PLANIFICACIÓN QUIRÚRGICA - REHABILITACIÓN VIRTUAL 3D DE DENTICIÓN GRAVEMENTE DESGASTADA: REPORTE DE CASO
DOI:
https://doi.org/10.47820/recima21.v6i7.6475Palabras clave:
CAD/CAM, Planificación digital, Hábitos parafuncionales, Implantes dentalesResumen
Este informe de caso presenta el uso exitoso de la planificación-rehabilitación quirúrgica virtual 3D (3D VSPR) y el diseño/fabricación asistida por computadora (CAD/CAM) durante las etapas provisionales y finales de un tratamiento de rehabilitación oral complejo y completo en un paciente con dentición gravemente desgastada. Este caso muestra los beneficios de los escaneos faciales e intraorales para crear un modelo y perfil de caso digital a lo largo de las distintas etapas de la planificación del tratamiento con implantes y la colocación exitosa de implantes. El uso de estos avances digitales en Implantología, en este caso, demuestra resultados exitosos, duraderos, estéticos y funcionales después de un seguimiento de 24 meses. Utilizando métodos de curación adecuados y férulas oclusales para controlar los hábitos parafuncionales, este caso tampoco muestra más evidencia de pérdida ósea, desgaste dental o pérdida de la Dimensión Vertical de Oclusión (VDO) en el paciente. El enfoque a través de un flujo de trabajo digital para la rehabilitación oral de dentición severamente desgastada favorece un resultado menos invasivo, preciso y predecible en un tratamiento de rehabilitación oral complejo.
Descargas
Referencias
[1] Jennes ME, Mehrhof J, Strietzel FP, Schwendicke F, Herbst S, Spies B. Digital treatment planning and prosthetic rehabilitation of a patient suffering from generalized tooth wear. Dtsch Zahnärztl Z Int. 2020;2:73-81.
[2] Van Noort R. The future of dental devices is digital. Dental materials. 2012;28(1):3-12. https://doi.org/10.1016/j.dental.2011.10.014. DOI: https://doi.org/10.1016/j.dental.2011.10.014
[3] Ochandiano S, García-Mato D, Gonzalez-Alvarez A, Moreta-Martinez R, Tousidonis M, Navarro-Cuellar C, Pascau J. Computer-assisted dental implant placement following free flap reconstruction: virtual planning, CAD/CAM templates, dynamic navigation and augmented reality. Frontiers in oncology. 2022;11:754943. https://doi.org/10.3389/fonc.2021.754943. DOI: https://doi.org/10.3389/fonc.2021.754943
[4] Etajuri EA, Suliman E, Mahmood WAA, Ibrahim N, Buzayan M, Mohd NR. Deviation of dental implants placed using a novel 3D-printed surgical guide: An in vitro study. Dental and medical problems. 2020;57(4):359-362. https://doi.org/10.17219/dmp/123976. DOI: https://doi.org/10.17219/dmp/123976
[5] Nikzad S, Azari A, Ghassemzadeh A. Modified flapless dental implant surgery for planning treatment in a maxilla including sinus lift augmentation through use of virtual surgical planning and a 3-dimensional model. Journal of Oral and Maxillofacial Surgery. 2010;68(9):2291-2298. https://doi.org/10.1016/j.joms.2010.02.002. DOI: https://doi.org/10.1016/j.joms.2010.02.002
[6] Brief J, Edinger D, Hassfeld S, Eggers G. Accuracy of image‐guided implantology. Clinical Oral Implants Research. 2005;16(4):495-501. https://doi.org/10.1111/j.1600-0501.2005.01133.x. DOI: https://doi.org/10.1111/j.1600-0501.2005.01133.x
[7] Ganeles J. Image guidance for implants. Image. 2013;9(4).
