Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: 01 Jan 2010

Computer-Assisted Surgery in the Lower Jaw: Double Surgical Guide for Immediately Loaded Implants in Postextractive Sites—Technical Notes and a Case Report

MD, DDS,
DDS,
DDS,
DDS,
DDS, and
MD, DDS, PhD
Page Range: 61 – 68
DOI: 10.1563/AAID-JOI-D-09-0001
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Abstract

Computer-assisted surgery is based on computerized tomography (CT) scan technology to plan the placement of dental implants and a computer-aided design/computer-aided manufacturing (CAD-CAM) technology to create a custom surgical template. It provides guidance for insertion implants after analysis of existing alveolar bone and planning of implant position, which can be immediately loaded, therefore achieving esthetic and functional results in a surgical stage. The absence of guidelines to treat dentulous areas is often due to a lack of computer-assisted surgery. The authors have attempted to use this surgical methodology to replace residual teeth with an immediate implantoprosthetic restoration. The aim of this case report is to show the possibility of treating a dentulous patient by applying a computer-assisted surgical protocol associated with the use of a double surgical template: one before extraction and a second one after extraction of selected teeth.

Copyright: 2010 by the American College of Veterinary Internal Medicine
Figure 1
Figure 1

Figure 1. Preoperative orthpantomography.

Figure 2. Preoperative oral condition.

Figure 3. Three-dimensional software elaboration of mandible.


Figure 4 and 5
Figure 4 and 5

Figure 4. A software elaboration with the first and second surgical template.

Figure 5. First and second surgical template.


Figure 6–10
Figure 6–10

Figure 6. First implant inserted.

Figure 7. Atraumatic extraction of residual teeth.

Figure 8. Other implant inserted.

Figure 9. One-year control orthopantomography.

Figure 10. Postoperative oral condition.


Contributor Notes

Department of Maxillofacial Surgery and Dentistry, Faculty of Medicine, University of Verona, Verona, Italy.
Department of Oral Surgery and Dentistry, University of Milan, Milan, Italy.
Department of Dentistry, University of Padova, Padova, Italy.
*Corresponding author, e-mail: research.univr@hotmail.it
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