Guided flapless surgery with immediate loading for the high narrow ridge without grafting.
Identifieur interne : 001127 ( PubMed/Corpus ); précédent : 001126; suivant : 001128Guided flapless surgery with immediate loading for the high narrow ridge without grafting.
Auteurs : Paul A. Schnitman ; Sang J. Lee ; Guillaume J. Campard ; Maria DonaSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2012.
English descriptors
- KwdEn :
- Alveolar Process (pathology), Cone-Beam Computed Tomography, Dental Implant-Abutment Design, Denture, Complete, Immediate, Denture, Complete, Upper, Equipment Design, Female, Humans, Immediate Dental Implant Loading (instrumentation), Immediate Dental Implant Loading (methods), Jaw, Edentulous (pathology), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Maxilla (surgery), Middle Aged, Minimally Invasive Surgical Procedures (methods), Osteotomy (instrumentation), Patient Care Planning, Software, Surgery, Computer-Assisted (methods), User-Computer Interface.
- MESH :
- instrumentation : Immediate Dental Implant Loading, Osteotomy.
- methods : Immediate Dental Implant Loading, Minimally Invasive Surgical Procedures, Surgery, Computer-Assisted.
- pathology : Alveolar Process, Jaw, Edentulous.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Maxilla.
- Cone-Beam Computed Tomography, Dental Implant-Abutment Design, Denture, Complete, Immediate, Denture, Complete, Upper, Equipment Design, Female, Humans, Middle Aged, Patient Care Planning, Software, User-Computer Interface.
Abstract
Computer guided implant treatment allows implants and associated restorations to be precisely placed during the same procedure directly through the gingiva with reduced postoperative complications and surgical time. When bone height is adequate but very narrow, the virtual guided sleeve is often placed too deeply into the ridge crest interfering with the seating of the surgical template. This case report of a patient exhibiting very narrow residual ridges due to severe resorption describes a new computer guided procedure using a single surgical template maintaining bone height and immediate restoration without a mucoperiosteal flap. The success of this technique is the result of innovative modifications in the software as well as instrumentation. Modifications include planning a different implant length virtually to raise the position of guide sleeves, alteration of drilling sequences, modifications of the start drill, incorporation of osteotomes, and use of an alternative implant seating mount. The combination of these methods allows for deeper site preparation and implant seating beyond the default settings, without any crestal bone reduction. These modifications not only make the guided concept possible for the entire preparation and seating procedures, but also allow for the slight removal of bone that would interfere with the implant seating through the surgical template without a mucoperiosteal flap. This new approach to computer guided surgery maintains prosthetic precision in the fabrication of a provisional restoration prior to implantation with minimal delivery adjustments using prefabricated conical abutments when placing implants at differing levels into the high narrow ridge.
DOI: 10.1563/AAID-JOI-D-11-00215
PubMed: 22783940
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pubmed:22783940Le document en format XML
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Campard</name></author><author><name sortKey="Dona, Maria" sort="Dona, Maria" uniqKey="Dona M" first="Maria" last="Dona">Maria Dona</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22783940</idno><idno type="pmid">22783940</idno><idno type="doi">10.1563/AAID-JOI-D-11-00215</idno><idno type="wicri:Area/PubMed/Corpus">001127</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001127</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Guided flapless surgery with immediate loading for the high narrow ridge without grafting.</title><author><name sortKey="Schnitman, Paul A" sort="Schnitman, Paul A" uniqKey="Schnitman P" first="Paul A" last="Schnitman">Paul A. Schnitman</name></author><author><name sortKey="Lee, Sang J" sort="Lee, Sang J" uniqKey="Lee S" first="Sang J" last="Lee">Sang J. Lee</name></author><author><name sortKey="Campard, Guillaume J" sort="Campard, Guillaume J" uniqKey="Campard G" first="Guillaume J" last="Campard">Guillaume J. Campard</name></author><author><name sortKey="Dona, Maria" sort="Dona, Maria" uniqKey="Dona M" first="Maria" last="Dona">Maria Dona</name></author></analytic><series><title level="j">The Journal of oral implantology</title><idno type="ISSN">0160-6972</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Process (pathology)</term><term>Cone-Beam Computed Tomography</term><term>Dental Implant-Abutment Design</term><term>Denture, Complete, Immediate</term><term>Denture, Complete, Upper</term><term>Equipment Design</term><term>Female</term><term>Humans</term><term>Immediate Dental Implant Loading (instrumentation)</term><term>Immediate Dental Implant Loading (methods)</term><term>Jaw, Edentulous (pathology)</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Minimally Invasive Surgical Procedures (methods)</term><term>Osteotomy (instrumentation)</term><term>Patient Care Planning</term><term>Software</term><term>Surgery, Computer-Assisted (methods)</term><term>User-Computer Interface</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Immediate Dental Implant Loading</term><term>Osteotomy</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Immediate Dental Implant Loading</term><term>Minimally Invasive Surgical Procedures</term><term>Surgery, Computer-Assisted</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Alveolar Process</term><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Maxilla</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cone-Beam Computed Tomography</term><term>Dental Implant-Abutment Design</term><term>Denture, Complete, Immediate</term><term>Denture, Complete, Upper</term><term>Equipment Design</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Patient Care Planning</term><term>Software</term><term>User-Computer Interface</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Computer guided implant treatment allows implants and associated restorations to be