Guided Implant Surgery to Reduce Morbidity in Von Willebrand Disease Patients: A Case Report

Fénelon, Mathilde; Castet, Sabine; Fricain, Jean-Christophe; Catros, Sylvain

doi:10.2174/1874210601812010080

Cited by 6 publications

(11 citation statements)

References 16 publications

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“…There are several advantages with guided surgery: in addition to controlling the implant position, depth, and inclination [ 15 , 16 ], there is the possibility of inserting implants flaplessly [ 17 ] (i.e., without having to raise a mucoperiosteal flap). This reduces post-operative pain for the patient and it simplifies the intervention.…”

Section: Introductionmentioning

confidence: 99%

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Full in-Office Guided Surgery with Open Selective Tooth-Supported Templates: A Prospective Clinical Study on 20 Patients

Mangano

Hauschild²,

Admakin

2018

IJERPH

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Background: Guided implant surgery appears to have several benefits, such as the possibility of inserting flapless implants in a prosthetically driven manner, avoiding dangerous anatomical structures. However, to date, only a few surgeons routinely use guided surgery in partially edentulous patients. Aim: To present the results obtained with tooth-supported surgical templates characterized by an innovative open design with selective support, and manufactured via a full in-office procedure with a low-cost desktop 3D printer. Methods: Over a two-year period (2016–2018), all partially edentulous patients with one to three missing teeth (in maxilla and/or mandible), referred to a private dental practice for restoration with dental implants, were considered for inclusion in this prospective clinical study. An intraoral scanner (CS 3600®, Carestream Dental) and cone beam computed tomography (CS 9300®, Carestream Dental) were used to acquire the 3D information on the patients. Guided surgery software (SMOP®, Swissmeda) was used to plan the surgeries and to design open, selective, tooth-supported templates that were fabricated with a stereolithographic (SLA) desktop 3D printer (XFAB2000®, DWS). Guided implant surgeries were performed and patients were followed for a period of one year. The study outcomes were fit and stability of surgical templates, duration (time) of surgery, intra and post-operative complications, and implant stability and survival. Results: Twenty (20) partially edentulous patients (9 males, 11 females; mean age 54.4 ± 9.4 years) were included in the study; 28 open, selective, tooth-supported templates were designed with the aim of inserting 38 implants. Among the surgical templates, 24 had optimal fit and stability, three had optimal fit and sufficient stability, and only one had inadequate fit and unsatisfactory stability and was therefore not suitable for clinical use. The average time of the intervention was 15.7 ± 5.2 min per template. No intra-operative complications were reported, but one implant was not stable at placement and had to be removed. In total, 36 implants were restored with 10 two-unit fixed partial prostheses and 16 single crowns. All implants were successfully functioning at one year, even if, in two single crowns, minor prosthetic complications (abutment screw loosening) occurred. Conclusions: Full in-office guided surgery with open, selective, tooth-supported templates seem to represent a clinically predictable surgical procedure to restore partially edentulous patients. Further studies are needed to confirm these positive outcomes.

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Section: Introductionmentioning

confidence: 99%

“…This reduces post-operative pain for the patient and it simplifies the intervention. This minimally invasive approach allows the preservation of the periosteal microcirculation, with potential benefits to tissue stability [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Full in-Office Guided Surgery with Open Selective Tooth-Supported Templates: A Prospective Clinical Study on 20 Patients

Mangano

Hauschild²,

Admakin

2018

IJERPH

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“…von Willebrand factor may be a significant modulator of implant stability, according to research by Brouwers et al 353 . Fénelon et al 354 . found that guided implant surgery enabled a minimally invasive approach and prevented patient bleeding issues.…”

Section: Discussionmentioning

confidence: 99%

“…351 There is no evidence to suggest that bleeding disorders contraindicate receiving dental implants in medically impaired individuals; however, these individuals may be at risk of blood loss and long-term bleeding. 352 von Willebrand factor may be a significant modulator of implant stability, according to research by Brouwers et al 353 Fénelon et al 354 found that guided implant surgery enabled a minimally invasive approach and prevented patient bleeding issues.…”

