Flapless CAD/CAM-guided surgery for staged transition from failing dentition to complete arch implant rehabilitation: a 3-year clinical report.
Identifieur interne : 003C54 ( Ncbi/Checkpoint ); précédent : 003C53; suivant : 003C55Flapless CAD/CAM-guided surgery for staged transition from failing dentition to complete arch implant rehabilitation: a 3-year clinical report.
Auteurs : Panos Papaspyridakos [États-Unis] ; George Shelby White ; Kunal LalSource :
- The Journal of prosthetic dentistry [ 1097-6841 ] ; 2012.
Descripteurs français
- KwdFr :
- Caries dentaires (), Chirurgie assistée par ordinateur, Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire, Conception d'implant dentaire et de pilier, Dimension verticale, Enregistrement des rapports intermaxillaires, Femelle, Humains, Imagerie tridimensionnelle (), Implants dentaires, Interface utilisateur, Interventions chirurgicales mini-invasives, Maladies parodontales (), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Piliers dentaires, Planification des soins du patient, Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (instrumentation), Prothèse dentaire implanto-portée, Prothèse dentaire partielle provisoire, Prothèse partielle fixe, Résultat thérapeutique, Rééducation buccale (), Sujet âgé, Tomodensitométrie (), Études de suivi.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Caries dentaires, Chirurgie assistée par ordinateur, Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire, Conception d'implant dentaire et de pilier, Dimension verticale, Enregistrement des rapports intermaxillaires, Femelle, Humains, Imagerie tridimensionnelle, Implants dentaires, Interface utilisateur, Interventions chirurgicales mini-invasives, Maladies parodontales, Mâchoire partiellement édentée, Piliers dentaires, Planification des soins du patient, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Prothèse dentaire partielle provisoire, Prothèse partielle fixe, Résultat thérapeutique, Rééducation buccale, Sujet âgé, Tomodensitométrie, Études de suivi.
English descriptors
- KwdEn :
- Aged, Computer-Aided Design, Dental Abutments, Dental Caries (therapy), Dental Implant-Abutment Design, Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Partial, Fixed, Denture, Partial, Temporary, Female, Follow-Up Studies, Humans, Imaging, Three-Dimensional (methods), Jaw Relation Record, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Minimally Invasive Surgical Procedures, Mouth Rehabilitation (methods), Patient Care Planning, Periodontal Diseases (therapy), Surgery, Computer-Assisted, Tomography, X-Ray Computed (methods), Treatment Outcome, User-Computer Interface, Vertical Dimension.
- MESH :
- chemical : Dental Implants.
- instrumentation : Dental Implantation, Endosseous.
- methods : Dental Implantation, Endosseous, Imaging, Three-Dimensional, Mouth Rehabilitation, Tomography, X-Ray Computed.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially.
- therapy : Dental Caries, Periodontal Diseases.
- Aged, Computer-Aided Design, Dental Abutments, Dental Implant-Abutment Design, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Partial, Fixed, Denture, Partial, Temporary, Female, Follow-Up Studies, Humans, Jaw Relation Record, Minimally Invasive Surgical Procedures, Patient Care Planning, Surgery, Computer-Assisted, Treatment Outcome, User-Computer Interface, Vertical Dimension.
Abstract
The transition of patients from failing dentition to complete arch implant rehabilitation often requires that the patient be rendered edentulous and has to wear a complete removable dental prosthesis for varying periods of time. This is objectionable to many patients. A staged treatment approach allows a fixed interim restoration, patient comfort, and prosthodontic control throughout the rehabilitation process. CAD/CAM-guided flapless implant surgery has the advantage of prosthetically driven implant placement and minimal postoperative sequelae. A patient with a failing dentition was treated with this combined protocol and was followed up for 3 years after loading. Implant and prosthesis survival rates were 100%, with no technical complications encountered up to the last recall. The purpose of this clinical report is to describe a combination of CAD/CAM-guided flapless surgery and a staged treatment approach, thereby giving the patient a tooth-supported or implant-supported fixed interim prosthesis during the entire rehabilitation process. The various surgical, laboratory, and prosthetic stages are illustrated for the complete arch prosthetic rehabilitation, and the 3-year follow-up outcome is reported.
DOI: 10.1016/S0022-3913(12)00025-X
PubMed: 22385689
Affiliations:
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pubmed:22385689Le document en format XML
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<term>Dental Caries (therapy)</term>
<term>Dental Implant-Abutment Design</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
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<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed</term>
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<term>Female</term>
<term>Follow-Up Studies</term>
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<term>Imaging, Three-Dimensional (methods)</term>
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<term>Jaw, Edentulous, Partially (surgery)</term>
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<term>Mouth Rehabilitation (methods)</term>
<term>Patient Care Planning</term>
<term>Periodontal Diseases (therapy)</term>
<term>Surgery, Computer-Assisted</term>
<term>Tomography, X-Ray Computed (methods)</term>
<term>Treatment Outcome</term>
<term>User-Computer Interface</term>
<term>Vertical Dimension</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Caries dentaires ()</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception d'implant dentaire et de pilier</term>
<term>Dimension verticale</term>
<term>Enregistrement des rapports intermaxillaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Interventions chirurgicales mini-invasives</term>
<term>Maladies parodontales ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</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>Prothèse dentaire partielle provisoire</term>
<term>Prothèse partielle fixe</term>
<term>Résultat thérapeutique</term>
<term>Rééducation buccale ()</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie ()</term>
<term>Études de suivi</term>
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<term>Imaging, Three-Dimensional</term>
<term>Mouth Rehabilitation</term>
<term>Tomography, X-Ray Computed</term>
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</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<term>Periodontal Diseases</term>
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<term>Computer-Aided Design</term>
<term>Dental Abutments</term>
<term>Dental Implant-Abutment Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Temporary</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw Relation Record</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Patient Care Planning</term>
<term>Surgery, Computer-Assisted</term>
<term>Treatment Outcome</term>
<term>User-Computer Interface</term>
<term>Vertical Dimension</term>
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<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception d'implant dentaire et de pilier</term>
<term>Dimension verticale</term>
<term>Enregistrement des rapports intermaxillaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Interventions chirurgicales mini-invasives</term>
<term>Maladies parodontales</term>
<term>Mâchoire partiellement édentée</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>Prothèse dentaire partielle provisoire</term>
<term>Prothèse partielle fixe</term>
<term>Résultat thérapeutique</term>
<term>Rééducation buccale</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">The transition of patients from failing dentition to complete arch implant rehabilitation often requires that the patient be rendered edentulous and has to wear a complete removable dental prosthesis for varying periods of time. This is objectionable to many patients. A staged treatment approach allows a fixed interim restoration, patient comfort, and prosthodontic control throughout the rehabilitation process. CAD/CAM-guided flapless implant surgery has the advantage of prosthetically driven implant placement and minimal postoperative sequelae. A patient with a failing dentition was treated with this combined protocol and was followed up for 3 years after loading. Implant and prosthesis survival rates were 100%, with no technical complications encountered up to the last recall. The purpose of this clinical report is to describe a combination of CAD/CAM-guided flapless surgery and a staged treatment approach, thereby giving the patient a tooth-supported or implant-supported fixed interim prosthesis during the entire rehabilitation process. The various surgical, laboratory, and prosthetic stages are illustrated for the complete arch prosthetic rehabilitation, and the 3-year follow-up outcome is reported.</div>
</front>
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