Precision implant placement: A novel approach using dynamic navigation system-guided alveolar ridge splitting.

IF 1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
M Satyanarayana Raju, Sruthima N V S Gottumukkala, Koyya Sesha Sai Rakshitha, M A K V Raju
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引用次数: 0

Abstract

Conventional alveolar ridge splitting (ARS) technique involves a significant risk which may prove problematic. This case report presents the first documented application of dynamic navigation system (DNS)-guided ARS, demonstrating a precise approach to implant placement in a challenging anatomical scenario. A 37-year-old partially edentulous patient presented with missing mandibular posterior teeth. Clinical examination revealed a deficient alveolar ridge. Cone-beam computed tomography evaluation showed a Siebert's Class I resorbed ridge with 2.5 mm width and bone density ranging from 870 to 1040 Hounsfield Units in the #46 and #47 regions. Creating and designing three-dimensional virtual guide slits and implant planning using DNS were done in patient with insufficient bone width in the mandibular molar region. Piezoelectric ARS, osteotomy preparation with implant placement was done. 0.70 and 0.26 mm deviations at #46 and 0.50 and 0.01 mm deviations at #47 were observed at implant entry and implant apex, respectively. The angular deviations were optimal. ARS using real-time navigation appears to be an efficient and promising technique.

精确种植体放置:一种使用动态导航系统引导牙槽嵴分裂的新方法。
传统的牙槽嵴劈裂(ARS)技术存在很大的风险,可能存在问题。本病例报告介绍了动态导航系统(DNS)引导的ARS的首次文献应用,展示了在具有挑战性的解剖情况下种植体放置的精确方法。一个37岁的部分无牙病人提出了缺失的下颌后牙。临床检查显示牙槽嵴缺损。锥形束计算机断层扫描评估显示,在#46和#47区域有一个宽度为2.5 mm的Siebert's I级吸收脊,骨密度从870到1040 Hounsfield单位不等。在下颌磨牙区骨宽度不足的情况下,应用DNS进行三维虚拟引导槽的创建和设计及种植规划。进行了压电式ARS、截骨准备及种植体置入。在种植体入口和种植体顶端,46号和47号的偏差分别为0.70和0.26 mm和0.50和0.01 mm。角度偏差为最佳。利用实时导航的自动导航系统似乎是一种有效而有前途的技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
The Journal of Indian Prosthodontic Society
The Journal of Indian Prosthodontic Society DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.20
自引率
8.30%
发文量
26
审稿时长
20 weeks
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