Use of digitally designed open-field static surgical guide for fully guided placement of dental implants: A case report
DOI:
https://doi.org/10.62407/ros.v1i1.87Keywords:
Digital dentistry, surgical guides, dental implants, virtual design, 3D printing, surgical precision, minimally invasiveAbstract
Purpose: Correct positioning and angulation of dental implants is one of the keys to successful treatment. In this report we will show the use of an open-field surgical guide system, digitally designed and additively manufactured with a 3D printer. Among its main advantages is that it allows us to plan prior to surgery the position of the implant in its three dimensions within the alveolar bone, oriented prosthetically using a diagnostic wax-up of the future prosthesis as a reference. This facilitates the placement of immediate provisionals and fewer adjustments in the final prosthesis. On the other hand, it allows us to move away from adjacent anatomical structures that we must avoid, such as nerves, blood vessels, paranasal sinuses, roots of neighboring teeth, among others. Methodology: We will describe the planning process of prosthetic guided implants, as well as the design of the surgical guide. We will evaluate the seating in the mouth after fabrication, surgery time and patient comfort. Results: The surgical guide was successfully impressed with adequate seating in the mouth. The surgery was minimally invasive, with no flap. It was also of short duration, the whole process was performed in no more than 35 minutes. Patient comfort was high transoperative and postoperatively. The final position of the implants coincided with the digitally planned position. Conclusions: We can conclude that the open-field surgical guide system can be used as a successful tool for the adequate placement of dental implants; respecting the appropriate parameters from implant planning (It is recommended to respect the safety zone) to the design and impression of the guide.
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References
Abduo, J., & Lau, D. (2020). Effect of Manufacturing Technique on the Accuracy of Surgical Guides for Static Computer-Aided Implant Surgery. The International journal of oral & maxillofacial implants, 35(5), 931–938. https://doi.org/10.11607/jomi.8186
Adams, C. R., Ammoun, R., Deeb, G. R., & Bencharit, S. (2023). Influence of Metal Guide Sleeves on the Accuracy and Precision of Dental Implant Placement Using Guided Implant Surgery: An In Vitro Study. Journal of prosthodontics: official journal of the American College of Prosthodontists, 32(1), 62–70. https://doi.org/10.1111/jopr.13503
Chen, L., Lin, W. S., Polido, W. D., Eckert, G. J., & Morton, D. (2019). Accuracy, reproducibility, and dimensional stability of additively manufactured surgical templates. The Journal of prosthetic dentistry, 122(3), 309–314. https://doi.org/10.1016/j.prosdent.2019.02.007
D’haese, J., Ackhurst, J., Wismeijer, D., De Bruyn, H., & Tahmaseb, A. (2017). Current state of the art of computer-guided implant surgery. Periodontology 2000, 73(1), 121–133. https://doi.org/10.1111/prd.12175
Deeb, G. R., Allen, R. K., Hall, V. P., Whitley, D., 3rd, Laskin, D. M., & Bencharit, S. (2017). How Accurate Are Implant Surgical Guides Produced with Desktop Stereolithographic 3-Dimentional Printers? Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 75(12), 2559.e1–2559.e8. https://doi.org/10.1016/j.joms.2017.08.001
Greenberg A. M. (2015). Digital technologies for dental implant treatment planning and guided surgery. Oral and maxillofacial surgery clinics of North America, 27(2), 319–340. https://doi.org/10.1016/j.coms.2015.01.010
Henprasert, P., Dawson, D. V., El-Kerdani, T., Song, X., Couso-Queiruga, E., & Holloway, J. A. (2020). Comparison of the Accuracy of Implant Position Using Surgical Guides Fabricated by Additive and Subtractive Techniques. Journal of prosthodontics: official journal of the American College of Prosthodontists, 29(6), 534–541. https://doi.org/10.1111/jopr.13161
Kernen, F., Kramer, J., Wanner, L., Wismeijer, D., Nelson, K., & Flügge, T. (2020). A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing. BMC Oral health, 20(1), 251. https://doi.org/10.1186/s12903-020-01208-1
Keßler, A., Dosch, M., Reymus, M., & Folwaczny, M. (2022). Influence of 3D-printing method, resin material, and sterilization on the accuracy of virtually designed surgical implant guides. The Journal of prosthetic dentistry, 128(2), 196–204. https://doi.org/10.1016/j.prosdent.2020.08.038
Kim, M. J., Jeong, J. Y., Ryu, J., Jung, S., Park, H. J., Oh, H. K., & Kook, M. S. (2022). Accuracy of digital surgical guides for dental implants. Maxillofacial plastic and reconstructive surgery, 44(1), 35. https://doi.org/10.1186/s40902-022-00364-4
