Surgical planning and prosthesis construction using computer technology and medical imaging for immediate loading of implants in the pterygomaxillary region.
Identifieur interne : 006C03 ( Main/Exploration ); précédent : 006C02; suivant : 006C04Surgical planning and prosthesis construction using computer technology and medical imaging for immediate loading of implants in the pterygomaxillary region.
Auteurs : Stephen F. Balshi [États-Unis] ; Glenn J. Wolfinger ; Thomas J. BalshiSource :
- The International journal of periodontics & restorative dentistry [ 0198-7569 ] ; 2006.
Descripteurs français
- KwdFr :
- Ajustement occlusal, Complications postopératoires, Conception assistée par ordinateur, Conception d'appareillage, Conception de prothèse dentaire, Facteurs temps, Humains, Imagerie tridimensionnelle (), Implants dentaires, Interface utilisateur, Internet, Maxillaire (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Os sphénoïde (), Ostéotomie (), Ostéotomie (instrumentation), Piliers dentaires, Planification des soins du patient, Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (instrumentation), Prothèse dentaire implanto-portée, Tomodensitométrie ().
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Ajustement occlusal, Complications postopératoires, Conception assistée par ordinateur, Conception d'appareillage, Conception de prothèse dentaire, Facteurs temps, Humains, Imagerie tridimensionnelle, Implants dentaires, Interface utilisateur, Internet, Maxillaire, Mâchoire édentée, Os sphénoïde, Ostéotomie, Piliers dentaires, Planification des soins du patient, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Tomodensitométrie.
English descriptors
- KwdEn :
- Computer-Aided Design, Dental Abutments, Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Equipment Design, Humans, Imaging, Three-Dimensional (methods), Internet, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Maxilla (surgery), Occlusal Adjustment, Osteotomy (instrumentation), Osteotomy (methods), Patient Care Planning, Postoperative Complications, Sphenoid Bone (surgery), Time Factors, Tomography, X-Ray Computed (methods), User-Computer Interface.
- MESH :
- chemical : Dental Implants.
- instrumentation : Dental Implantation, Endosseous, Osteotomy.
- methods : Dental Implantation, Endosseous, Imaging, Three-Dimensional, Osteotomy, Tomography, X-Ray Computed.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Maxilla, Sphenoid Bone.
- Computer-Aided Design, Dental Abutments, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Equipment Design, Humans, Internet, Occlusal Adjustment, Patient Care Planning, Postoperative Complications, Time Factors, User-Computer Interface.
Abstract
This report describes a protocol that uses computerized tomography (CT), computer-aided design/computer-assisted manufacture (CAD/CAM) technology, and the Internet to plan placement of anterior and posterior dental implants and construct a precise surgical template and definitive prosthesis, which is connected at the time of implant placement. This procedure drastically reduces surgical treatment time and the recovery period. Patients with an edentulous arch had a denture with radiopaque markers constructed for CT scans of the appropriate jaw. The CT images, with acquisition slices of 0.5 mm, were transferred into a three-dimensional image-based program for planning and strategic placement of dental implants. After implants were virtually placed on the computer, the surgical treatment plan was sent to a manufacturing facility for construction of a surgical template and the prosthesis, Special surgical guide components were also manufactured for placement of implants in the pterygomaxillary region. The manufactured surgical components, surgical template, and definitive prosthesis were then delivered to the clinical site. Implant placement surgery was performed using the surgical template, without a flap, and the prosthesis was delivered, achieving immediate functional loading. Minor occlusal adjustments were made. The total surgical treatment time required was less than 60 minutes. Postoperative symptoms, such as pain, swelling, and inflammation, were minimal. Identification of the bone in relationship to the tooth position via three-dimensional CT prior to surgery allows precise placement of implants. CAD/CAM technology using the three-dimensional images allows for fabrication of the surgical guide and final prosthesis. This is a significant advancement in implant dentistry and prosthodontics.
