본문 바로가기
KERD
논문KCI 등재

Computer-guided implant surgery and immediate provisionalization by chair-side CAD-CAM: A case report

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류치의학

초록

This report demonstrates a method of generating a chair-side and computer-aided template for implant surgery based on the Top-Down and restoration-driven concept. Compared to the traditional CAD-CAM process which requires multiple steps to be taken between dental clinic and laboratory, this alternative procedure, VARO guide system (VARO Guide, CAD, Pre-Guide, VARO-mill, NeoBiotech, Seoul, South Korea) enables accurate and patient-friendly implant surgery as well as immediate provisional restoration in a single visit. First, bite-registration at centric jaw relation and CBCT were taken using the Pre-Guide. The CBCT data was then reorganized directly through the chair-side CAD, and we could determine the most appropriate 3-dimensional position of implant. The STL file was extracted and put into the chair-side CAM (VARO-mill) to fabricate a VARO. This surgical guide allowed the implants to be accurately positioned into the planned sites within an hour.

Abstract

This report demonstrates a method of generating a chair-side and computer-aided template for implant surgery based on the Top-Down and restoration-driven concept. Compared to the traditional CAD-CAM process which requires multiple steps to be taken between dental clinic and laboratory, this alternative procedure, VARO guide system (VARO Guide, CAD, Pre-Guide, VARO-mill, NeoBiotech, Seoul, South Korea) enables accurate and patient-friendly implant surgery as well as immediate provisional restoration in a single visit. First, bite-registration at centric jaw relation and CBCT were taken using the Pre-Guide. The CBCT data was then reorganized directly through the chair-side CAD, and we could determine the most appropriate 3-dimensional position of implant. The STL file was extracted and put into the chair-side CAM (VARO-mill) to fabricate a VARO. This surgical guide allowed the implants to be accurately positioned into the planned sites within an hour.

참고문헌 (17)

  1. Leesungbok R, "Dr. Lee’s Top-Down implant dentistry", pp.8~24 (2004), Myoungmoon Publishing
  2. Garber DA, "Restoration-driven implant placement with restoration-generated site development", Compend Contin Educ Dent, 16, pp.796~ (1995)
  3. Gallucci GO, "Consensus statements and clinical recommendations for implant loading protocols", Int J Oral Maxillofac Implants, 29, pp.287~290 (2014)
  4. Hultin M, "Clinical advantages of computer-guided implant placement : a systematic review", Clin Oral Implants Res, 23, pp.124~135 (2012)
  5. Colombo M, "Clinical applications and ef-fectiveness of guided implant surgery : a critical review based on randomized controlled trials", BMC Oral Health, 17, pp.150~ (2017)
  6. Zhou W, "Clinical factors affecting the accuracy of guided implant surgery-a systematic review and meta-analysis", J Evid Based Dent Pract, 18, pp.28~40 (2018)
  7. Choi W, "Freehand versus guided surgery : factors influencing accuracy of dental implant placement", Implant Dent, 26, pp.500~509 (2017)
  8. Park SJ, "Reliability of a CAD", CAM surgical guide for implant placement : an in vitro comparison of surgeons’ experience levels and implant sites, 2017, pp.30, 367~369
  9. Jung RE, "Computer technology applications in surgical implant dentistry : a systematic review", Int J Oral Maxillofac Implants, 24, pp.92~109 (2009)
  10. Tahmaseb A, "Computer technology applications in surgical implant dentistry : a systematic review", Int J Oral Maxillofac Implants, 29, pp.25~42 (2014)
  11. El Kholy K, "Influence of surgical guide support and implant site location on accuracy of static computer-assisted implant surgery", Clin Oral Implants Res, 30, pp.1067~1075 (2019)
  12. Henprasert P, "Comparison of the accuracy of implant position using surgical guides fabricated by additive and subtractive techniques", J Prosthodont, 29, pp.534~541 (2020)
  13. Liu X, "Accuracy of a milled digital implant surgical guide : an in vitro study", J Prosthet Dent, S0022-3913, pp.30654~30655 (2020)
  14. Fortin T, "Precision of transfer of preoperative planning for oral implants based on cone-beam CT-scan images through a robotic drilling machine", Clin Oral Implants Res, 13, pp.651~656 (2002)
  15. Fortin T, "An image-guided system-drilled surgical template and trephine guide pin to make treatment of completely edentulous patients easier : a clinical report on immediate loading", Clin Implant Dent Relat Res, 6, pp.111~119 (2004)
  16. Park JM, "Comparison of five-axis milling and rapid prototyping for implant surgical templates", Int J Oral Maxillofac Implants, 29, pp.374~383 (2014)
  17. Kühl S, "Technical accuracy of printed surgical templates for guided implant surgery with the coDiagnostiX ™ software", Clin Implant Dent Relat Res, 17, pp.e177~e182 (2015)

관련 논문AI추천

이 간행물의 다른 논문 (14건)