DIGITAL WORKFLOW WITH GUIDE AND PROSTHESIS STACKABLE BY MAGNETS FOR IMPLANTS-SUPPORTED FULL-ARCH REHABILITATION

Authors

DOI:

https://doi.org/10.47820/recima21.v4i4.3029

Keywords:

Digital workFlow, Computer-aided surgery, Computer-assisted surgery, Dental implant

Abstract

The evolution of the scanning system, improvement in accuracy, made it possible to provide patients with greater agility in implant treatments. This study aims to describe a clinical case in which the previous prosthetic planning was performed with the recommended care to allow the guided installation of the maxillary implants and the immediate installation, at the same surgical time, of a total arch rehabilitation previously made in milled PMMA, in a fully digital flow, with the magnetic system of fittings.  A 64-year-old patient attended the Clinic of the master's course of ILAPEO, complaining of masticatory and aesthetic difficulty. After diagnosis and planning, rehabilitation with upper and lower implants was proposed, where the upper prosthesis was performed entirely in digital flow. Based on the experience collected, it was possible to conclude that guided surgery in implants with installation of immediate prosthesis previously milled and installed at the same surgical time is possible with the system of magnet-stackable guides, provided that the previous prosthetic planning is correctly performed.

Downloads

Download data is not yet available.

Author Biographies

Francis Paulo Loss

Specialist in Oral and Maxillofacial Surgery

Master in Dentistry, concentration area Implantology- Faculdade Ilapeo

Fernando Lopes

Master's student in Dentistry- Faculdade Ilapeo

Idalina Elise Alves da Silva Correia

Master's student in Dentistry- Faculdade Ilapeo

Leandro Eduardo Klüppel

Master and Doctor in Oral and Maxillofacial Surgery

Professor of the Master's and Doctorate courses at Faculdad Ilapeo

Ivete Aparecida de Mattias Sartori

Faculdade Ilapeo.

References

Davidowitz G, Kotick PG. The use of CAD/CAM in dentistry. Dent Clin North Am. 2011;55(3):559-70.

Joda T, Zarone F, Ferrari M. The complete digital workflow in fixed prosthodontics: a systematic review. BMC Oral Health. 2017;17(1):124.

Orentlicher G, Abboud M. Guided surgery for implant therapy. Oral Maxillofac Surg Clin North Am. 2011;23(2):239-56.

Divakar TK, Gidean Arularasan S, Baskaran M, Packiaraj I, Dhineksh Kumar N. Clinical Evaluation of Placement of Implant by Flapless Technique Over Conventional Flap Technique. J Maxillofac Oral Surg. 2020;19(1):74-84.

Sunitha RV, Sapthagiri E. Flapless implant surgery: a 2-year follow-up study of 40 implants. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116(4):e237-43.

Chrcanovic BR, Albrektsson T, Wennerberg A. Flapless versus conventional flapped dental implant surgery: a meta-analysis. PLoS One. 2014;9(6):e100624.

De Bruyn H, Atashkadeh M, Cosyn J, van de Velde T. Clinical outcome and bone preservation of single TiUnite™ implants installed with flapless or flap surgery. Clin Implant Dent Relat Res. 2011;13(3):175-83.

Uhlendorf Y, Sartori IA, Melo AC, Uhlendorf J. Changes in Lip Profile of Edentulous Patients After Placement of Maxillary Implant-Supported Fixed Prosthesis: Is a Wax Try-in a Reliable Diagnostic Tool? Int J Oral Maxillofac Implants. 2017;32(3):593–597

Papaspyridakos P, Gallucci GO, Chen CJ, Hanssen S, Naert I, Vandenberghe B. Digital versus conventional implant impressions for edentulous patients: accuracy outcomes. Clin Oral Implants Res. 2016;27(4):465-72.

Ji-Hyeon Oh, Xueyin An, Seung-Mi Jeong, Byung-Ho Choi,Digital Workflow for Computer-Guided Implant Surgery in Edentulous Patients: A Case Report,Journal of Oral and Maxillofacial Surgery,Volume 75, Issue 12, 2017,

Lepidi L, Galli M, Grammatica A, Joda T, Wang HL, Li J. Indirect Digital Workflow for Virtual Cross-Mounting of Fixed Implant-Supported Prostheses to Create a 3D Virtual Patient. J Prosthodont. 2021 Feb;30(2):177-182.

Polizzi G, Cantoni T. Five-year follow-up of immediate fixed restorations of maxillary implants inserted in both fresh extraction and healed sites using the NobelGuide™ system. Clin Implant Dent Relat Res. 2015;17(2):221-33.

Varga E Jr, Antal M, Major L, Kiscsatári R, Braunitzer G, Piffkó J. Guidance means accuracy: A randomized clinical trial on freehand versus guided dental implantation. Clin Oral Implants Res. 2020 May;31(5):417-430.

Bover-Ramos F, Viña-Almunia J, Cervera-Ballester J, Peñarrocha-Diago M, García-Mira B. Accuracy of Implant Placement with Computer-Guided Surgery: A Systematic Review and Meta-Analysis Comparing Cadaver, Clinical, and In Vitro Studies. Int J Oral Maxillofac Implants. 2018;33(1):101–115.