precisely placed during the same procedure directly through the gingiva with reduced postoperative complications and surgical time. When bone height is adequate but very narrow, the virtual guided sleeve is often placed too deeply into the ridge crest interfering with the seating of the surgical template. This case report of a patient exhibiting very narrow residual ridges due to severe resorption describes a new computer guided procedure using a single surgical template maintaining bone height and immediate restoration without a mucoperiosteal flap. The success of this technique is the result of innovative modifications in the software as well as instrumentation. Modifications include planning a different implant length virtually to raise the position of guide sleeves, alteration of drilling sequences, modifications of the start drill, incorporation of osteotomes, and use of an alternative implant seating mount. The combination of these methods allows for deeper site preparation and implant seating beyond the default settings, without any crestal bone reduction. These modifications not only make the guided concept possible for the entire preparation and seating procedures, but also allow for the slight removal of bone that would interfere with the implant seating through the surgical template without a mucoperiosteal flap. This new approach to computer guided surgery maintains prosthetic precision in the fabrication of a provisional restoration prior to implantation with minimal delivery adjustments using prefabricated conical abutments when placing implants at differing levels into the high narrow ridge.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22783940</PMID><DateCompleted><Year>2012</Year><Month>08</Month><Day>14</Day></DateCompleted><DateRevised><Year>2014</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0160-6972</ISSN><JournalIssue CitedMedium="Print"><Volume>38</Volume><Issue>3</Issue><PubDate><Year>2012</Year><Month>Jun</Month></PubDate></JournalIssue><Title>The Journal of oral implantology</Title><ISOAbbreviation>J Oral Implantol</ISOAbbreviation></Journal><ArticleTitle>Guided flapless surgery with immediate loading for the high narrow ridge without grafting.</ArticleTitle><Pagination><MedlinePgn>279-88</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1563/AAID-JOI-D-11-00215</ELocationID><Abstract><AbstractText>Computer guided implant treatment allows implants and associated restorations to be precisely placed during the same procedure directly through the gingiva with reduced postoperative complications and surgical time. When bone height is adequate but very narrow, the virtual guided sleeve is often placed too deeply into the ridge crest interfering with the seating of the surgical template. This case report of a patient exhibiting very narrow residual ridges due to severe resorption describes a new computer guided procedure using a single surgical template maintaining bone height and immediate restoration without a mucoperiosteal flap. The success of this technique is the result of innovative modifications in the software as well as instrumentation. Modifications include planning a different implant length virtually to raise the position of guide sleeves, alteration of drilling sequences, modifications of the start drill, incorporation of osteotomes, and use of an alternative implant seating mount. The combination of these methods allows for deeper site preparation and implant seating beyond the default settings, without any crestal bone reduction. These modifications not only make the guided concept possible for the entire preparation and seating procedures, but also allow for the slight removal of bone that would interfere with the implant seating through the surgical template without a mucoperiosteal flap. This new approach to computer guided surgery maintains prosthetic precision in the fabrication of a provisional restoration prior to implantation with minimal delivery adjustments using prefabricated conical abutments when placing implants at differing levels into the high narrow ridge.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schnitman</LastName><ForeName>Paul A</ForeName><Initials>PA</Initials></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Sang J</ForeName><Initials>SJ</Initials></Author><Author ValidYN="Y"><LastName>Campard</LastName><ForeName>Guillaume J</ForeName><Initials>GJ</Initials></Author><Author ValidYN="Y"><LastName>Dona</LastName><ForeName>Maria</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Oral Implantol</MedlineTA><NlmUniqueID>7801086</NlmUniqueID><ISSNLinking>0160-6972</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000539" MajorTopicYN="N">Alveolar Process</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D054893" MajorTopicYN="N">Cone-Beam Computed Tomography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059605" MajorTopicYN="N">Dental Implant-Abutment Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003825" MajorTopicYN="N">Denture, Complete, Immediate</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003827" MajorTopicYN="N">Denture, Complete, Upper</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004867" MajorTopicYN="N">Equipment Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057893" MajorTopicYN="N">Immediate Dental Implant Loading</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019060" MajorTopicYN="N">Minimally Invasive Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010027" MajorTopicYN="N">Osteotomy</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010347" MajorTopicYN="N">Patient Care Planning</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012984" MajorTopicYN="N">Software</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D025321" MajorTopicYN="N">Surgery, Computer-Assisted</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014584" MajorTopicYN="N">User-Computer Interface</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>7</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>7</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>8</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22783940</ArticleId><ArticleId IdType="doi">10.1563/AAID-JOI-D-11-00215</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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