A Novel Surgical Template Design in Staged Dental Implant Rehabilitations
Identifieur interne : 003534 ( Main/Merge ); précédent : 003533; suivant : 003535A Novel Surgical Template Design in Staged Dental Implant Rehabilitations
Auteurs : Michael Patras ; William Martin ; Nikitas SykarasSource :
- Journal of Oral & Maxillofacial Research [ 2029-283X ] ; 2012.
Abstract
The philosophy of a gradual transition to an implant retained prosthesis in cases of full-mouth or extensive rehabilitation usually involves a staged treatment concept. In this therapeutic approach, the placement of implants may sometimes be divided into phases. During a subsequent surgical phase of treatment, the pre-existing implants can serve as anchors for the surgical template. Those modified surgical templates help in the precise transferring of restorative information into the surgical field and guide the optimal three-dimensional implant positioning.
This article highlights the rationale of implant-retained surgical templates and illustrates them through the presentation of two clinical cases. The templates are duplicates of the provisional restorations and are secured to the existing implants through the utilization of implant mounts.
This template design in such staged procedures provided stability in the surgical field and enhanced the accuracy in implant positioning based upon the planned restoration, thus ensuring predictable treatment outcomes.
Successful rehabilitation lies in the correct sequence of surgical and prosthetic procedures. Whenever a staged approach of implant placement is planned, the clinician can effectively use the initially placed implants as anchors for the surgical template during the second phase of implant surgery.
Url:
DOI: 10.5037/jomr.2012.3205
PubMed: 24422012
PubMed Central: 3886099
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<author><name sortKey="Patras, Michael" sort="Patras, Michael" uniqKey="Patras M" first="Michael" last="Patras">Michael Patras</name>
<affiliation><nlm:aff id="aff1"><institution>Department of Oral and Maxillofacial Surgery, Center for Implant Dentistry, University of Florida</institution>
<addr-line>Gainesville, Florida</addr-line>
<country>USA.</country>
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<author><name sortKey="Martin, William" sort="Martin, William" uniqKey="Martin W" first="William" last="Martin">William Martin</name>
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<author><name sortKey="Sykaras, Nikitas" sort="Sykaras, Nikitas" uniqKey="Sykaras N" first="Nikitas" last="Sykaras">Nikitas Sykaras</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Novel Surgical Template Design in Staged Dental Implant Rehabilitations</title>
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<affiliation><nlm:aff id="aff1"><institution>Department of Oral and Maxillofacial Surgery, Center for Implant Dentistry, University of Florida</institution>
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<author><name sortKey="Martin, William" sort="Martin, William" uniqKey="Martin W" first="William" last="Martin">William Martin</name>
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<addr-line>Gainesville, Florida</addr-line>
<country>USA.</country>
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<author><name sortKey="Sykaras, Nikitas" sort="Sykaras, Nikitas" uniqKey="Sykaras N" first="Nikitas" last="Sykaras">Nikitas Sykaras</name>
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<series><title level="j">Journal of Oral & Maxillofacial Research</title>
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<front><div type="abstract" xml:lang="en"><title>ABSTRACT</title>
<sec sec-type="background"><title>Background</title>
<p>The philosophy of a gradual transition to an implant retained prosthesis in
cases of full-mouth or extensive rehabilitation usually involves a staged
treatment concept. In this therapeutic approach, the placement of implants
may sometimes be divided into phases. During a subsequent surgical phase of
treatment, the pre-existing implants can serve as anchors for the surgical
template. Those modified surgical templates help in the precise transferring
of restorative information into the surgical field and guide the optimal
three-dimensional implant positioning.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>This article highlights the rationale of implant-retained surgical templates
and illustrates them through the presentation of two clinical cases. The
templates are duplicates of the provisional restorations and are secured to
the existing implants through the utilization of implant mounts.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>This template design in such staged procedures provided stability in the
surgical field and enhanced the accuracy in implant positioning based upon
the planned restoration, thus ensuring predictable treatment outcomes.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusions</title>
<p>Successful rehabilitation lies in the correct sequence of surgical and
prosthetic procedures. Whenever a staged approach of implant placement is
planned, the clinician can effectively use the initially placed implants as
anchors for the surgical template during the second phase of implant
surgery.</p>
</sec>
</div>
</front>
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