CAD/CAM technologies in the surgical and prosthetic treatment of the edentulous patient with biomymetic individualized approach
Identifieur interne : 004384 ( Ncbi/Merge ); précédent : 004383; suivant : 004385CAD/CAM technologies in the surgical and prosthetic treatment of the edentulous patient with biomymetic individualized approach
Auteurs : A. Pozzi [Italie] ; M. Gargari ; A. BarlattaniSource :
- Oral & Implantology [ 1974-5648 ] ; 2008.
Abstract
The advent of modern endosseous implant design and improved surface technology has allowed the development of new restorative techniques that decrease patient’s total treatment time. Utilizing the latest scanning, CAD/CAM and manufacturing technolgies we are able to manufacture individualized dental restoration with high accuracy and a perfect precision of fit.
This report describes the rehabilitation of a completely edentulous patient utilizing a CT-based implant planning with computer-assisted surgical design, simultaneous CAD/CAM fabrication of a surgical template, a flapless surgical placement of the implants, and a prefabricated fixed complete denture for an immediately loaded restoration according to Nobel Biocare’s Teeth-in-an-Hour™ (Nobel Biocare Goteborg, Sweden) protocol.
This systematic approach to full mouth rehabilitation reduces the time necessary for an edentulous patient to go from severely atrophic alveolar support to implant retained prosthetic restoration. These aspects of minimally invasive and simplified surgery, along with reducing the treatment time and postsurgical discomfort, are beneficial to the patient, and allowing for rehabilitation with the same level of success as in flap surgery.
The Teeth-in-an-Hour protocol is a unique solution made possible by the Procera System. With the aid of the CT scans and a virtual planning software, a custom fabricated precision drill guide and a pre-manufactured prosthesis can be made before surgery. The execution of implant placement is performed with a flapless procedure that results in minimal surgical intervention. This results in a short and non-traumatic surgery with a minimum of postoperative complications, allowing the patient to leave the chair with a fixed prosthesis. Utilizing the latest scanning, CAD/CAM and manufacturing technologies the dental team is able to develop individualized zirconia full arch framework with high accuracy and precision of fit.
Url:
PubMed: 23285331
PubMed Central: 3476503
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<author><name sortKey="Pozzi, A" sort="Pozzi, A" uniqKey="Pozzi A" first="A." last="Pozzi">A. Pozzi</name>
<affiliation wicri:level="1"><nlm:aff id="af1-oai-2-14">DDS PhD, Private Practice in Rome, Italy</nlm:aff>
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<wicri:regionArea>DDS PhD, Private Practice in Rome</wicri:regionArea>
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<author><name sortKey="Gargari, M" sort="Gargari, M" uniqKey="Gargari M" first="M." last="Gargari">M. Gargari</name>
<affiliation><nlm:aff id="af2-oai-2-14">University of Rome Tor Vergata, Department of Odontostomatological Sciences</nlm:aff>
<wicri:noCountry code="subfield">Department of Odontostomatological Sciences</wicri:noCountry>
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<author><name sortKey="Barlattani, A" sort="Barlattani, A" uniqKey="Barlattani A" first="A." last="Barlattani">A. Barlattani</name>
<affiliation><nlm:aff id="af3-oai-2-14">MD DDS, Chief and Director Dental Degree & Department of Dentistry, University of Rome Tor Vergata</nlm:aff>
<wicri:noCountry code="subfield">University of Rome Tor Vergata</wicri:noCountry>
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<author><name sortKey="Gargari, M" sort="Gargari, M" uniqKey="Gargari M" first="M." last="Gargari">M. Gargari</name>
<affiliation><nlm:aff id="af2-oai-2-14">University of Rome Tor Vergata, Department of Odontostomatological Sciences</nlm:aff>
<wicri:noCountry code="subfield">Department of Odontostomatological Sciences</wicri:noCountry>
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<author><name sortKey="Barlattani, A" sort="Barlattani, A" uniqKey="Barlattani A" first="A." last="Barlattani">A. Barlattani</name>
<affiliation><nlm:aff id="af3-oai-2-14">MD DDS, Chief and Director Dental Degree & Department of Dentistry, University of Rome Tor Vergata</nlm:aff>
<wicri:noCountry code="subfield">University of Rome Tor Vergata</wicri:noCountry>
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<series><title level="j">Oral & Implantology</title>
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<front><div type="abstract" xml:lang="en"><title>SUMMARY</title>
<sec><title>Background:</title>
