A dual-purpose, implant stent made from a provisional fixed partial denture

Stellino, Girolamo; Morgano, Steven M.; Imbelloni, Arturo

doi:10.1016/s0022-3913(05)80191-x

Cited by 17 publications

(7 citation statements)

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“…The stent was used in conjunction with three dimensional CT scan imaging and implant position was analysed using denta scan software. The introductory stent designs in the mid and late 90's were either diagnostic or surgical and focused on determining the correlation of implant site with surrounding vital structures [9][10][11][12].They did not help in determining the relative parallelism between adjacent multiple implants [13,14]. The most recent ones though being very accurate are expensive and require extensive laboratory set up for their fabrication [1,[15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Use of Diagnostic and Surgical Stent: A Simplified Approach for Implant Placement

Talwar

Singh

Chand

et al. 2010

J Indian Prosthodont Soc

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Dental implantology has emerged as a practical alternative to traditional prosthodontics. Since the beginning, placement of implant in the bone to achieve a prosthetic solution that fulfils biologic, aesthetic and biomechanical requirements has been a challenge. In the past, implant site and inclination were dictated by residual bone quality. The desire for predictable prosthesis led to the development of prosthetically guided implantology. This concept establishes the correct implant position during the diagnostic stage according to planned definitive restoration. In prosthetically guided implantology where ideal placement of implant is determined by the definitive restoration, use of radiographic and surgical stent in conjunction with dental CT scan can play an important role. A stent is an appliance used for radiographic evaluation during treatment planning for implant placement and during surgical procedures to locate optimal implant placement site. The stent with dental CT scan enables the dental team to identify specific sites of prospective implant surgery and hence determines the optimal position and angulation of implant relative to occlusal load. Aided by stent the surgeon can avoid undesirable implant site preparation and minimize unnecessary osteotomy, resulting in favorable design of prosthesis, reduced surgical trauma, reduced surgical time and increased patient comfort. This case report is an insight into the method of fabrication of simple and cost effective stent for implant placement and its advantages over the other techniques of stent fabrication.

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Section: Discussionmentioning

confidence: 99%

Use of Diagnostic and Surgical Stent: A Simplified Approach for Implant Placement

Talwar

Singh

Chand

et al. 2010

J Indian Prosthodont Soc

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“…[8] Stellino et al demonstrated acrylic resin provisional fixed restorations with the use of gutta parcha as redio-opaque marker. [19] This is particularly useful as an alternative for removable radiologic template where a provisional fixed restoration bridges the implant site. Pesun and Gardner used vacuum-formed thermoplastic matrix to adapt over diagnostic model.…”

Section: Historical Background With Review Of Literaturementioning

confidence: 99%

Surgical Templates for Dental Implant Positioning;Current Knowledge and Clinical Perspectives

et al. 2017

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Dental implants have been used in a variety of different forms for many years.Since the mid-20th century, there has been an increase in interest in the implant process for the replacement of missing teeth. Branemark was one of the initial pioneers who applied scientifically based research techniques to develop an endosseous implant that forms an immobile connection with bone. The need for a dental implant to completely address multiple physical and biological factors imposes tremendous constraints on the surgical and handling protocol. Metallic dental implants have been successfully used for decades, but they have serious shortcomings related to their bony union and the fact that their mechanical properties do not match those of bone. However, anatomic limitation and restorative demands encourage the surgeon to gain precision in planning and surgical positioning of dental implants. Ideal placement ofthe implant facilitates the establishment of favorable forces on the implants and the prosthetic component as well as ensures an aesthetic outcome. Therefore, it is advisable to establish a logical continuity between the planned restoration and the surgical phases, it is essential to use a transfer device that for sure increases the predictability of success. The surgical guide template is fabricated by a dental technician after the presurgical restorative appointments that primarily include determination of occlusal scheme and implant angulations.Here, authors genuinely attempted to review the evolution and clinical applicability of surgical templates used in the placement of dental implants.

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“…They are usually made of thermoplastic sheets or clear acrylic resin [9,11-14]. In partially edentulous patients, they cover the occlusal surfaces of the adjacent teeth or rest on any prepared teeth to gain adequate retention and support [15].…”

Section: Introductionmentioning

confidence: 99%

A Novel Surgical Template Design in Staged Dental Implant Rehabilitations

Patras¹,

Martin²,

Sykaras

2012

JOMR

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BackgroundThe philosophy of a gradual transition to an implant retained prosthesis in cases of full-mouth or extensive rehabilitation usually involves a staged treatment concept. In this therapeutic approach, the placement of implants may sometimes be divided into phases. During a subsequent surgical phase of treatment, the pre-existing implants can serve as anchors for the surgical template. Those modified surgical templates help in the precise transferring of restorative information into the surgical field and guide the optimal three-dimensional implant positioning.MethodsThis article highlights the rationale of implant-retained surgical templates and illustrates them through the presentation of two clinical cases. The templates are duplicates of the provisional restorations and are secured to the existing implants through the utilization of implant mounts.ResultsThis template design in such staged procedures provided stability in the surgical field and enhanced the accuracy in implant positioning based upon the planned restoration, thus ensuring predictable treatment outcomes.ConclusionsSuccessful rehabilitation lies in the correct sequence of surgical and prosthetic procedures. Whenever a staged approach of implant placement is planned, the clinician can effectively use the initially placed implants as anchors for the surgical template during the second phase of implant surgery.

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A dual-purpose, implant stent made from a provisional fixed partial denture

Cited by 17 publications

References 0 publications

Use of Diagnostic and Surgical Stent: A Simplified Approach for Implant Placement

Use of Diagnostic and Surgical Stent: A Simplified Approach for Implant Placement

Surgical Templates for Dental Implant Positioning;Current Knowledge and Clinical Perspectives

A Novel Surgical Template Design in Staged Dental Implant Rehabilitations

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