Digital Smile Designed Computer-Aided Surgery versus Traditional Workflow in “All on Four” Rehabilitations: A Randomized Clinical Trial with 4-Years Follow-Up

Cattoni, F; Chirico, Luca; Merlone, A; Manacorda, Michele; Vinci, Raffaele; Gherlone, Enrico

doi:10.3390/ijerph18073449

Cited by 27 publications

(24 citation statements)

References 25 publications

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“…If immediate restorations are planned and will be placed during implant placement, this is difficult to perform with the freehand method. Such restorations can be implemented predictably with a digital protocol [ 3 ]. The surgeon’s experience and the anatomical condition have been assessed as factors influencing the accuracy of a freehand procedure [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing the Accuracy of Freehand Implant Placement: A Prospective Clinical Study

Schnutenhaus

WAGNER

Edelmann³

et al. 2021

Dentistry Journal

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(1) Background: The objective of implant prosthetic restoration is to ensure the best possible rehabilitation of function and esthetics. Optimal positioning of the implant with regard to the bone availability, surrounding soft tissue, and prosthetic sustainability should be strived for during implant placement. The factors influencing freehand implant placement and the accuracy achieved with this procedure are investigated in this prospective clinical study. (2) Methods: Implants were placed in the single-tooth edentulous sites of the premolar and molar areas in 52 patients. Three-dimensional (3D)-planning was performed virtually prior to the freehand implant operation, and the desired position of the implant was provided to the surgeon. (3) Results: The deviations between the planned and the actually achieved position with freehand implant placement showed the following mean values and standard deviations: angle 8.7 ± 4.8°, 3D deviation at the implant shoulder 1.62 ± 0.87 mm, mesiodistal deviation 0.87 ± 0.75 mm, buccolingual deviation 0.70 ± 0.66 mm, and apiocoronal deviation 0.95 ± 0.61 mm. The type of jaw had a significant influence on accuracy. Major deviations were observed in the lower jaw. Furthermore, the timing of implant placement influenced the mesiodistal deviation and angular deviation; (4) Conclusions: Freehand implant placement demonstrated a higher level of deviation between the planned and actually achieved implant positions. In particular, the ranges showed a large spread. From a prosthetic point of view, there may be complications during the restoration of the prosthetic crown if the implant exit point is not optimally located or if the implants show a high angular deviation.

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Section: Introductionmentioning

confidence: 99%

Factors Influencing the Accuracy of Freehand Implant Placement: A Prospective Clinical Study

Schnutenhaus

WAGNER

Edelmann³

et al. 2021

Dentistry Journal

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“…It is clear for us that the future of the diagnostic methods professional will use are mostly digital treatments, as CBCT, intraoral scanner and facial scanner [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

A New Approach to Diagnosis to Posterior Cross Bite: Intraoral Photography and Wala Ridge

Herrero

Velasco

Herrero

2022

IJERPH

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A posterior crossbite is an occlusion disorder that occurs in the transverse plane. It occurs when the buccal cusps of the upper premolars and molars engage lingually with the buccal cusps of the lower teeth. It can be unilateral or bilateral (involving one or more teeth) in the primary, mixed, or permanent dentition. A crossbite may appear in early dentition stages and it can be dental or functional. It can lead to skeletal crossbite in mixed dentition. Therefore, early diagnosis and treatment are crucial. Material and methods: The selected sample included 204 patients in growing stage divided into two groups: a study group of 102 patients with posterior crossbite and a control group of 102 patients without malocclusion. To analyze the pathology, intraoral frontal photographs and study models were taken, in which the bone component was measured from the Wala Ridge. Results: The use of the photographs to study the Wala Ridge was confirmed. The mean maxillary width was 57.8 mm (SD 1.7) and mandibular width was 56.4 mm (SD 1.7) for the control group, with a maxillomandibular difference of 1.4 mm (SD 0.7); and 52.7 mm (SD 3.7) and 55.5 mm (SD 3.6), respectively, with a maxillomandibular difference of −2.8 mm (SD 1.4) for the study group. A higher maxillomandibular discrepancy was observed in patients with a posterior crossbite that involved more than one tooth in addition to the permanent first molar. It was also higher in patients with bilateral posterior crossbite. Conclusions: Intraoral frontal photography can be used as a diagnostic method to measure the maxillomandibular difference using the Wala Ridge.

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“…The diseases of the oral cavity have a significant impact on the social life of the individual. Periodontal disease can lead to tooth loss, which, in turn, affects the individual physically, emotionally and even financially [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Oral Health-Related Knowledge, Attitude and Practice among Patients in Rural Areas around Cluj-Napoca, Romania

Chisnoiu

Delean

Muntean

et al. 2022

IJERPH

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The intent of the KAP (knowledge, attitude, practices) survey is to collect information about a specific target group related to their knowledge, what they consider to be known, and what they do about a particular topic. The aim of this study was to identify the level of importance of oral health, especially the level of knowledge, attitude and practices of rural patients around Cluj-Napoca, Romania. Material and methods: A questionnaire consisting of five parts was used, trying to assess the self-perception of oral health, knowledge and attitude towards oral health, dental hygiene practices and eating habits. A clinical examination was also performed in order to identify the number of missing teeth, the caries and the presence of calculus. Results: The study revealed that most patients have an average and good self-perception of oral health, although three-quarters of them have calculus deposits, and about half of them have more than three carious lesions and at least one extracted tooth. There is also a discrepancy between declared knowledge of oral health, eating habits and dental practices. Conclusions: The basic knowledge of rural patients about oral health can be considered satisfactory, but the practices, unfortunately, do not reflect this knowledge.

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Digital Smile Designed Computer-Aided Surgery versus Traditional Workflow in “All on Four” Rehabilitations: A Randomized Clinical Trial with 4-Years Follow-Up

Cited by 27 publications

References 25 publications

Factors Influencing the Accuracy of Freehand Implant Placement: A Prospective Clinical Study

Factors Influencing the Accuracy of Freehand Implant Placement: A Prospective Clinical Study

A New Approach to Diagnosis to Posterior Cross Bite: Intraoral Photography and Wala Ridge

Oral Health-Related Knowledge, Attitude and Practice among Patients in Rural Areas around Cluj-Napoca, Romania

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