Computer-guided flapless transmucosal implant placement in the mandible: A new combination of two innovative techniques

Wittwer, Gert; Adeyemo, WL; Schicho, Kurt; Gigovic, Natasha; Turhani, Dritan; Enislidis, Georg

doi:10.1016/j.tripleo.2005.10.047

Cited by 60 publications

(53 citation statements)

References 17 publications

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“…In this context, immediate loading implies the presurgical fabrication of a provisory prosthesis, based on the computerized planning, which is glued to the implants at the time of surgery. These techniques are becoming increasingly important and are often performed using computer-aided surgery (6,7,(32)(33)(34). The presented laboratory training technique may also be used in routine clinical practice for preoperative simulation of implant surgery in difficult cases or for preoperative training of less experienced surgeons.…”

Section: Discussionmentioning

confidence: 99%

A laboratory training and evaluation technique for computer‐aided oral implant surgery

Widmann

Stoffner

Keiler

et al. 2009

Robotics Computer Surgery

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Section: Discussionmentioning

confidence: 99%

A laboratory training and evaluation technique for computer‐aided oral implant surgery

Widmann

Stoffner

Keiler

et al. 2009

Robotics Computer Surgery

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“…Reducing the risk of damage to anatomical structures such as nerves, vessels and neighbouring structures is one of the desired outcomes of preoperative computer-aided planning 10,19 . Tools for surgical guidance aim to transfer preoperative planning based on volumetric patient data (computed tomography (CT) or conebeam CT (CBCT)) to the intra-operative site 10,19 . Computer-assisted navigation allows for real-time imaging of the surgical drill as an overlay graphic on CT and live intra-operative video images and has been reported to be suitable for routine clinical applications 20 .…”

mentioning

confidence: 99%

Evaluation of risk of injury to the inferior alveolar nerve with classical sagittal split osteotomy technique and proposed alternative surgical techniques using computer-assisted surgery

Wittwer

Adeyemo

Beinemann

et al. 2012

International Journal of Oral and Maxillofacial Surgery

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“…Thus, the importance of the submental artery in supplying blood more bone, leading to better primary stability. In computernavigated flapless implant surgery, postoperative pain and swelling can be reduced, postoperative soft tissue dehiscence can be eliminated, and intraoperative safety for anatomical structures at risk of injury is enhanced 15 . Despite the high cost of equipment 16 , computer-aided navigation technology in dental implantology has many medical benefits, and computer-guided implantation may be used as a predictable procedure in many cases 17 .…”

Section: Discussionmentioning

confidence: 99%

Life-threatening airway obstruction after flapless implant placement in the anterior mandible

Kim¹,

Park²,

Kim³

et al. 2012

J Korean Assoc Oral Maxillofac Surg

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(J Korean Assoc Oral Maxillofac Surg 2012;38:310-3) This paper reports a patient who had an airway obstruction caused by a hemorrhage of the mouth floor that occurred after she underwent flapless implantation in the region of the mandibular anterior teeth. The hemorrhage may have been caused by iatrogenic malpositioned fixture and patient's hypertension. The lingual periosteum was not dissected during the flapless procedure. Therefore, when hemorrhage occurred, the blood did not drain easily into the oral cavity but instead drained into the deep neck region, which might have been the cause of the airway obstruction. Key words: Airway obstruction, Dental implants[paper submitted 2011. 11. 24 / accepted 2012. 2. 20] II. Case ReportA 56-year-old female patient came to the emergency room (ER) with chief complaint of dyspnea due to swollen tongue and neck. The medical history was remarkable for hypertension. The dental history showed that, earlier on the day of her visit to the ER, the patient had undergone at a local dental clinic extraction of both lower central incisors followed immediately by flapless implantation. According to the patient's history of chief complaint, there was continuous oozing around the surgical site after the implant was installed at around 3 pm that day. Her dentist could not give her an acceptable explanation for her condition, so the patient visited the ER at 10:30 pm with the swelling aggregated around her neck area.The patient said her symptoms of edema and dyspnea had begun on the AMF after the implantation. Clinical examination in the ER showed severe swelling of the AMF and tongue, accompanied by ecchymosis and orthopnea. The patient's respiration rate was 20 times per minute, and routine lab results including hemoglobin, T-CO 2 , and PT and aPTT were all within normal limits. Her SpO 2 was over 98%, and systolic and diastolic blood pressure (BP) in sitting position were 160 mmHg and 100 mmHg, respectively. Note, however, that the patient's vital signs worsened in the SemiFowler's and supine positions. A computed tomography (CT) of the neck could not be performed immediately after the

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Computer-guided flapless transmucosal implant placement in the mandible: A new combination of two innovative techniques

Cited by 60 publications

References 17 publications

A laboratory training and evaluation technique for computer‐aided oral implant surgery

A laboratory training and evaluation technique for computer‐aided oral implant surgery

Evaluation of risk of injury to the inferior alveolar nerve with classical sagittal split osteotomy technique and proposed alternative surgical techniques using computer-assisted surgery

Life-threatening airway obstruction after flapless implant placement in the anterior mandible

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