Oh, K. C., Park, J. M., & Moon, H. S. (2020). Effects of Scanning Strategy and Scanner Type on the Accuracy of Intraoral Scans: A New Approach for Assessing the Accuracy of Scanned Data. Journal of prosthodontics: official journal of the American College of Prosthodontists, 29(6), 518–523. https://doi.org/10.1111/jopr.13158
Panchal, N., Mahmood, L., Retana, A., & Emery, R., 3rd (2019). Dynamic Navigation for Dental Implant Surgery. Oral and maxillofacial surgery clinics of North America, 31(4), 539–547. https://doi.org/10.1016/j.coms.2019.08.001
Pessoa, R., Siqueira, R., Li, J., Saleh, I., Meneghetti, P., Bezerra, F., Wang, H. L., & Mendonça, G. (2022). The Impact of Surgical Guide Fixation and Implant Location on Accuracy of Static Computer- Assisted Implant Surgery. Journal of prosthodontics: official journal of the American College of Prosthodontists, 31(2), 155–164. https://doi.org/10.1111/jopr.13371
Putra, R. H., Yoda, N., Astuti, E. R., & Sasaki, K. (2022). The accuracy of implant placement with computer-guided surgery in partially edentulous patients and possible influencing factors: A systematic review and meta-analysis. Journal of prosthodontic research, 66(1), 29–39. https://doi.org/10.2186/jpr.JPR_D_20_00184
Raico Gallardo, Y. N., da Silva-Olivio, I. R. T., Mukai, E., Morimoto, S., Sesma, N., & Cordaro, L. (2017). Accuracy comparison of guided surgery for dental implants according to the tissue of support: a systematic review and meta-analysis. Clinical oral implants research, 28(5), 602–612. https://doi.org/10.1111/clr.12841
Romandini, M., Ruales-Carrera, E., Sadilina, S., Hämmerle, C. H. F., & Sanz, M. (2023). Minimal invasiveness at dental implant placement: A systematic review with meta-analyses on flapless fully guided surgery. Periodontology 2000, 91(1), 89–112. https://doi.org/10.1111/prd.12440
Rouzé l’Alzit, F., Cade, R., Naveau, A., Babilotte, J., Meglioli, M., & Catros, S. (2022). Accuracy of commercial 3D printers for the fabrication of surgical guides in dental implantology. Journal of dentistry, 117, 103909. https://doi.org/10.1016/j.jdent.2021.103909
Smitkarn, P., Subbalekha, K., Mattheos, N., & Pimkhaokham, A. (2019). The accuracy of single-tooth implants placed using fully digital-guided surgery and freehand implant surgery. Journal of clinical periodontology, 46(9), 949–957. https://doi.org/10.1111/jcpe.13160
Taheri Otaghsara, S. S., Joda, T., & Thieringer, F. M. (2023). Accuracy of dental implant placement using static versus dynamic computer-assisted implant surgery: An in vitro study. Journal of dentistry, 132, 104487. https://doi.org/10.1016/j.jdent.2023.104487
Tahir, N., & Abduo, J. (2022). An In Vitro Evaluation of the Effect of 3D Printing Orientation on the Accuracy of Implant Surgical Templates Fabricated by Desktop Printer. Journal of prosthodontics: official journal of the American College of Prosthodontists, 31(9), 791–798. https://doi.org/10.1111/jopr.13485
Tarnow, D., Elian, N., Fletcher, P., Froum, S., Magner, A., Cho, S. C., Salama, M., Salama, H., & Garber, D. A. (2003). Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. Journal of periodontology, 74(12), 1785–1788. https://doi.org/10.1902/jop.2003.74.12.1785
Wegmüller, L., Halbeisen, F., Sharma, N., Kühl, S., & Thieringer, F. M. (2021). Consumer vs. High- End 3D Printers for Guided Implant Surgery-An In Vitro Accuracy Assessment Study of Different 3D Printing Technologies. Journal of clinical medicine, 10(21), 4894. https://doi.org/10.3390/jcm10214894
Yeung, M., Abdulmajeed, A., Carrico, C. K., Deeb, G. R., & Bencharit, S. (2020). Accuracy and precision of 3D-printed implant surgical guides with different implant systems: An in vitro study. The Journal of prosthetic dentistry, 123(6), 821–828. https://doi.org/10.1016/j.prosdent.2019.05.027
Yogui, F. C., Verri, F. R., de Luna Gomes, J. M., Lemos, C. A. A., Cruz, R. S., & Pellizzer, E. P. (2021). Comparison between computer-guided and freehand dental implant placement surgery: A systematic review and meta-analysis. International journal of oral and maxillofacial surgery, 50(2), 242–250. https://doi.org/10.1016/j.ijom.2020.08.004
Zarone, F., Ruggiero, G., Ferrari, M., Mangano, F., Joda, T., & Sorrentino, R. (2020). Accuracy of a chairside intraoral scanner compared with a laboratory scanner for the completely edentulous maxilla: An in vitro 3-dimensional comparative analysis. The Journal of prosthetic dentistry, 124(6), 761.e1–761.e7. https://doi.org/10.1016/j.prosdent.2020.07.018
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