Prosthetically Driven, Computer‐Guided Implant Planning for the Edentulous Maxilla: A Model Study

Abstract

In the maxilla, advanced atrophy is often observed, and implant placement becomes difficult or impossible. Thus, flapless surgery or an immediate loading protocol can be performed just in a selected number of patients. Nevertheless, the use of a computer program for prosthetically driven implant planning is highly efficient and safe. The three-dimensional view of the maxilla allows the determination of the best implant position, the optimization of the implant axis, and the definition of the best surgical and prosthetic solution for the patient. Thus, a protocol that combines a computer-guided technique with conventional surgical procedures becomes a promising option, which needs to be further evaluated and improved.

Evaluation of the difference in accuracy between implant placement by virtual planning data and surgical guide templates versus the conventional free-hand method – a combined in vivo – in vitro technique using cone-beam CT (Part II)

“…In contrast, a number of papers highlight the clinical relevance of a reliable tool for preoperative assessment of implant size and anatomical complications (Fortin et al, 2003;Sarment et al 2003;Suzuki and Suzuki, 2008). Accurate implementation of the presurgical plan also permits execution of restorative goals (Lal et al, 2006;Katsoulis et al, 2008).…”

“…It has been reported that the accuracy of free-hand implantation is sufficient for most clinical situations (Brief et al, 2005); it is also reported that computer-aided surgical systems reduce the risk of damage to adjacent structures (Fortin et al, 2003;Suzuki and Suzuki, 2008). Accurate presurgical planning also permits implementation of restorative goals (Lal et al, 2006;Nickenig and Eitner, 2007;Katsoulis et al, 2008).…”

The synergy of radiology and CAD/CAM

“…Het driedimensionaal voorbereiden van het plaatsen van implantaten met behulp van soft ware was al een grote sprong voorwaarts, maar werd verder uitgebreid door de uiteindelijke prothetische constructie daar waar mogelijk in de planning te betrekken (Katsoulis et al, 2009). Daardoor konden de implantaten precies op de juiste plek worden gepland en geplaatst en werd de bestaande gebitsprothese aangepast op de geplaatste implantaten.…”

Advances in Dental Implant Positioning Techniques and Their Clinical Implications

“…However, computer-guided implant placement has some [36] limitations, including a high treatment cost (i.e., due to the software purchase, radiographic template and SSG fabrications, and CT scan) and the high radiation dose of the CT scan [36]. The radiation risk can be reduced by lowering the dose output of the scanner [70] and using modern scanners, which produce lower radiation doses.…”

“…There are number of clinical computer applications developed to allow clinicians to obtain 3D models and plan virtual situations [36]. These programs are increasingly used as tools for implant diagnosis, planning, and treatment execution.…”