Zygomatic implant placement with flapless computer-guided surgery: a proposed clinical protocol.
Identifieur interne : 001019 ( PubMed/Checkpoint ); précédent : 001018; suivant : 001020Zygomatic implant placement with flapless computer-guided surgery: a proposed clinical protocol.
Auteurs : Guido Schiroli [Italie] ; Francesca Angiero ; Armando Silvestrini-Biavati ; Stefano BenedicentiSource :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [ 1531-5053 ] ; 2011.
Descripteurs français
- KwdFr :
- Chirurgie assistée par ordinateur, Humains, Imagerie tridimensionnelle, Interface utilisateur, Maxillaire (imagerie diagnostique), Modèles anatomiques, Mâchoire édentée (rééducation et réadaptation), Os zygomatique (), Pose d'implant dentaire endo-osseux (), Protocoles cliniques, Résorption alvéolaire (imagerie diagnostique), Résorption alvéolaire (rééducation et réadaptation), Résultat thérapeutique, Sinus maxillaire (), Tomodensitométrie à faisceau conique, Traitement d'image par ordinateur.
- MESH :
- imagerie diagnostique : Maxillaire, Résorption alvéolaire.
- rééducation et réadaptation : Mâchoire édentée, Résorption alvéolaire.
- Chirurgie assistée par ordinateur, Humains, Imagerie tridimensionnelle, Interface utilisateur, Modèles anatomiques, Os zygomatique, Pose d'implant dentaire endo-osseux, Protocoles cliniques, Résultat thérapeutique, Sinus maxillaire, Tomodensitométrie à faisceau conique, Traitement d'image par ordinateur.
English descriptors
- KwdEn :
- Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (rehabilitation), Clinical Protocols, Cone-Beam Computed Tomography, Dental Implantation, Endosseous (methods), Humans, Image Processing, Computer-Assisted, Imaging, Three-Dimensional, Jaw, Edentulous (rehabilitation), Maxilla (diagnostic imaging), Maxillary Sinus (surgery), Models, Anatomic, Surgery, Computer-Assisted, Treatment Outcome, User-Computer Interface, Zygoma (surgery).
- MESH :
- diagnostic imaging : Alveolar Bone Loss, Maxilla.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Alveolar Bone Loss, Jaw, Edentulous.
- surgery : Maxillary Sinus, Zygoma.
- Clinical Protocols, Cone-Beam Computed Tomography, Humans, Image Processing, Computer-Assisted, Imaging, Three-Dimensional, Models, Anatomic, Surgery, Computer-Assisted, Treatment Outcome, User-Computer Interface.
Abstract
The aim of the present report is to describe a procedure for zygomatic implant placement using image-guided implant surgery. This is an innovative technique and includes a new clinical approach to provide the direction to guide drilling.
DOI: 10.1016/j.joms.2011.03.050
PubMed: 21835528
Affiliations:
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uniqKey="Silvestrini Biavati A" first="Armando" last="Silvestrini-Biavati">Armando Silvestrini-Biavati</name></author><author><name sortKey="Benedicenti, Stefano" sort="Benedicenti, Stefano" uniqKey="Benedicenti S" first="Stefano" last="Benedicenti">Stefano Benedicenti</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21835528</idno><idno type="pmid">21835528</idno><idno type="doi">10.1016/j.joms.2011.03.050</idno><idno type="wicri:Area/PubMed/Corpus">001367</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001367</idno><idno type="wicri:Area/PubMed/Curation">001367</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001367</idno><idno type="wicri:Area/PubMed/Checkpoint">001367</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001367</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Zygomatic implant placement with flapless computer-guided surgery: a proposed clinical protocol.</title><author><name sortKey="Schiroli, Guido" sort="Schiroli, Guido" uniqKey="Schiroli G" first="Guido" last="Schiroli">Guido Schiroli</name><affiliation wicri:level="1"><nlm:affiliation>University of Genoa, Department of Medical, Biophysical, Dental Science and Technologies, DISTIBIMO, Genoa, Italy. schirol@tin.it</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Genoa, Department of Medical, Biophysical, Dental Science and Technologies, DISTIBIMO, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Angiero, Francesca" sort="Angiero, Francesca" uniqKey="Angiero F" first="Francesca" last="Angiero">Francesca Angiero</name></author><author><name sortKey="Silvestrini Biavati, Armando" sort="Silvestrini Biavati, Armando" uniqKey="Silvestrini Biavati A" first="Armando" last="Silvestrini-Biavati">Armando Silvestrini-Biavati</name></author><author><name sortKey="Benedicenti, Stefano" sort="Benedicenti, Stefano" uniqKey="Benedicenti S" first="Stefano" last="Benedicenti">Stefano Benedicenti</name></author></analytic><series><title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title><idno