Clinical case report: Immediate full-arch implant placement and loading technique using a fiducial-free dynamic navigation workflow.

IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Mamdouh Kachlan, Behzad Mostoufi, Ahmad Majeed-Saidan, Sindhu Kanikicharla, Radi Masri
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Abstract

Dynamic navigation guided surgery requires the use of fiducial markers on teeth to plan for dental implant placement. This poses a significant challenge when all the teeth need to be extracted and bone reduction is needed. This report describes a novel technique to overcome this limitation and perform bone reduction accurately using dynamic navigation. A 61-year-old patient presented with non-restorable maxillary teeth with root caries and generalized periodontitis grade IV stage B. The patient had a reverse smile line with supra-eruption of maxillary right and left premolars. The patient was treatment planned for the extraction of all maxillary teeth, alveoloplasty, and placement of six implants in the first molar, first premolar, and lateral incisor sites for a fixed complete denture prosthesis. A prosthetically-driven guide for a dynamic navigation system was used to place dental implants, perform alveoloplasty, and immediately load the provisional prosthesis. The guide marked planned alveoloplasty level and precluded the use of an X-Clip, overcoming limitations of using dynamic navigation in full arch implant treatments.

临床病例报告:使用无基准动态导航工作流的即时全弓种植体放置和加载技术。
动态导航引导手术需要使用牙齿上的基准标记来计划种植体的放置。当需要拔除所有牙齿并进行骨复位时,这就构成了一个重大挑战。本报告描述了一种新的技术来克服这一限制,并使用动态导航准确地进行骨复位。患者61岁,上颌牙根龋不可修复,伴有广泛性牙周炎IV级b期。患者微笑线反向,上颌左右前磨牙上露。患者的治疗计划为拔除所有上颌牙齿,牙槽成形术,并在第一磨牙、第一前磨牙和侧切牙位置放置6颗种植体,用于固定全口义齿。一个动态导航系统的义齿驱动引导被用来放置种植体,进行牙槽成形术,并立即加载临时义齿。该指南标记了计划的牙槽成形术水平,并排除了X-Clip的使用,克服了在全弓种植体治疗中使用动态导航的局限性。
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
CiteScore
7.90
自引率
15.00%
发文量
171
审稿时长
6-12 weeks
期刊介绍: The Journal of Prosthodontics promotes the advanced study and practice of prosthodontics, implant, esthetic, and reconstructive dentistry. It is the official journal of the American College of Prosthodontists, the American Dental Association-recognized voice of the Specialty of Prosthodontics. The journal publishes evidence-based original scientific articles presenting information that is relevant and useful to prosthodontists. Additionally, it publishes reports of innovative techniques, new instructional methodologies, and instructive clinical reports with an interdisciplinary flair. The journal is particularly focused on promoting the study and use of cutting-edge technology and positioning prosthodontists as the early-adopters of new technology in the dental community.
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