PubMed: 16836166
Affiliations:
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Le document en format XML
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Wolfinger</name></author><author><name sortKey="Balshi, Thomas J" sort="Balshi, Thomas J" uniqKey="Balshi T" first="Thomas J" last="Balshi">Thomas J. 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Balshi</name><affiliation wicri:level="2"><nlm:affiliation>Prosthodontics Intermedica, Institute for Facial Esthetics, Fort Washington, Pennsylvania, USA. balshi2@aol.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Prosthodontics Intermedica, Institute for Facial Esthetics, Fort Washington, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Wolfinger, Glenn J" sort="Wolfinger, Glenn J" uniqKey="Wolfinger G" first="Glenn J" last="Wolfinger">Glenn J. Wolfinger</name></author><author><name sortKey="Balshi, Thomas J" sort="Balshi, Thomas J" uniqKey="Balshi T" first="Thomas J" last="Balshi">Thomas J. Balshi</name></author></analytic><series><title level="j">The International journal of periodontics & restorative dentistry</title><idno type="ISSN">0198-7569</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Computer-Aided Design</term><term>Dental Abutments</term><term>Dental Implantation, Endosseous (instrumentation)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Equipment Design</term><term>Humans</term><term>Imaging, Three-Dimensional (methods)</term><term>Internet</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Maxilla (surgery)</term><term>Occlusal Adjustment</term><term>Osteotomy (instrumentation)</term><term>Osteotomy (methods)</term><term>Patient Care Planning</term><term>Postoperative Complications</term><term>Sphenoid Bone (surgery)</term><term>Time Factors</term><term>Tomography, X-Ray Computed (methods)</term><term>User-Computer Interface</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Ajustement occlusal</term><term>Complications postopératoires</term><term>Conception assistée par ordinateur</term><term>Conception d'appareillage</term><term>Conception de prothèse dentaire</term><term>Facteurs temps</term><term>Humains</term><term>Imagerie tridimensionnelle ()</term><term>Implants dentaires</term><term>Interface utilisateur</term><term>Internet</term><term>Maxillaire ()</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Os sphénoïde ()</term><term>Ostéotomie ()</term><term>Ostéotomie (instrumentation)</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>Tomodensitométrie ()</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</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>Dental Implantation, Endosseous</term><term>Imaging, Three-Dimensional</term><term>Osteotomy</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Maxilla</term><term>Sphenoid Bone</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Computer-Aided Design</term><term>Dental Abutments</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Equipment Design</term><term>Humans</term><term>Internet</term><term>Occlusal Adjustment</term><term>Patient Care Planning</term><term>Postoperative Complications</term><term>Time Factors</term><term>User-Computer Interface</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Ajustement occlusal</term><term>Complications postopératoires</term><term>Conception assistée par ordinateur</term><term>Conception d'appareillage</term><term>Conception de prothèse dentaire</term><term>Facteurs temps</term><term>Humains</term><term>Imagerie tridimensionnelle</term><term>Implants dentaires</term><term>Interface utilisateur</term><term>Internet</term><term>Maxillaire</term><term>Mâchoire édentée</term><term>Os sphénoïde</term><term>Ostéotomie</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>Tomodensitométrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This report describes a protocol that uses computerized tomography (CT), computer-aided design/computer-assisted manufacture (CAD/CAM) technology, and the Internet to plan placement of anterior and posterior dental implants and construct a precise surgical template and definitive prosthesis, which is connected at the time of implant placement. This procedure drastically reduces surgical treatment time and the recovery period. Patients with an edentulous arch had a denture with radiopaque markers constructed for CT scans of the appropriate jaw. The CT images, with acquisition slices of 0.5 mm, were transferred into a three-dimensional image-based program for planning and strategic placement of dental implants. After implants were virtually placed on the computer, the surgical treatment plan was sent to a manufacturing facility for construction of a surgical template and the prosthesis, Special surgical guide components were also manufactured for placement of implants in the pterygomaxillary region. The manufactured surgical components, surgical template, and definitive prosthesis were then delivered to the clinical site. Implant placement surgery was performed using the surgical template, without a flap, and the prosthesis was delivered, achieving immediate functional loading. Minor occlusal adjustments were made. The total surgical treatment time required was less than 60 minutes. Postoperative symptoms, such as pain, swelling, and inflammation, were minimal. Identification of the bone in relationship to the tooth position via three-dimensional CT prior to surgery allows precise placement of implants. CAD/CAM technology using the three-dimensional images allows for fabrication of the surgical guide and final prosthesis. This is a significant advancement in implant dentistry and prosthodontics.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><noCountry><name sortKey="Balshi, Thomas J" sort="Balshi, Thomas J" uniqKey="Balshi T" first="Thomas J" last="Balshi">Thomas J. Balshi</name><name sortKey="Wolfinger, Glenn J" sort="Wolfinger, Glenn J" uniqKey="Wolfinger G" first="Glenn J" last="Wolfinger">Glenn J. Wolfinger</name></noCountry><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Balshi, Stephen F" sort="Balshi, Stephen F" uniqKey="Balshi S" first="Stephen F" last="Balshi">Stephen F. Balshi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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