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Clinical application of stereolithographic surgical guide with a handpiece guidance apparatus: a case report.

Identifieur interne : 000E95 ( PubMed/Checkpoint ); précédent : 000E94; suivant : 000E96

Clinical application of stereolithographic surgical guide with a handpiece guidance apparatus: a case report.

Auteurs : Oguz Ozan [Turquie] ; Emre Seker ; Sevcan Kurtulmus-Yilmaz ; Ahmet Ersan Ersoy

Source :

RBID : pubmed:21767212

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English descriptors

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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Le document en format XML

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