Rehabilitation of a dentate mandible requiring a full arch rehabilitation. Immediate loading of a fixed complete denture on 8 implants placed with a bone-supported surgical computer-planned guide: a case report.
Identifieur interne : 004029 ( Main/Exploration ); précédent : 004028; suivant : 004030Rehabilitation of a dentate mandible requiring a full arch rehabilitation. Immediate loading of a fixed complete denture on 8 implants placed with a bone-supported surgical computer-planned guide: a case report.
Auteurs : Leonardo Amorfini [Italie] ; Stefano Storelli ; Eugenio RomeoSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2011.
Descripteurs français
- KwdFr :
- Chirurgie assistée par ordinateur (), Conception d'appareil de prothèse dentaire, Humains, Implants dentaires, Mandibule, Modèles anatomiques, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Rétention d'appareil de prothèse dentaire, Simulation numérique, Sujet âgé.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Chirurgie assistée par ordinateur, Conception d'appareil de prothèse dentaire, Humains, Implants dentaires, Mandibule, Modèles anatomiques, Mâchoire partiellement édentée, Mâle, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Rétention d'appareil de prothèse dentaire, Simulation numérique, Sujet âgé.
English descriptors
- KwdEn :
- Aged, Computer Simulation, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Denture Design, Denture Retention, Denture, Complete, Lower, Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Male, Mandible, Models, Anatomic, Surgery, Computer-Assisted (methods).
- MESH :
- chemical : Dental Implants.
- methods : Dental Implantation, Endosseous, Surgery, Computer-Assisted.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially.
- Aged, Computer Simulation, Dental Prosthesis, Implant-Supported, Denture Design, Denture Retention, Denture, Complete, Lower, Humans, Male, Mandible, Models, Anatomic.
Abstract
The use of technologies that merge computerized tomography X-ray imaging and 3-dimensional (3D) planning software allow the surgeon to digitally elaborate on the computer the position, length, and diameter of every implant to be placed. Following this approach, the placement is guided in a 3D digital model, and the implants are placed in the final position avoiding eventual anatomic structures. In this case report, the patient's remaining mandibular teeth were extracted, and the patient received 8 implants with the help of a computer surgical guide. The case was planned using SimPlant and a bone-supported guide. Because of the high precision of the planning, it was possible to realize a provisional rehabilitation before the actual surgery. The planning allows placement of parallel implants to optimize the prosthetic procedure and outcome. An immediate provisional implant was fixed with a flow composite on the temporary abutments and then refined in the dental laboratory. The patient received the provisional rehabilitation the same day of the surgery. After 6 weeks of healing, the final impression was taken and the prosthesis was finalized with a computer-aided design/computer-aided manufacturing titanium full-arch screwed framework with composite veneering. A 6-month follow-up showed good integration of the prostheses and success of all 8 implants. The use of surgical computer-guided planning changes the surgeon's approach: whereas before the use of conventional guides permitted a certain degree of offset from what was planned, the use of computer guides allows the implant to be inserted in a far more precise way. It is obvious that careful planning is the key factor to avoid implant misplacement.
DOI: 10.1563/AAID-JOI-D-10-00059
PubMed: 21495798
Affiliations:
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Immediate loading of a fixed complete denture on 8 implants placed with a bone-supported surgical computer-planned guide: a case report.</title><author><name sortKey="Amorfini, Leonardo" sort="Amorfini, Leonardo" uniqKey="Amorfini L" first="Leonardo" last="Amorfini">Leonardo Amorfini</name><affiliation wicri:level="3"><nlm:affiliation>University of Milan, Dental Clinic, Department of Implantology and Prosthodontics, San Paolo Hospital, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Milan, Dental Clinic, Department of Implantology and Prosthodontics, San Paolo Hospital, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Storelli, Stefano" sort="Storelli, Stefano" uniqKey="Storelli S" first="Stefano" last="Storelli">Stefano Storelli</name></author><author><name sortKey="Romeo, Eugenio" sort="Romeo, Eugenio" uniqKey="Romeo E" first="Eugenio" last="Romeo">Eugenio Romeo</name></author></analytic><series><title level="j">The Journal of oral implantology</title><idno type="ISSN">0160-6972</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Computer Simulation</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Design</term><term>Denture Retention</term><term>Denture, Complete, Lower</term><term>Humans</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Mandible</term><term>Models, Anatomic</term><term>Surgery, Computer-Assisted (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Chirurgie assistée par ordinateur ()</term><term>Conception d'appareil de prothèse dentaire</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule</term><term>Modèles anatomiques</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Rétention d'appareil de prothèse dentaire</term><term>Simulation numérique</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Surgery, Computer-Assisted</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><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Computer Simulation</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Design</term><term>Denture Retention</term><term>Denture, Complete, Lower</term><term>Humans</term><term>Male</term><term>Mandible</term><term>Models, Anatomic</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Chirurgie assistée par ordinateur</term><term>Conception d'appareil de prothèse dentaire</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule</term><term>Modèles anatomiques</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Rétention d'appareil de prothèse dentaire</term><term>Simulation numérique</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The use of technologies that merge computerized tomography X-ray imaging and 3-dimensional (3D) planning software allow the surgeon to digitally elaborate on the computer the position, length, and diameter of every implant to be placed. Following this approach, the placement is guided in a 3D digital model, and the implants are placed in the final position avoiding eventual anatomic structures. In this case report, the patient's remaining mandibular teeth were extracted, and the patient received 8 implants with the help of a computer surgical guide. The case was planned using SimPlant and a bone-supported guide. Because of the high precision of the planning, it was possible to realize a provisional rehabilitation before the actual surgery. The planning allows placement of parallel implants to optimize the prosthetic procedure and outcome. An immediate provisional implant was fixed with a flow composite on the temporary abutments and then refined in the dental laboratory. The patient received the provisional rehabilitation the same day of the surgery. After 6 weeks of healing, the final impression was taken and the prosthesis was finalized with a computer-aided design/computer-aided manufacturing titanium full-arch screwed framework with composite veneering. A 6-month follow-up showed good integration of the prostheses and success of all 8 implants. The use of surgical computer-guided planning changes the surgeon's approach: whereas before the use of conventional guides permitted a certain degree of offset from what was planned, the use of computer guides allows the implant to be inserted in a far more precise way. It is obvious that careful planning is the key factor to avoid implant misplacement.</div></front></TEI><affiliations><list><country><li>Italie</li></country><region><li>Lombardie</li></region><settlement><li>Milan</li></settlement></list><tree><noCountry><name sortKey="Romeo, Eugenio" sort="Romeo, Eugenio" uniqKey="Romeo E" first="Eugenio" last="Romeo">Eugenio Romeo</name><name sortKey="Storelli, Stefano" sort="Storelli, Stefano" uniqKey="Storelli S" first="Stefano" last="Storelli">Stefano Storelli</name></noCountry><country name="Italie"><region name="Lombardie"><name sortKey="Amorfini, Leonardo" sort="Amorfini, Leonardo" uniqKey="Amorfini L" first="Leonardo" last="Amorfini">Leonardo Amorfini</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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