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Flapless CAD/CAM-guided surgery for staged transition from failing dentition to complete arch implant rehabilitation: a 3-year clinical report.

Identifieur interne : 001262 ( PubMed/Curation ); précédent : 001261; suivant : 001263

Flapless CAD/CAM-guided surgery for staged transition from failing dentition to complete arch implant rehabilitation: a 3-year clinical report.

Auteurs : Panos Papaspyridakos [États-Unis] ; George Shelby White ; Kunal Lal

Source :

RBID : pubmed:22385689

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English descriptors

Abstract

The transition of patients from failing dentition to complete arch implant rehabilitation often requires that the patient be rendered edentulous and has to wear a complete removable dental prosthesis for varying periods of time. This is objectionable to many patients. A staged treatment approach allows a fixed interim restoration, patient comfort, and prosthodontic control throughout the rehabilitation process. CAD/CAM-guided flapless implant surgery has the advantage of prosthetically driven implant placement and minimal postoperative sequelae. A patient with a failing dentition was treated with this combined protocol and was followed up for 3 years after loading. Implant and prosthesis survival rates were 100%, with no technical complications encountered up to the last recall. The purpose of this clinical report is to describe a combination of CAD/CAM-guided flapless surgery and a staged treatment approach, thereby giving the patient a tooth-supported or implant-supported fixed interim prosthesis during the entire rehabilitation process. The various surgical, laboratory, and prosthetic stages are illustrated for the complete arch prosthetic rehabilitation, and the 3-year follow-up outcome is reported.

DOI: 10.1016/S0022-3913(12)00025-X
PubMed: 22385689

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pubmed:22385689

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<title xml:lang="en">Flapless CAD/CAM-guided surgery for staged transition from failing dentition to complete arch implant rehabilitation: a 3-year clinical report.</title>
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<nlm:affiliation>Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, MA 02115, USA. panpapaspyridakos@gmail.com</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, MA 02115</wicri:regionArea>
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<name sortKey="White, George Shelby" sort="White, George Shelby" uniqKey="White G" first="George Shelby" last="White">George Shelby White</name>
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<name sortKey="Lal, Kunal" sort="Lal, Kunal" uniqKey="Lal K" first="Kunal" last="Lal">Kunal Lal</name>
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<term>Computer-Aided Design</term>
<term>Dental Abutments</term>
<term>Dental Caries (therapy)</term>
<term>Dental Implant-Abutment Design</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
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<term>Denture Design</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Temporary</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Jaw Relation Record</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Mouth Rehabilitation (methods)</term>
<term>Patient Care Planning</term>
<term>Periodontal Diseases (therapy)</term>
<term>Surgery, Computer-Assisted</term>
<term>Tomography, X-Ray Computed (methods)</term>
<term>Treatment Outcome</term>
<term>User-Computer Interface</term>
<term>Vertical Dimension</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Caries dentaires ()</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception d'implant dentaire et de pilier</term>
<term>Dimension verticale</term>
<term>Enregistrement des rapports intermaxillaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Interventions chirurgicales mini-invasives</term>
<term>Maladies parodontales ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Piliers dentaires</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle provisoire</term>
<term>Prothèse partielle fixe</term>
<term>Résultat thérapeutique</term>
<term>Rééducation buccale ()</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie ()</term>
<term>Études de suivi</term>
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<term>Dental Implantation, Endosseous</term>
<term>Imaging, Three-Dimensional</term>
<term>Mouth Rehabilitation</term>
<term>Tomography, X-Ray Computed</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Dental Caries</term>
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<term>Computer-Aided Design</term>
<term>Dental Abutments</term>
<term>Dental Implant-Abutment Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
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<term>Denture, Partial, Temporary</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw Relation Record</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Patient Care Planning</term>
<term>Surgery, Computer-Assisted</term>
<term>Treatment Outcome</term>
<term>User-Computer Interface</term>
<term>Vertical Dimension</term>
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<term>Caries dentaires</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception d'implant dentaire et de pilier</term>
<term>Dimension verticale</term>
<term>Enregistrement des rapports intermaxillaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Interventions chirurgicales mini-invasives</term>
<term>Maladies parodontales</term>
<term>Mâchoire partiellement édentée</term>
<term>Piliers dentaires</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle provisoire</term>
<term>Prothèse partielle fixe</term>
<term>Résultat thérapeutique</term>
<term>Rééducation buccale</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie</term>
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<div type="abstract" xml:lang="en">The transition of patients from failing dentition to complete arch implant rehabilitation often requires that the patient be rendered edentulous and has to wear a complete removable dental prosthesis for varying periods of time. This is objectionable to many patients. A staged treatment approach allows a fixed interim restoration, patient comfort, and prosthodontic control throughout the rehabilitation process. CAD/CAM-guided flapless implant surgery has the advantage of prosthetically driven implant placement and minimal postoperative sequelae. A patient with a failing dentition was treated with this combined protocol and was followed up for 3 years after loading. Implant and prosthesis survival rates were 100%, with no technical complications encountered up to the last recall. The purpose of this clinical report is to describe a combination of CAD/CAM-guided flapless surgery and a staged treatment approach, thereby giving the patient a tooth-supported or implant-supported fixed interim prosthesis during the entire rehabilitation process. The various surgical, laboratory, and prosthetic stages are illustrated for the complete arch prosthetic rehabilitation, and the 3-year follow-up outcome is reported.</div>
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