<p>The advent of modern endosseous implant design and improved surface technology has allowed the development of new restorative techniques that decrease patient’s total treatment time. Utilizing the latest scanning, CAD/CAM and manufacturing technolgies we are able to manufacture individualized dental restoration with high accuracy and a perfect precision of fit.</p>
</sec>
<sec><title>Materials and methods:</title>
<p>This report describes the rehabilitation of a completely edentulous patient utilizing a CT-based implant planning with computer-assisted surgical design, simultaneous CAD/CAM fabrication of a surgical template, a flapless surgical placement of the implants, and a prefabricated fixed complete denture for an immediately loaded restoration according to Nobel Biocare’s Teeth-in-an-Hour™ (Nobel Biocare Goteborg, Sweden) protocol.</p>
<p>This systematic approach to full mouth rehabilitation reduces the time necessary for an edentulous patient to go from severely atrophic alveolar support to implant retained prosthetic restoration. These aspects of minimally invasive and simplified surgery, along with reducing the treatment time and postsurgical discomfort, are beneficial to the patient, and allowing for rehabilitation with the same level of success as in flap surgery.</p>
</sec>
<sec><title>Conclusion:</title>
<p>The Teeth-in-an-Hour protocol is a unique solution made possible by the Procera System. With the aid of the CT scans and a virtual planning software, a custom fabricated precision drill guide and a pre-manufactured prosthesis can be made before surgery. The execution of implant placement is performed with a flapless procedure that results in minimal surgical intervention. This results in a short and non-traumatic surgery with a minimum of postoperative complications, allowing the patient to leave the chair with a fixed prosthesis. Utilizing the latest scanning, CAD/CAM and manufacturing technologies the dental team is able to develop individualized zirconia full arch framework with high accuracy and precision of fit.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Oral Implantol (Rome)</journal-id>
<journal-id journal-id-type="iso-abbrev">Oral Implantol (Rome)</journal-id>
<journal-id journal-id-type="publisher-id">OAI</journal-id>
<journal-title-group><journal-title>Oral & Implantology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1974-5648</issn>
<issn pub-type="epub">2035-2468</issn>
<publisher><publisher-name>CIC Edizioni Internationali</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23285331</article-id>
<article-id pub-id-type="pmc">3476503</article-id>
<article-id pub-id-type="publisher-id">oai-2-14</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>CAD/CAM technologies in the surgical and prosthetic treatment of the edentulous patient with biomymetic individualized approach</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>POZZI</surname>
<given-names>A.</given-names>
</name>
<xref ref-type="corresp" rid="c1-oai-2-14"></xref>
<xref ref-type="aff" rid="af1-oai-2-14"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>GARGARI</surname>
<given-names>M.</given-names>
</name>
<xref ref-type="aff" rid="af2-oai-2-14"><sup>**</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>BARLATTANI</surname>
<given-names>A.</given-names>
</name>
<xref ref-type="aff" rid="af3-oai-2-14"><sup>***</sup>
</xref>
</contrib>
</contrib-group>
<aff id="af1-oai-2-14"><label>*</label>
DDS PhD, Private Practice in Rome, Italy</aff>
<aff id="af2-oai-2-14"><label>**</label>
University of Rome Tor Vergata, Department of Odontostomatological Sciences</aff>
<aff id="af3-oai-2-14"><label>***</label>
MD DDS, Chief and Director Dental Degree & Department of Dentistry, University of Rome Tor Vergata</aff>
<author-notes><corresp id="c1-oai-2-14">Correspondence: Dott. Alessandro Pozzi, Viale Liegi 44, 00198 Rome, E-mail: <email>info@studioalessandropozzi.com</email>
, Website: <ext-link ext-link-type="uri" xlink:href="www.studioalessandropozzi.com">www.studioalessandropozzi.com</ext-link>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>16</day>
<month>6</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="collection"><season>Apr-Jun</season>
<year>2008</year>
</pub-date>
<volume>1</volume>
<issue>1</issue>
<fpage>2</fpage>
<lpage>14</lpage>
<permissions><copyright-statement>©2008 CIC Edizioni Internazionali, Rome, Italy</copyright-statement>
<copyright-year>2008</copyright-year>
</permissions>
<abstract><title>SUMMARY</title>
<sec><title>Background:</title>
<p>The advent of modern endosseous implant design and improved surface technology has allowed the development of new restorative techniques that decrease patient’s total treatment time. Utilizing the latest scanning, CAD/CAM and manufacturing technolgies we are able to manufacture individualized dental restoration with high accuracy and a perfect precision of fit.</p>
</sec>
<sec><title>Materials and methods:</title>
