FLUJO DE TRABAJO DIGITAL CON GUIA Y PRÓTESIS SUPERPUESTO MAGNETICAMENTE PARA LA REHABILITACIÓN DE ARCO TOTAL CON IMPLANTES
DOI:
https://doi.org/10.47820/recima21.v4i4.3029Palabras clave:
Flujo de trabajo digital, Cirugia asistida por computadora, Implante dentalResumen
La evolución del sistema de escaneo, la mejora en la precisión, hizo posible proporcionar a los pacientes una mayor agilidad en los tratamientos con implantes. Este estudio tiene como objetivo describir un caso clínico en el que la planificación protésica previa se realizó con los cuidados recomendados para permitir la instalación guiada de los implantes maxilares y la instalación inmediata, en el mismo momento quirúrgico, de una rehabilitación total del arco previamente realizada en PMMA fresado, en un flujo totalmente digital, con el sistema magnético de accesorios. Paciente de 64 años que acudió a la Clínica del máster de ILAPEO, quejándose de dificultad masticatoria y estética. Después del diagnóstico y la planificación, se propuso la rehabilitación con implantes superiores e inferiores, donde la prótesis superior se realizó completamente en flujo digital. A partir de la experiencia recogida, fue posible concluir que la cirugía guiada en implantes con instalación de prótesis inmediata previamente fresada e instalada en el mismo tiempo quirúrgico es posible con el sistema de guías magnet-apilables, siempre que la planificación protésica previa se realice correctamente.
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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.
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