Novel Techniques with the Aid of a Staged CBCT Guided Surgical Protocol
Identifieur interne : 000F13 ( Main/Exploration ); précédent : 000F12; suivant : 000F14Novel Techniques with the Aid of a Staged CBCT Guided Surgical Protocol
Auteurs : Evdokia Chasioti [États-Unis] ; Mohammed Sayed [États-Unis] ; Howard Drew [États-Unis]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2015.
Abstract
The case report will present some novel techniques for using a “staged” protocol utilizing strategic periodontally involved teeth as transitional abutments in combination with CBCT guided implant surgery. Staging the case prevented premature loading of the grafted sites during the healing phase. A CBCT following a tenting screw guided bone regeneration procedure ensured adequate bone to place an implant fixture. Proper assessment of the CBCT allowed the surgeon to do an osteotome internal sinus lift in an optimum location. The depth of the bone needed for the osteotome sinus floor elevation was planned. The staged appliance allowed these sinus-augmented sites to heal for an extended period of time compared to implants, which were uncovered and loaded at an earlier time frame. The staged protocol and CBCT analysis enabled the immediate implants to be placed in proper alignment to the adjacent fixture. After teeth were extracted, the osseointegrated implants were converted to abutments for the transitional appliance. Finally, the staged protocol allowed for soft tissue enhancement in the implant and pontic areas prior to final insertion of the prosthesis.
Url:
DOI: 10.1155/2015/439706
PubMed: 25632356
PubMed Central: 4302971
Affiliations:
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Brunswick (New Jersey)</settlement></placeName><orgName type="university">Université Rutgers</orgName></affiliation></author><author><name sortKey="Drew, Howard" sort="Drew, Howard" uniqKey="Drew H" first="Howard" last="Drew">Howard Drew</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Periodontics, Rutgers School of Dental Medicine, Rutgers University, 110 Bergen Street, Newark, NJ 07101, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Periodontics, Rutgers School of Dental Medicine, Rutgers University, 110 Bergen Street, Newark, NJ 07101</wicri:regionArea><placeName><region type="state">New Jersey</region><settlement type="city">New Brunswick (New Jersey)</settlement></placeName><orgName type="university">Université Rutgers</orgName></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The case report will present some novel techniques for using a “staged” protocol utilizing strategic periodontally involved teeth as transitional abutments in combination with CBCT guided implant surgery. Staging the case prevented premature loading of the grafted sites during the healing phase. A CBCT following a tenting screw guided bone regeneration procedure ensured adequate bone to place an implant fixture. Proper assessment of the CBCT allowed the surgeon to do an osteotome internal sinus lift in an optimum location. The depth of the bone needed for the osteotome sinus floor elevation was planned. The staged appliance allowed these sinus-augmented sites to heal for an extended period of time compared to implants, which were uncovered and loaded at an earlier time frame. The staged protocol and CBCT analysis enabled the immediate implants to be placed in proper alignment to the adjacent fixture. After teeth were extracted, the osseointegrated implants were converted to abutments for the transitional appliance. Finally, the staged protocol allowed for soft tissue enhancement in the implant and pontic areas prior to final insertion of the prosthesis.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="El Askary, A S" uniqKey="El Askary A">A. S. El Askary</name></author><author><name sortKey="Meffert, R M" uniqKey="Meffert R">R. M. Meffert</name></author><author><name sortKey="Griffin, T" uniqKey="Griffin T">T. Griffin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="El Askary, A S" uniqKey="El Askary A">A. S. El Askary</name></author><author><name sortKey="Meffert, R M" uniqKey="Meffert R">R. M. Meffert</name></author><author><name sortKey="Griffin, T" uniqKey="Griffin T">T. Griffin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gahleitner, A" uniqKey="Gahleitner A">A. Gahleitner</name></author><author><name sortKey="Watzek, G" uniqKey="Watzek G">G. 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Wang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>New Jersey</li></region><settlement><li>New Brunswick (New Jersey)</li></settlement><orgName><li>Université Rutgers</li></orgName></list><tree><country name="États-Unis"><region name="New Jersey"><name sortKey="Chasioti, Evdokia" sort="Chasioti, Evdokia" uniqKey="Chasioti E" first="Evdokia" last="Chasioti">Evdokia Chasioti</name></region><name sortKey="Drew, Howard" sort="Drew, Howard" uniqKey="Drew H" first="Howard" last="Drew">Howard Drew</name><name sortKey="Sayed, Mohammed" sort="Sayed, Mohammed" uniqKey="Sayed M" first="Mohammed" last="Sayed">Mohammed Sayed</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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