<p>This report describes the rehabilitation of a completely edentulous patient utilizing a CT-based implant planning with computer-assisted surgical design, simultaneous CAD/CAM fabrication of a surgical template, a flapless surgical placement of the implants, and a prefabricated fixed complete denture for an immediately loaded restoration according to Nobel Biocare’s Teeth-in-an-Hour™ (Nobel Biocare Goteborg, Sweden) protocol.</p>
<p>This systematic approach to full mouth rehabilitation reduces the time necessary for an edentulous patient to go from severely atrophic alveolar support to implant retained prosthetic restoration. These aspects of minimally invasive and simplified surgery, along with reducing the treatment time and postsurgical discomfort, are beneficial to the patient, and allowing for rehabilitation with the same level of success as in flap surgery.</p>
</sec>
<sec><title>Conclusion:</title>
<p>The Teeth-in-an-Hour protocol is a unique solution made possible by the Procera System. With the aid of the CT scans and a virtual planning software, a custom fabricated precision drill guide and a pre-manufactured prosthesis can be made before surgery. The execution of implant placement is performed with a flapless procedure that results in minimal surgical intervention. This results in a short and non-traumatic surgery with a minimum of postoperative complications, allowing the patient to leave the chair with a fixed prosthesis. Utilizing the latest scanning, CAD/CAM and manufacturing technologies the dental team is able to develop individualized zirconia full arch framework with high accuracy and precision of fit.</p>
</sec>
</abstract>
<trans-abstract xml:lang="it"><title>RIASSUNTO</title>
<sec><title>Background:</title>
<p>l’introduzione di nuovi design implantari e di nuove superfici finalizzate al miglioramento delle capacità osteoinduttive e d’integrazione delle fixture ha stimolato i clinici a sviluppare nuove procedure restaurative che aumentino il comfort del paziente e riducano il tempo complessivo di trattamento. Utilizzando le ultime tecniche di scansione, in associazione con la tecnologia CAD-CAM, siamo in grado di produrre restauri protesici individualizzati con un alto grado di accuratezza e con una perfetta precisione, anche nei casi di riabilitazioni complete.</p>
</sec>
<sec><title>Materiali e metodi:</title>
<p>questo articolo descrive un protocollo di trattamento per la riabilitazione implantare immediata delle arcate completamente edentule. Il protocollo Teeth-in-an-Hour (Procera System, Nobel Biocare) è una soluzione terapeutica unica, resa possibile da una piattaforma di produzione che mette a disposizione del team implantoprotesico, la tecnologia CAD/CAM nelle varie fasi di progettazione e realizzazione della riabilitazione su impianti. Il posizionamento dei pilastri implantari viene eseguito con una procedura chirurgica flapless mini-invasiva; questo approccio conservativo risulta in una chirurgia atraumatica, di breve durata rispetto alle procedure convenzionali e pertanto il dolore e le complicanze locali nell’immediato post-operatorio (sanguinamento e gonfiore) sono minime, con grande beneficio per il paziente, garantendo le stesse percentuali di successo della chirurgia a cielo aperto. Il team implantoprotesico utilizzando la tecnologia CAD-CAM è in grado di progettare e realizzare la riabilitazione implantoprotesica con un elevato grado di precisione e di accuratezza chirurgico-protesica. UtIlizzando le ultime tecniche di scansione tattile-meccanica, l’elaborazione CAD/CAM e tecnologie di produzione e controllo di tipo industriale, è possibile ottenere restauri in ossido zirconio estesi a tutta l’arcata dentaria con un alto grado di accuratezza e precisione.</p>
</sec>
<sec><title>Conclusioni:</title>
<p>questo nuovo protocollo attraverso la pianificazione computerizzata virtuale protesico-chirugica dell’implantologia e la realizzazione di strutture CAD/CAM estremamente precise ed accurate, semplifica le procedure operative necessarie alla riabilitazione delle arcate completamente edentule, facilitando il passaggio da una protesi totale insufficiente e scomoda per il paziente con grave riassorbimento osseo ad una riabilitazione fissa definitiva in circa 4 mesi di trattamento.</p>
</sec>
</trans-abstract>
<kwd-group><kwd>Nobel Guide</kwd>
<kwd>CAD/CAM technology</kwd>
<kwd>zirconia full arch framework</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Italie</li>
</country>
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<tree><noCountry><name sortKey="Barlattani, A" sort="Barlattani, A" uniqKey="Barlattani A" first="A." last="Barlattani">A. Barlattani</name>
<name sortKey="Gargari, M" sort="Gargari, M" uniqKey="Gargari M" first="M." last="Gargari">M. Gargari</name>
</noCountry>
<country name="Italie"><noRegion><name sortKey="Pozzi, A" sort="Pozzi, A" uniqKey="Pozzi A" first="A." last="Pozzi">A. Pozzi</name>
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