed (methods).
- MESH :
- chemical , adverse effects : Dental Implants.
- adverse effects : Dental Implantation, Endosseous, Osteotomy.
- instrumentation : Dental Implantation, Endosseous, Osteotomy.
- methods : Image Processing, Computer-Assisted, Imaging, Three-Dimensional, Tomography, Spiral Computed.
- rehabilitation : Jaw, Edentulous, Jaw, Edentulous, Partially.
- standards : Computer-Aided Design, Patient Care Planning.
- surgery : Jaw, Edentulous, Jaw, Edentulous, Partially, Mandible, Maxilla.
- Adult, Equipment Design, Female, Follow-Up Studies, Humans, Intraoperative Complications, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Rotation, Software, Surface Properties, Surgery, Computer-Assisted.
Abstract
The purpose of this study was to determine the accuracy of depth implant insertion and to describe the frequency of early surgical complications or unexpected events, recorded using a single, totally guided, stereolithographic surgi-guide (bone-, mucosa- and teeth-supported) for both osteotomy site preparation and implant delivery. Ten adults were included in this study. Six patients were treated in both arches, and the number of computer aided implantology (CAI) interventions was 16, which equalled the number of guides used, for a total of 111 implants inserted. Complications and unexpected events occurred during the positioning of the surgical guide and whilst preparing the implant site and installing implants. In order to minimize the risk of complications and unexpected events, attention must be paid to every stage of treatment, including checking computed tomography (CT) images, guide manufacturing, proper guide positioning in the mouth, guide fixation, rotational allowance of drill in tubes, shape and sharpness of the drills, first entry point, mouth opening and guided implant insertion.
DOI: 10.1016/j.ijom.2011.09.009
PubMed: 22001378
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pubmed:22001378Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Computer-Aided Design (standards)</term>
<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implants (adverse effects)</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (methods)</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Intraoperative Complications</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osteotomy (adverse effects)</term>
<term>Osteotomy (instrumentation)</term>
<term>Patient Care Planning (standards)</term>
<term>Postoperative Complications</term>
<term>Retrospective Studies</term>
<term>Rotation</term>
<term>Software</term>
<term>Surface Properties</term>
<term>Surgery, Computer-Assisted</term>
<term>Tomography, Spiral Computed (methods)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Complications peropératoires</term>
<term>Complications postopératoires</term>
<term>Conception assistée par ordinateur (normes)</term>
<term>Conception d'appareillage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Logiciel</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéotomie (effets indésirables)</term>
<term>Ostéotomie (instrumentation)</term>
<term>Planification des soins du patient (normes)</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Propriétés de surface</term>
<term>Rotation</term>
<term>Tomodensitométrie hélicoïdale ()</term>
<term>Traitement d'image par ordinateur ()</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Osteotomy</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants dentaires</term>
<term>Ostéotomie</term>
<term>Pose d'implant dentaire endo-osseux</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Osteotomy</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Image Processing, Computer-Assisted</term>
<term>Imaging, Three-Dimensional</term>
<term>Tomography, Spiral Computed</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Conception assistée par ordinateur</term>
<term>Planification des soins du patient</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Computer-Aided Design</term>
<term>Patient Care Planning</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Intraoperative Complications</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Retrospective Studies</term>
<term>Rotation</term>
<term>Software</term>
<term>Surface Properties</term>
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Complications peropératoires</term>
<term>Complications postopératoires</term>
<term>Conception d'appareillage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Logiciel</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéotomie</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Propriétés de surface</term>
<term>Rotation</term>
<term>Tomodensitométrie hélicoïdale</term>
<term>Traitement d'image par ordinateur</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en">The purpose of this study was to determine the accuracy of depth implant insertion and to describe the frequency of early surgical complications or unexpected events, recorded using a single, totally guided, stereolithographic surgi-guide (bone-, mucosa- and teeth-supported) for both osteotomy site preparation and implant delivery. Ten adults were included in this study. Six patients were treated in both arches, and the number of computer aided implantology (CAI) interventions was 16, which equalled the number of guides used, for a total of 111 implants inserted. Complications and unexpected events occurred during the positioning of the surgical guide and whilst preparing the implant site and installing implants. In order to minimize the risk of complications and unexpected events, attention must be paid to every stage of treatment, including checking computed tomography (CT) images, guide manufacturing, proper guide positioning in the mouth, guide fixation, rotational allowance of drill in tubes, shape and sharpness of the drills, first entry point, mouth opening and guided implant insertion.</div>
</front>
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