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Depth deviation and occurrence of early surgical complications or unexpected events using a single stereolithographic surgi-guide.

Identifieur interne : 003936 ( Ncbi/Merge ); précédent : 003935; suivant : 003937

Depth deviation and occurrence of early surgical complications or unexpected events using a single stereolithographic surgi-guide.

Auteurs : M. Cassetta [Italie] ; L V Stefanelli ; M. Giansanti ; A. Di Mambro ; S. Calasso

Source :

RBID : pubmed:22001378

Descripteurs français

English descriptors

Abstract

The purpose of this study was to determine the accuracy of depth implant insertion and to describe the frequency of early surgical complications or unexpected events, recorded using a single, totally guided, stereolithographic surgi-guide (bone-, mucosa- and teeth-supported) for both osteotomy site preparation and implant delivery. Ten adults were included in this study. Six patients were treated in both arches, and the number of computer aided implantology (CAI) interventions was 16, which equalled the number of guides used, for a total of 111 implants inserted. Complications and unexpected events occurred during the positioning of the surgical guide and whilst preparing the implant site and installing implants. In order to minimize the risk of complications and unexpected events, attention must be paid to every stage of treatment, including checking computed tomography (CT) images, guide manufacturing, proper guide positioning in the mouth, guide fixation, rotational allowance of drill in tubes, shape and sharpness of the drills, first entry point, mouth opening and guided implant insertion.

DOI: 10.1016/j.ijom.2011.09.009
PubMed: 22001378

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pubmed:22001378

Le document en format XML

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<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implants (adverse effects)</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (methods)</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Intraoperative Complications</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osteotomy (adverse effects)</term>
<term>Osteotomy (instrumentation)</term>
<term>Patient Care Planning (standards)</term>
<term>Postoperative Complications</term>
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<term>Surface Properties</term>
<term>Surgery, Computer-Assisted</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Complications peropératoires</term>
<term>Complications postopératoires</term>
<term>Conception assistée par ordinateur (normes)</term>
<term>Conception d'appareillage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Logiciel</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
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<term>Ostéotomie (effets indésirables)</term>
<term>Ostéotomie (instrumentation)</term>
<term>Planification des soins du patient (normes)</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
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<term>Rotation</term>
<term>Tomodensitométrie hélicoïdale ()</term>
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<term>Études rétrospectives</term>
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<term>Tomography, Spiral Computed</term>
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<term>Planification des soins du patient</term>
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<term>Computer-Aided Design</term>
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<term>Adult</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Intraoperative Complications</term>
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<term>Middle Aged</term>
<term>Postoperative Complications</term>
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<term>Rotation</term>
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<term>Surface Properties</term>
<term>Surgery, Computer-Assisted</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Complications peropératoires</term>
<term>Complications postopératoires</term>
<term>Conception d'appareillage</term>
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<term>Humains</term>
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<term>Ostéotomie</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Propriétés de surface</term>
<term>Rotation</term>
<term>Tomodensitométrie hélicoïdale</term>
<term>Traitement d'image par ordinateur</term>
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<div type="abstract" xml:lang="en">The purpose of this study was to determine the accuracy of depth implant insertion and to describe the frequency of early surgical complications or unexpected events, recorded using a single, totally guided, stereolithographic surgi-guide (bone-, mucosa- and teeth-supported) for both osteotomy site preparation and implant delivery. Ten adults were included in this study. Six patients were treated in both arches, and the number of computer aided implantology (CAI) interventions was 16, which equalled the number of guides used, for a total of 111 implants inserted. Complications and unexpected events occurred during the positioning of the surgical guide and whilst preparing the implant site and installing implants. In order to minimize the risk of complications and unexpected events, attention must be paid to every stage of treatment, including checking computed tomography (CT) images, guide manufacturing, proper guide positioning in the mouth, guide fixation, rotational allowance of drill in tubes, shape and sharpness of the drills, first entry point, mouth opening and guided implant insertion.</div>
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