type="eISSN">1531-5053</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Bone Loss (diagnostic imaging)</term><term>Alveolar Bone Loss (rehabilitation)</term><term>Clinical Protocols</term><term>Cone-Beam Computed Tomography</term><term>Dental Implantation, Endosseous (methods)</term><term>Humans</term><term>Image Processing, Computer-Assisted</term><term>Imaging, Three-Dimensional</term><term>Jaw, Edentulous (rehabilitation)</term><term>Maxilla (diagnostic imaging)</term><term>Maxillary Sinus (surgery)</term><term>Models, Anatomic</term><term>Surgery, Computer-Assisted</term><term>Treatment Outcome</term><term>User-Computer Interface</term><term>Zygoma (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Chirurgie assistée par ordinateur</term><term>Humains</term><term>Imagerie tridimensionnelle</term><term>Interface utilisateur</term><term>Maxillaire (imagerie diagnostique)</term><term>Modèles anatomiques</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Os zygomatique ()</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Protocoles cliniques</term><term>Résorption alvéolaire (imagerie diagnostique)</term><term>Résorption alvéolaire (rééducation et réadaptation)</term><term>Résultat thérapeutique</term><term>Sinus maxillaire ()</term><term>Tomodensitométrie à faisceau conique</term><term>Traitement d'image par ordinateur</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Bone Loss</term><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Maxillaire</term><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Maxillary Sinus</term><term>Zygoma</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Clinical Protocols</term><term>Cone-Beam Computed Tomography</term><term>Humans</term><term>Image Processing, Computer-Assisted</term><term>Imaging, Three-Dimensional</term><term>Models, Anatomic</term><term>Surgery, Computer-Assisted</term><term>Treatment Outcome</term><term>User-Computer Interface</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Chirurgie assistée par ordinateur</term><term>Humains</term><term>Imagerie tridimensionnelle</term><term>Interface utilisateur</term><term>Modèles anatomiques</term><term>Os zygomatique</term><term>Pose d'implant dentaire endo-osseux</term><term>Protocoles cliniques</term><term>Résultat thérapeutique</term><term>Sinus maxillaire</term><term>Tomodensitométrie à faisceau conique</term><term>Traitement d'image par ordinateur</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of the present report is to describe a procedure for zygomatic implant placement using image-guided implant surgery. This is an innovative technique and includes a new clinical approach to provide the direction to guide drilling.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21835528</PMID><DateCompleted><Year>2012</Year><Month>01</Month><Day>17</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-5053</ISSN><JournalIssue CitedMedium="Internet"><Volume>69</Volume><Issue>12</Issue><PubDate><Year>2011</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title><ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation></Journal><ArticleTitle>Zygomatic implant placement with flapless computer-guided surgery: a proposed clinical protocol.</ArticleTitle><Pagination><MedlinePgn>2979-89</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.joms.2011.03.050</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The aim of the present report is to describe a procedure for zygomatic implant placement using image-guided implant surgery. This is an innovative technique and includes a new clinical approach to provide the direction to guide drilling.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">The ethical committee of the University of Genoa approved the study. All patients had clinical indications of severe maxillary atrophy (Class 4 Cadwood-Howell). A total of 25 implants were placed, of which 17 were in the premaxilla, 7 in the zygomatic area, and 1 in the pterygoid bone. The treatment was performed in 2 phases. The first phase included cone-beam acquisition to exclude sinus disease and evaluate the anatomy of the residual premaxillary bone in 3 dimensions. The success of osseointegration achieved by the primary implants (PIs) was confirmed after temporary loading and before proceeding with the second phase, in which all patients were scheduled for zygomatic implants. A total of 3 or 4 regular platform MK III implants (17 in all) were placed in the premaxilla using conventional implant surgery. A model within the analogs of the PIs was prepared (master model), taking a conventional impression. Next, a radiologic template was prepared on the same master model and stabilized