Pyo SW, Lim YJ, Koo KT, Lee J. Methods Used to Assess the 3D Accuracy of Dental Implant Positions in Computer-Guided Implant Placement: A Review. J Clin Med. 2019;8(1):54.

Seo C, Juodzbalys G. Accuracy of Guided Surgery via Stereolithographic Mucosa-Supported Surgical Guide in Implant Surgery for Edentulous Patient: a Systematic Review. J Oral Maxillofac Res. 2018 Mar 31;9(1):e1. doi: 10.5037/jomr.2018.9101. PMID: 29707180; PMCID: PMC5913414.

Marchack CB. CAD/CAM-Guided implant surgery and fabrication of an immediately loaded prosthesis for a partially edentulous patient. J Prosthet Dent. 2007;97(6):389-94.

Dolcini GA, Colombo M, Mangano C. From Guided Surgery to Final Prosthesis with a Fully Digital Procedure: A Prospective Clinical Study on 15 Partially Edentulous Patients. Int J Dent. 2016;2016:7358423.

Baruffaldi A, Poli PP, Baruffaldi A, Giberti L, Pigozzo M, Maiorana C. Computer-aided flapless implant surgery and immediate loading. A technical note. Oral Maxillofac Surg. 2016 Sep;20(3):313-9. doi: 10.1007/s10006-016-0554-5. Epub 2016 Apr 5. PMID: 27044419.

Bidra AS. Prosthodontic safety checklist before delivery of screw-retained and cement-retained implant restorations. J Prosthet Dent. 2018 Jan;119(1):193-194. doi: 10.1016/j.prosdent.2017.07.013. Epub 2017 Sep 27. PMID: 28967405.

Stawarczyk B, Keul C, Eichberger M, Figge D, Edelhoff D, Lümkemann N. Three generations of zirconia: From veneered to monolithic. Part I. Quintessence Int. 2017;48(5):369-380.

Gallardo YR, Bohner L, Tortamano P, Pigozzo MN, Lagana DC, Sesma N. Patient outcomes and procedure working time for digital versus conventional impressions: a systematic review. J Prosthet Dent. 2018;119:214-219.

Ting-shu S, Jian S. Intraoral Digital Impression Technique: A Review. J Prosthodont. 2015;24(4):313-321.

Li H, Lyu P, Wang Y, Sun Y. Influence of object translucency on the scanning accuracy of a powder-free intraoral scanner: A laboratory study. J Prosthet Dent. 2017;117(1):93-101.

Passos L, Meiga S, Brigagão V, Street A. Impact of different scanning strategies on the accuracy of two current intraoral scanning systems in complete-arch impressions: an in vitro study. Int J Comput Dent. 2019;22:307-319.

Joda T, Zarone F, Ferrari M. The complete digital workflow in fixed prosthodontics: a systematic review. BMC Oral Health. 2017;17(1):124.

Chochlidakis K, Papaspyridakos P, Tsigarida A, Romeo D, Chen YW, Natto Z, Ercoli C. Digital Versus Conventional Full-Arch Implant Impressions: A Prospective Study on 16 Edentulous Maxillae. J Prosthodont. 2020;29(4):281-286.

.Kola M, Rabah A, Raghav D, Sabra S, Harby NM, Khalil H, et al. Surgical templates for dental implant positioning; current knowledge and clinical perspectives. Nigerian Journal of Surgery. 2015;21(1):1.

Siqueira R, Chen Z, Galli M, Saleh I, Wang HL, Chan HL. Does a fully digital workflow improve the accuracy of computer-assisted implant surgery in partially edentulous patients? A systematic review of clinical trials. Clin Implant Dent Relat Res. 2020;22(6):660-671.

Kattadiyil MT, AlHelal A, Goodacre BJ. Clinical complications and quality assessments with computer-engineered complete dentures: A systematic review. J Prosthet Dent. 2017;117(6):721-728.

Varga E Jr, Antal M, Major L, Kiscsatári R, Braunitzer G, Piffkó J. Guidance means accuracy: A randomized clinical trial on freehand versus guided dental implantation. Clin Oral Implants Res. 2020 May;31(5):417-430.

Marković A, Lazić Z, Mišić T, Šćepanović M, Todorović A, Thakare K, Janjić B, Vlahović Z, Glišić M. Effect of surgical drill guide and irrigans temperature on thermal bone changes during drilling implant sites - thermographic analysis on bovine ribs. Vojnosanit Pregl. 2016 Aug;73(8):744-50. doi: 10.2298/VSP141208041M. PMID: 29328609.

Published

17/04/2023

How to Cite

Loss, F. P., Lopes, F., Alves da Silva Correia , I. E., Klüppel, L. E., & Mattias Sartori, I. A. de. (2023). DIGITAL WORKFLOW WITH GUIDE AND PROSTHESIS STACKABLE BY MAGNETS FOR IMPLANTS-SUPPORTED FULL-ARCH REHABILITATION. RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 4(4), e443029. https://doi.org/10.47820/recima21.v4i4.3029