Clinical application of stereolithographic surgical guide with a handpiece guidance apparatus: a case report.
Identifieur interne : 003419 ( Main/Merge ); précédent : 003418; suivant : 003420Clinical application of stereolithographic surgical guide with a handpiece guidance apparatus: a case report.
Auteurs : Oguz Ozan [Turquie] ; Emre Seker ; Sevcan Kurtulmus-Yilmaz ; Ahmet Ersan ErsoySource :
- The Journal of oral implantology [ 0160-6972 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Chirurgie assistée par ordinateur (), Conception assistée par ordinateur, Conception d'appareillage, Conception de prothèse dentaire (), Humains, Instruments dentaires, Mandibule (), Mandibule (imagerie diagnostique), Modèles dentaires, Mâchoire édentée (rééducation et réadaptation), Mâle, Planification des soins du patient, Pose d'implant dentaire endo-osseux (instrumentation), Procédures de chirurgie préprothétique en odontologie (), Procédures de chirurgie préprothétique en odontologie (instrumentation), Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée (instrumentation), Résultat thérapeutique, Tomodensitométrie.
- MESH :
- imagerie diagnostique : Mandibule.
- rééducation et réadaptation : Mâchoire édentée.
- instrumentation : Adulte d'âge moyen, Chirurgie assistée par ordinateur, Conception assistée par ordinateur, Conception d'appareillage, Conception de prothèse dentaire, Humains, Instruments dentaires, Mandibule, Modèles dentaires, Mâle, Planification des soins du patient, Pose d'implant dentaire endo-osseux, Procédures de chirurgie préprothétique en odontologie, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résultat thérapeutique, Tomodensitométrie.
English descriptors
- KwdEn :
- Computer-Aided Design, Dental Implantation, Endosseous (instrumentation), Dental Instruments, Dental Models, Dental Prosthesis Design (methods), Dental Prosthesis, Implant-Supported (instrumentation), Denture, Complete, Lower, Equipment Design, Humans, Jaw, Edentulous (rehabilitation), Male, Mandible (diagnostic imaging), Mandible (surgery), Middle Aged, Oral Surgical Procedures, Preprosthetic (instrumentation), Oral Surgical Procedures, Preprosthetic (methods), Patient Care Planning, Surgery, Computer-Assisted (methods), Tomography, X-Ray Computed, Treatment Outcome.
- MESH :
- diagnostic imaging : Mandible.
- instrumentation : Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Oral Surgical Procedures, Preprosthetic.
- methods : Dental Prosthesis Design, Oral Surgical Procedures, Preprosthetic, Surgery, Computer-Assisted.
- rehabilitation : Jaw, Edentulous.
- surgery : Mandible.
- Computer-Aided Design, Dental Instruments, Dental Models, Denture, Complete, Lower, Equipment Design, Humans, Male, Middle Aged, Patient Care Planning, Tomography, X-Ray Computed, Treatment Outcome.
Abstract
The success of implant-supported restorations depends on the treatment planning and the transfer of planning through the surgical field. Recently, new computer-aided design and manufacturing (CAD/CAM) techniques, such as stereolithographic (SLA) rapid prototyping, have been developed to fabricate surgical guides to improve the precision of implant placement. The objective of the present case is to introduce a recently developed SLA surgical guide system into the rehabilitation of a 62-year-old male patient with mandibular edentulism. After obtaining a cone-beam computerized tomography (CBCT) scan of the mandible with a radiographic template, the images were transferred into a 3-dimensional (3D) image-based software for implant planning. The StentCad Beyond SLA surgical guide system, which is a combination of a currently used surgical template with pilot hollows and a surgical handpiece guidance apparatus, was designed to transfer a preoperatively defined implant position onto the surgical site without any drill-surgical guide contact. For the fabrication of this system, a surgical handpiece was scanned by a laser optical scanner and a mucosa-supported surgical guide was designed according to the patient's 3D model, which was attained from the CBCT images. Four dental implants were inserted through the SLA surgical guide system by a torque-controlled surgical handpiece to the interforaminal region via a flapless surgical procedure. Implants were assessed 3 months after surgery, and an implant-retained mandibular overdenture was fabricated. The present case emphasizes that CAD/CAM SLA surgical guides, along with CBCT images and scanning data, may help clinicians plan and place dental implants.
DOI: 10.1563/AAID-JOI-D-11-00010
PubMed: 21767212
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Aged</term><term>Oral Surgical Procedures, Preprosthetic (instrumentation)</term><term>Oral Surgical Procedures, Preprosthetic (methods)</term><term>Patient Care Planning</term><term>Surgery, Computer-Assisted (methods)</term><term>Tomography, X-Ray Computed</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Chirurgie assistée par ordinateur ()</term><term>Conception assistée par ordinateur</term><term>Conception d'appareillage</term><term>Conception de prothèse dentaire ()</term><term>Humains</term><term>Instruments dentaires</term><term>Mandibule ()</term><term>Mandibule (imagerie diagnostique)</term><term>Modèles dentaires</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Planification des soins du patient</term><term>Pose d'implant dentaire endo-osseux (instrumentation)</term><term>Procédures de chirurgie préprothétique en odontologie ()</term><term>Procédures de chirurgie préprothétique en odontologie (instrumentation)</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée (instrumentation)</term><term>Résultat thérapeutique</term><term>Tomodensitométrie</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mandibule</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis, Implant-Supported</term><term>Oral Surgical Procedures, Preprosthetic</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Prosthesis Design</term><term>Oral Surgical Procedures, Preprosthetic</term><term>Surgery, Computer-Assisted</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>Mandible</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Computer-Aided Design</term><term>Dental Instruments</term><term>Dental Models</term><term>Denture, Complete, Lower</term><term>Equipment Design</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Care Planning</term><term>Tomography, X-Ray Computed</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Chirurgie assistée par ordinateur</term><term>Conception assistée par ordinateur</term><term>Conception d'appareillage</term><term>Conception de prothèse dentaire</term><term>Humains</term><term>Instruments dentaires</term><term>Mandibule</term><term>Modèles dentaires</term><term>Mâle</term><term>Planification des soins du patient</term><term>Pose d'implant dentaire endo-osseux</term><term>Procédures de chirurgie préprothétique en odontologie</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Résultat thérapeutique</term><term>Tomodensitométrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The success of implant-supported restorations depends on the treatment planning and the transfer of planning through the surgical field. Recently, new computer-aided design and manufacturing (CAD/CAM) techniques, such as stereolithographic (SLA) rapid prototyping, have been developed to fabricate surgical guides to improve the precision of implant placement. The objective of the present case is to introduce a recently developed SLA surgical guide system into the rehabilitation of a 62-year-old male patient with mandibular edentulism. After obtaining a cone-beam computerized tomography (CBCT) scan of the mandible with a radiographic template, the images were transferred into a 3-dimensional (3D) image-based software for implant planning. The StentCad Beyond SLA surgical guide system, which is a combination of a currently used surgical template with pilot hollows and a surgical handpiece guidance apparatus, was designed to transfer a preoperatively defined implant position onto the surgical site without any drill-surgical guide contact. For the fabrication of this system, a surgical handpiece was scanned by a laser optical scanner and a mucosa-supported surgical guide was designed according to the patient's 3D model, which was attained from the CBCT images. Four dental implants were inserted through the SLA surgical guide system by a torque-controlled surgical handpiece to the interforaminal region via a flapless surgical procedure. Implants were assessed 3 months after surgery, and an implant-retained mandibular overdenture was fabricated. The present case emphasizes that CAD/CAM SLA surgical guides, along with CBCT images and scanning data, may help clinicians plan and place dental implants.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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