Digital Implant Planning for a Minimally Invasive Surgery Approach: A Case Letter of a Full-Arch Rehabilitation

Frascaria, Massimo; Casinelli, Matteo; Marzo, Giuseppe; Gatto, Roberto; Baldi, Mario; D’Amario, Maurizio

doi:10.1563/aaid-joi-d-12-00232

Cited by 7 publications

(8 citation statements)

References 16 publications

(21 reference statements)

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“…Compared with traditional technique, in fact, piezography-incorporating approach allows a significantly different exploitation of the nonconflict area, which potentially translates into better management of soft tissues and improved functionality of the implants. Indeed, implant fixture placement could be facilitated and improved by means of a prosthetic guided approach, in which the surgical planning and the prosthetic manufacturing rely on biomechanical, functional, and esthetic requirements of a specific patient (Barone et al, 2014;Frascaria et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Theoretically, clinicians should detect the ideal individual prosthetic volume before implant surgery in order to avoid mistakes in fixtures placement. In this sense, the use of 3D imaging and planning softwares may improve the surgical strategy through the integration of different diagnostic parameters, thus allowing a comprehensive approach to the question (Frascaria et al, ). Here, we demonstrate that the entire presurgical planning process can be carried out using CAD applications that combine different maxillofacial diagnostic modalities: radiographic data, captured by a CBCT scanner, and surface anatomical data, acquired by a structured light scanner.…”

Section: Discussionmentioning

confidence: 99%

“…According to the traditional technique (Barone et al, 2014;Frascaria et al, 2015;Vercruyssen et al, 2015), namely, considering the residual alveolar bone crest and crown emergency on gums, occlusal contacts, and esthetics, a single clinician expert on digital surgery procedures (M. F.) planned the position and size of fixtures-abutment components (Figure 1f). Using the same software, the oral-buccal angulation of fixtures was calculated, setting the occlusion line as a reference.…”

Section: Evaluation Of Oral-buccal Angulation Of Fixtures: Traditiona...mentioning

confidence: 99%

“…In order to plan CAD/CAM implants, the enrolled subject underwent impressions for dental casts, occlusal jaws recordings, and cone beam-computed tomography (CBCT) as required by standard digital workflow (Flügge, Nelson, Schmelzeisen, & Metzger, 2013;Frascaria et al, 2015;Vercruyssen, Laleman, Jacobs, & Quirynen, 2015). Briefly, a wax-up was produced for each patient in order to previsualize final restoration; then, a diagnostic radiopaque template was generated from the wax-up and placed directly over the edentulous ridge in the required occlusion condition, according to traditional prosthetic techniques (Figure 1a).…”

Section: Traditional Digital Workflowmentioning

confidence: 99%

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Neutral zone recording in computer‐guided implant prosthesis: A new digital neuromuscular approach

Frascaria

Pietropaoli

Casinelli

et al. 2019

Clinical & Exp Dental Res

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BackgroundNeutral zone (NZ) is a specific area in the oral cavity where muscular opposite forces are null. NZ represents the ideal zone for prosthesis placement. In this study, we compared digital implant planning using conventional technique and using NZ registration through piezography.MethodsSixty‐tree implants were digitally planned. Angular deviation differences between traditional planned and NZ‐planned implants were calculated. In addition, interferences with soft tissues (i.e., tongue and cheeks) were evaluated.ResultsWe observed a significant difference between traditional technique and piezographic approach in terms of implants angulation (p = .003), independent of site. A 4.7% of the planned abutments with traditional technique were placed outside the NZ, causing conflict with soft tissues in the digital model.ConclusionsCompared with traditional technique, piezography allows a significantly different exploitation of the nonconflict area, which potentially translates into better management of soft tissues and improved functionality of the implants.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Evaluation Of Oral-buccal Angulation Of Fixtures: Traditiona...mentioning

confidence: 99%

Section: Traditional Digital Workflowmentioning

confidence: 99%

See 2 more Smart Citations

Neutral zone recording in computer‐guided implant prosthesis: A new digital neuromuscular approach

Frascaria

Pietropaoli

Casinelli

et al. 2019

Clinical & Exp Dental Res

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“…Recently, computer-guided methodologies have been developed with the aim at defining reliable tools for the virtual preoperative assessment of implant placement [1,[6][7][8][9][10][11]. Information regarding anatomical constraints, bone volume and bone quality can be evaluated by processing three-dimensional data recorded through Computed Tomography (CT) or Cone Beam Computed Tomography (CBCT) techniques [12].…”

Section: Introductionmentioning

confidence: 99%

Interactive design of dental implant placements through CAD-CAM technologies: from 3D imaging to additive manufacturing

Barone

Casinelli

Frascaria

et al. 2014

Int J Interact Des Manuf

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In the field of oral rehabilitation, the combined use of 3D imaging technologies and computer-guided approaches allows the development of reliable tools to be used in preoperative assessment of implant placement. In particular, the accurate transfer of the virtual planning into the operative field through surgical guides represents the main challenge of modern dental implantology. Guided implant positioning allows surgical and prosthetic approaches with minimal trauma by reducing treatment time and decreasing patient’s discomfort. This paper aims at defining a CAD/CAM framework for the accurate planning of flapless dental implant surgery. The system embraces three major applications: (1) freeform modelling, including 3D tissue reconstruction and 2D/3D anatomy visualization, (2) computer-aided surgical planning and customised template modelling, (3) additive manufacturing of guided surgery template. The tissue modelling approach is based on the integration of two maxillofacial imaging techniques: tomographic scanning and surface optical scanning. A 3D virtual maxillofacial model is created by matching radiographic data, captured by a CBCT scanner, and surface anatomical data, acquired by a structured light scanner. The pre-surgical planning process is carried out and controlled within the CAD application by referring to the integrated anatomical model. A surgical guide is then created by solid modelling and manufactured by additive techniques. Two different clinical cases have been approached by inserting 11 different implants. CAD-based planned fixture placements have been transferred into the clinical field by customised surgical guides, made of a biocompatible resin and equipped with drilling sleeves

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Protocollo digitale di chirurgia implantare guidata mininvasiva a carico immediato: presentazione di un caso clinico

et al. 2016

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Digital Implant Planning for a Minimally Invasive Surgery Approach: A Case Letter of a Full-Arch Rehabilitation

Cited by 7 publications

References 16 publications

Neutral zone recording in computer‐guided implant prosthesis: A new digital neuromuscular approach

Neutral zone recording in computer‐guided implant prosthesis: A new digital neuromuscular approach

Interactive design of dental implant placements through CAD-CAM technologies: from 3D imaging to additive manufacturing

Protocollo digitale di chirurgia implantare guidata mininvasiva a carico immediato: presentazione di un caso clinico

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