Section: Von Willebrand Diseasementioning

confidence: 99%

Dental implant considerations in patients with systemic diseases: An updated comprehensive review

Mosaddad,

Talebi,

Keyhan

et al. 2024

J of Oral Rehabilitation

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BackgroundVarious medical conditions and the drugs used to treat them have been shown to impede or complicate dental implant surgery. It is crucial to carefully monitor the medical status and potential post‐operative complications of patients with systemic diseases, particularly elderly patients, to minimize the risk of health complications that may arise.AimThe purpose of this study was to review the existing evidence on the viability of dental implants in patients with systemic diseases and to provide practical recommendations to achieve the best possible results in the corresponding patient population.MethodsThe information for our study was compiled using data from PubMed, Scopus, Web of Science and Google Scholar databases and searched separately for each systemic disease included in our work until October 2023. An additional manual search was also performed to increase the search sensitivity. Only English‐language publications were included and assessed according to titles, abstracts and full texts.ResultsIn total, 6784 studies were found. After checking for duplicates and full‐text availability, screening for the inclusion criteria and manually searching reference lists, 570 articles remained to be considered in this study.ConclusionIn treating patients with systemic conditions, the cost–benefit analysis should consider the patient's quality of life and expected lifespan. The success of dental implants depends heavily on ensuring appropriate maintenance therapy, ideal oral hygiene standards, no smoking and avoiding other risk factors. Indications and contraindications for dental implants in cases of systemic diseases are yet to be more understood; broader and hardcore research needs to be done for a guideline foundation.

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“…Among seventeen articles, twelve were case reports and five reviews. Seven articles considered patients with haemophilia [12][13][14][15][16][17][18], seven considered patients with Von Willebrand Disease [19][20][21][22], one considered patients with Idiopatic Trombocitopenic Purpura [23]. Five articles performed the surgery flapless [12,[18][19][20][21], three articles did not [13,14,17] and four articles did not specify [15,16,22,23].…”

Section: Congenital Coagulation Disorders (Ccds)mentioning

confidence: 99%

Dental implants and bleeding disorders: review and clinical indications

Bacci,

Schiazzano,

Zanon

et al. 2023

Preprint

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Background: Bleeding disorders can be divided into three categories: congenital coagulation disorders (CCDs), antiplatelet induced bleeding disorders (APBDs) and anticoagulant induced bleeding disorders (ACBDs). Implant placement can be challenging in this kind of patients. The aim of this study is to provide evidence on implant surgery in patient with bleeding disorders and to generate some practical recommendations for clinicians. Material &amp; Methods: Pubmed/MEDLINE, Scopus, Web of Science and Cochrane Library databases were screened. The latest search was performed in July 2022. Case Reports, Case Series, Cohort Studies, Cross-Sectional Studies, Case Control Studies, Reviews, Consensus Reports, Surveys and Animal Studies were included in the analysis. Results: Seventeen articles on CCDs were found, fourteen on APBDs, twenty-six on ACBDs. Most of these articles were case report or case series. Patients with CCDs can be treated after the infusion of the missing coagulation factor. Patients with APBDs can be treated without withdrawing the therapy. Patients with ACBDs should be treated depending on the anti-coagulative medication. Conclusion: Despite the low level of evidence, dental implants can be safely placed in patients with bleeding disorders. However, careful preoperative evaluation and the adoption of local and post-operative bleeding control measures are mandatory.

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Guided Implant Surgery to Reduce Morbidity in Von Willebrand Disease Patients: A Case Report

Cited by 6 publications

References 16 publications

Full in-Office Guided Surgery with Open Selective Tooth-Supported Templates: A Prospective Clinical Study on 20 Patients

Full in-Office Guided Surgery with Open Selective Tooth-Supported Templates: A Prospective Clinical Study on 20 Patients

Dental implant considerations in patients with systemic diseases: An updated comprehensive review

Dental implants and bleeding disorders: review and clinical indications

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