Preoperative CT examination may be a useful method for determining the bone density of recipient areas before implant placement, and this valuable information about bone quality helps clinicians to make better treatment planning regarding the implant positions.
It could be suggested that if tooth and implant abutments are to be used together as fixed prostheses supports, NRCs should be placed on the implant abutment-supported site.
This paper describes an investigation of the corrosion behavior of Ti-based dental materials with Au, CrNi and CoCr in Ringer solution by the use of Tafel plots, Evans diagrams and EIS Nyguist diagrams. The galvanic potentials and currents obtained for various implant couples are as follows: For, Ti6Al4V/CrNi couple -0.030 V (Ag/AgCl (3 M NaCl)) and 7.94 lA cm -2 ; for Ti6Al4V/ CoCr couple -0.020 V (Ag/AgCl (3 M NaCl)) and 7.08 lA cm -2 ; for Ti6Al4V/Au couple -0.020 V (Ag/ AgCl (3 M NaCl)) and 5.62 lA cm -2 . The Ti6Al4V/Au couple was found to be the most suitable one against galvanic corrosion according to both the Tafel method and mixed potential theory. The corrosion behaviors of Ti6Al4V/CoCr and Ti6Al4V/CrNi couples were found to be similar.
The success of implant-supported restorations depends on the treatment planning and the transfer of planning through the surgical field. Recently, new computer-aided design and manufacturing (CAD/CAM) techniques, such as stereolithographic (SLA) rapid prototyping, have been developed to fabricate surgical guides to improve the precision of implant placement. The objective of the present case is to introduce a recently developed SLA surgical guide system into the rehabilitation of a 62-year-old male patient with mandibular edentulism. After obtaining a cone-beam computerized tomography (CBCT) scan of the mandible with a radiographic template, the images were transferred into a 3-dimensional (3D) image-based software for implant planning. The StentCad Beyond SLA surgical guide system, which is a combination of a currently used surgical template with pilot hollows and a surgical handpiece guidance apparatus, was designed to transfer a preoperatively defined implant position onto the surgical site without any drill-surgical guide contact. For the fabrication of this system, a surgical handpiece was scanned by a laser optical scanner and a mucosa-supported surgical guide was designed according to the patient's 3D model, which was attained from the CBCT images. Four dental implants were inserted through the SLA surgical guide system by a torque-controlled surgical handpiece to the interforaminal region via a flapless surgical procedure. Implants were assessed 3 months after surgery, and an implant-retained mandibular overdenture was fabricated. The present case emphasizes that CAD/CAM SLA surgical guides, along with CBCT images and scanning data, may help clinicians plan and place dental implants.
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