[8] Tordiglione L, De Franco M, Bosetti G. The prosthetic workflow in the digital era. International Journal of Dentistry. 2016(1):9823025. DOI: https://doi.org/10.1155/2016/9823025
[9] Surovas A. A digital workflow for modeling of custom dental implants. 3D printing in medicine. 2019;5(1):9. DOI: https://doi.org/10.1186/s41205-019-0046-y
[10] Hall MA, Karawia I, Mahmoud AZ, Mohamed OS. Knowledge, awareness, and perception of digital dentistry among Egyptian dentists: a cross-sectional study. BMC Oral Health. 2023;23(1):963. DOI: https://doi.org/10.1186/s12903-023-03698-1
[11] Suganna M, Kausher H, Ali ABMR, Abed MM, Albishi WS, Al Hajji FA, Sultan NA. Knowledge on applications of 3D Design and Printing in Dentistry among Dental practitioners in Saudi Arabia: a questionnaire-based survey. Cureus. 2022;14(8). DOI: https://doi.org/10.7759/cureus.28379
[12] Radwan HA, Alsharif AT, Alsharif MT, Aloufi MR, Alshammari BS. Digital technologies in dentistry in Saudi Arabia: Perceptions, practices and challenges. Digital Health. 2023;9:20552076231197095. DOI: https://doi.org/10.1177/20552076231197095
[13] Chrcanovic BR, Albrektsson T, Wennerberg A. Bruxism and dental implants: a meta-analysis. Implant dentistry. 2015;24(5):505-516. DOI: https://doi.org/10.1097/ID.0000000000000298
[14] Zhou Y, Gao J, Luo L, Wang Y. Does bruxism contribute to dental implant failure? A systematic review and meta‐analysis. Clinical implant dentistry and related research. 2016;18(2):410-420. DOI: https://doi.org/10.1111/cid.12300
[15] Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A. Bruxism and dental implant failures: a multilevel mixed effects parametric survival analysis approach. Journal of oral rehabilitation. 2016;43(11):813-823. DOI: https://doi.org/10.1111/joor.12431
[16] Shujaat S, Bornstein MM, Price JB, Jacobs R. Integration of imaging modalities in digital dental workflows-possibilities, limitations, and potential future developments. Dentomaxillofacial Radiology. 2021;50(7):20210268. DOI: https://doi.org/10.1259/dmfr.20210268
[17] Xing Gao B, Iglesias-Velázquez O, Gf Tresguerres F, Rodríguez González Cortes AF, Tresguerres I, Ortega Aranegui R, Torres J. Accuracy of digital planning in zygomatic implants. International Journal of Implant Dentistry. 2021;7:1-8. DOI: https://doi.org/10.1186/s40729-021-00350-x
[18] Kernen F, Kramer J, Wanner L, Wismeijer D, Nelson K, Flügge, T. A review of virtual planning software for guided implant surgery-data import and visualization, drill guide design and manufacturing. BMC Oral Health. 2020;20(1):251. DOI: https://doi.org/10.1186/s12903-020-01208-1
[19] Moro SA, Thomé G, Padovan LEM, da Silva RD, Tiossi R, Fontão FNGK. A zygomatic bone study using virtual dental implant planning software. Journal of Oral Implantology. 2022;48(3):171-176. DOI: https://doi.org/10.1563/aaid-joi-D-20-00149
[20] Joda T, Brägger U. Digital vs. conventional implant prosthetic workflows: a cost/time analysis. Clinical oral implants research. 2015;26(12):1430-1435. DOI: https://doi.org/10.1111/clr.12476
[21] Papaspyridakos P, AlFulaij F, Bokhary A, Sallustio A, Chochlidakis K. Complete digital workflow for prosthesis prototype fabrication with double digital scanning: accuracy of fit assessment. Journal of Prosthodontics. 2023;32(1):49-53. https://doi.org/10.1111/jopr.13492 DOI: https://doi.org/10.1111/jopr.13492
[22] 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. The Journal of prosthetic dentistry. 2018;119(2):214-219. https://doi.org/10.1016/j.prosdent.2017.07.007 DOI: https://doi.org/10.1016/j.prosdent.2017.07.007
Descargas
Publicado
Licencia
Derechos de autor 2025 RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECIMA21, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECIMA21 apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.