on the PIs, using dedicated prosthetic components. The guide was screwed onto the PIs during computed tomography acquisition to determine a fixed and repeatable position of the guide. In the second phase, after routine planning, a mucosa-supported stereolithographic SurgiGuide with sleeves for the zygomatic implants and the corresponding stereolithographic model, including the mucosa, were received from the manufacturers. The guide was repositioned on the master model to replace the sleeves for the PIs in the same position. With an original customized surgical kit, including an innovative intrasinus device, we next simulated surgery on the stereolithographic model to determine and control the direction of the osteotomies and the final depth of drilling. The SurgiGuide was anchored onto the PIs before the zygomatic osteotomy, after which flapless surgery was performed to place the zygomatic implants according to the plan.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Two PIs in the premaxillary area failed (and were replaced before the zygomatic step). No zygomatic implants failed. The follow-up examinations at 4 to 39 months showed good esthetic, phonetic, and functional results.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The results of the proposed surgical procedure appear to be encouraging. Although it is difficult to achieve the correct driven angle of osteotomies for zygomatic implants, in all patients we achieved correct zygomatic positioning, in agreement with previous planning. Additional research and randomized clinical trials are needed to assess the predictability of the procedure.</AbstractText><CopyrightInformation>Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schiroli</LastName><ForeName>Guido</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>University of Genoa, Department of Medical, Biophysical, Dental Science and Technologies, DISTIBIMO, Genoa, Italy. schirol@tin.it</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Angiero</LastName><ForeName>Francesca</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Silvestrini-Biavati</LastName><ForeName>Armando</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Benedicenti</LastName><ForeName>Stefano</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>08</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Oral Maxillofac Surg</MedlineTA><NlmUniqueID>8206428</NlmUniqueID><ISSNLinking>0278-2391</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002985" MajorTopicYN="N">Clinical Protocols</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D054893" MajorTopicYN="N">Cone-Beam Computed Tomography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007091" MajorTopicYN="N">Image Processing, Computer-Assisted</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D021621" MajorTopicYN="N">Imaging, Three-Dimensional</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008443" MajorTopicYN="N">Maxillary Sinus</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008953" MajorTopicYN="Y">Models, Anatomic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D025321" MajorTopicYN="Y">Surgery, Computer-Assisted</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014584" MajorTopicYN="N">User-Computer Interface</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015050" MajorTopicYN="N">Zygoma</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2010</Year><Month>10</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2011</Year><Month>02</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>03</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>8</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>8</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>1</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21835528</ArticleId><ArticleId IdType="pii">S0278-2391(11)00589-1</ArticleId><ArticleId IdType="doi">10.1016/j.joms.2011.03.050</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Angiero, Francesca" sort="Angiero, Francesca" uniqKey="Angiero F" first="Francesca" last="Angiero">Francesca Angiero</name><name sortKey="Benedicenti, Stefano" sort="Benedicenti, Stefano" uniqKey="Benedicenti S" first="Stefano" last="Benedicenti">Stefano Benedicenti</name><name sortKey="Silvestrini Biavati, Armando" sort="Silvestrini Biavati, Armando" uniqKey="Silvestrini Biavati A" first="Armando" last="Silvestrini-Biavati">Armando Silvestrini-Biavati</name></noCountry><country name="Italie"><noRegion><name sortKey="Schiroli, Guido" sort="Schiroli, Guido" uniqKey="Schiroli G" first="Guido" last="Schiroli">Guido Schiroli</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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