디지털 가이드 수술의 이해와임상적 적용
Need-to-knows about Digital Implant Surgery
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Nowadays computer-guided “flapless” surgery for implant placement using templates is gaining popularity among clinicians and patients. The advantages of this surgical protocol are its minimally invasive nature, accuracy of implant placement, predictability, less post-surgical discomfort and reduced time required for definitive rehabilitation. Aim of this study is to describe the digital implant protocol, thanks to which is now possible to do a mini-invasive static guided implant surgery. This is possible thanks to a procedure named surface mapping based on the matching between numerous points on the surface of patient’s dental casts and the corresponding anatomical surface points in the CBCT data. With some critical points and needing an adequate learning curve, this protocol allows to select the ideal implant position in depth, inclination and mesio-distal distance between natural teeth and or other implants enabling a very safe and predictable rehabilitation compared with conventional surgery. It represents a good tool for the best compromise between anatomy, function and aesthetic, able to guarantee better results in all clinical situations.
Abstract
Nowadays computer-guided “flapless” surgery for implant placement using templates is gaining popularity among clinicians and patients. The advantages of this surgical protocol are its minimally invasive nature, accuracy of implant placement, predictability, less post-surgical discomfort and reduced time required for definitive rehabilitation. Aim of this study is to describe the digital implant protocol, thanks to which is now possible to do a mini-invasive static guided implant surgery. This is possible thanks to a procedure named surface mapping based on the matching between numerous points on the surface of patient’s dental casts and the corresponding anatomical surface points in the CBCT data. With some critical points and needing an adequate learning curve, this protocol allows to select the ideal implant position in depth, inclination and mesio-distal distance between natural teeth and or other implants enabling a very safe and predictable rehabilitation compared with conventional surgery. It represents a good tool for the best compromise between anatomy, function and aesthetic, able to guarantee better results in all clinical situations.
참고문헌 (15)
- Lal K, "Use of Stereolithographic Templates for Surgical and Prosthodontic Implant Planning and Placement. Part I. The Concept", J Prosthodont, 15, pp.51~ (2006)
- Lal K, "Use of Stereolithographic Templates for Surgical and Prosthodontic Implant Planning and Placement. Part II. A clinical report", J Prosthodont, 15, pp.117~ (2006)
- Oguz Ozan, "Clinical Accuracy of 3 Different Types of Computed Tomography-Derived Stereolithographic Surgical Guides in Implant Placement", J Oral Maxillofac Surg, 67, pp.394~401 (2009)
- Van Steenberghe D, "A custom template and de? nitive prosthesis allowing immediate implant loading in the maxilla: a clinical report", Int J Oral Maxillofac Implants, 17(5), pp.663~670 (2002)
- Van Steenberghe D, "High precision planning for oral implants based on 3-D CT scanning. A new surgical technique for immediate and delayed loading", Appl Osseointegration Res, 4, pp.27~31 (2004)
- Van Steenberghe D, "A computed tomographic scan-derived customized surgical template and fi xed prosthesis for fi apless surgery and immediate loading of implants in fully edentulous maxillae: a prospective multicenter study", Clin Implant Dent Relat Res, 7(Suppl 1), pp.111~120 (2005)
- Parel SM, "Interactive imaging for implant planning, placement, and prosthesis construction", J Oral Maxillofac Surg, 62(9Suppl 2), pp.41~47 (2004)
- Marchack CB, "An immediately loaded CAD", CAMguided de?nitive prosthesis: a clinical report, 2005, pp.93(1), 8~12
- Balshi SF, "Surgical planning and prosthesis construction using computed tomography, CAD", CAM technology, and the Internet for immediate loading of dental implants, 2006, pp.18(6), 312~325
- Balshi SF, "Surgical planning and prosthesis construction using computer technology and medical imaging for immediate loading of implants in the pterygomaxillary region", Int J Periodontics Restorative Dent, 26(3), pp.239~247 (2006)
- Kupeyan HK, "Definitive CAD", CAM- guided prosthesis for immediate loading of bone-grafted maxilla: a case report, 2006, pp.8(3), 161~167
- Yong LT, "Complications of Computer-Aided-Design", Computer-Aided-Machining-Guided (NobelGuide) Surgical Implant Placement: An Evaluation of Early Clinical Results, 2008, ~
- Sanna AM, "Immediately loaded CAD-CAM manufactured fi xed complete dentures using fi apless implant placement procedures: a cohort study of consecutive patients", J Prosthet Dent, 97(6), pp.331~339 (2007)
- Van Assche N, "Accuracy of implant placement based on pre-surgical planning of three-dimensional cone-beam images: a pilot study", J Clin Periodontol, 34(9), pp.816~821 (2007)
- Vercruyssen M, "The use of CT scan based planning for oral rehabilitation by means of implants and its transfer to the surgical field: a critical review on accuracy", J Oral Rehabil, 35(6), pp.454~474 (2008)