Strategic extraction protocol: Use of an image-fusion stereolithographic guide for immediate implant placement

Dada, Karim; Pariente, Leon; Daas, Marwan

doi:10.1016/j.prosdent.2016.03.008

Cited by 11 publications

(8 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With the evolution of digital technology and apparatus, a new "image-fusion" technique was introduced and dramatically reduced the time and cost of the planning procedure [6][7][8]. For partially edentulous patients, a CBCT scan image can be matched with an optical scan image of the dental model, directly by registration (alignment) of the dental surface images via the computer algorithm.…”

Section: Introductionmentioning

confidence: 99%

Fully Digital Workflow for Planning Static Guided Implant Surgery: A Prospective Accuracy Study

Lin

Huang

et al. 2020

JCM

View full text Add to dashboard Cite

The accuracy of static guided implant surgery (sGIS) using conventional planning workflow has been extensively examined; however, more information is required to justify the application of fully digital planning protocol. The purpose of this study was to investigate the clinical accuracy of sGIS with a fully digital planning workflow. Twenty-one partially edentulous patients were enrolled in this prospective study. Cone-beam computed tomography (CBCT) and intraoral scans were taken and superimposed by matching the dental surface images directly (surface registration protocol) or by matching fiducial markers on a stereolithographic (SLA) radiographic template fabricated from the digital data of the intraoral scan (fiducial marker registration protocol). Virtual implant treatment plans were then determined, and tooth-supported SLA surgical guides were fabricated according to the plans. Twenty-six implant surgeries were performed via the surgical guide by one surgeon. Pre- and post-operative CBCT images were superimposed, and the positional and angular deviations between placed and planned implants were measured with metrology software. A total of 43 fully guided implants were placed, in which 25 implants were planned with the surface registration protocol. Implants planned based on the surface registration protocol had a larger mean angular deviation than the fiducial marker registration protocol. No significant differences were found for any deviations of the examined variables. Within the limits of this study, we concluded that the clinical accuracy of the sGIS planned with a fully digital workflow was consistent with the conventional workflow for partially edentulous patients.

show abstract

Section: Introductionmentioning

confidence: 99%

Fully Digital Workflow for Planning Static Guided Implant Surgery: A Prospective Accuracy Study

Lin

Huang

et al. 2020

JCM

View full text Add to dashboard Cite

show abstract

“…The anatomical characteristics of partially edentulous arches and the intrinsically associated relatively low number and relative distance between characteristic anatomic landmarks rendered the registration of individual pre-and post-placement scans and the diagnostic wax-up demanding [30]. In the presented procedures existing dentition was systematically left temporarily in situ as part of a strategic extraction protocol to overcome these limitations and provide distinct landmarks for scan alignment [20]. Further, Palatine rugae and tuberosities were also consistently used to ensure adequate scan alignment and verify individual scan accuracy.…”

Section: Discussionmentioning

confidence: 99%

“…Implant lengths and implant diameters ranged from Ø3.3 x 12mm in anterior positions to Ø4.5 x 8mm in posterior positions and were defined based on locally available bone volumes. Figure 1C shows the clinical situation after tooth extraction and immediate implant placement with cuspids still left in situ to register individual scan and waxing model data sets [20,21]. Figure 1e illustrates the restored maxilla-mandibular relation and raised occlusal vertical dimensions after immediate provisionalization [12].…”

Section: Casementioning

confidence: 99%

"A Versatile Integrated Digital Prosthetic Workflow for the Immediate Pink-free Full-arch Restoration: A Case Series"

Sobczak¹

2022

BJSTR

View full text Add to dashboard Cite

Digital prosthetic workflows may significantly increase the efficiency, predictability, and patient acceptance of clinical protocols to transition failing dentitions into an implant-supported fixed complete rehabilitation. This report illustrates the application of a recently described advanced integrated prosthetic digital workflow (Sobczak Concept ® ) in a series of patients and indications. The workflow was based on prosthetic wax-ups built and updated throughout the workflow from multiple preand intra-surgical full-arch intraoral scans. A key feature was based on combining digitally smile-designed provisional wax-ups with post-placement anatomically driven waxing of the cervical prosthetic contours. This combination allowed designing and adapting aesthetic concepts based on well-established macro-and micro-aesthetic design principles, validating them directly with the patient, and delivering them in a natural-teeth-like, pink-free anatomically adapted prosthesis for a versatile range of indications.

show abstract

“…16 In addition, to obtain a more precise and natural EP, several techniques have been used to fabricate custom abutments according to the gingival contour of fresh extraction sockets in the immediate posterior implantation, such as sculpting stock provisional polyetheretherketone abutments in line with the mucosal margin or directly applying resin to the fresh extraction socket in vivo. 17,18,[20][21][22] However, these abutments could not exactly reconstruct the cervical contour of the missing tooth with the existence of gingival collapse and the limitation of immediate implantation. 23 Thus, attention has shifted to utilizing the shape of the missing tooth or its contralateral tooth.…”

Section: Introductionmentioning

confidence: 99%

Soft and bone tissue responses in a single posterior implant site: a prospective randomized controlled trial comparing customized and regular emergence profiles

Cai,

Zhou,

Zeng

et al. 2023

Preprint

View full text Add to dashboard Cite

The emergence profile (EP) of an implant restoration plays an essential role in stabilizing peri-implant tissues. However, to date, relatively few studies have focused on EP, particularly in the posterior regions. This prospective randomized controlled study observed and compared changes in peri-implant tissues between customized and traditional EPs. After re-open surgeries, 40 patients who accepted implant placement in molar sites with supracrestal mucosal thickness ≥ 3 mm were randomly assigned the test or regular group. Clinical data were collected 1 week after reopening surgery (T0), before and after computer-aided design/computer-aided manufacturing abutment placement (T1a and T1b), before and after definitive restoration placement (T2a and T2b), and 6 months after loading (T3). Radiographic data were recorded at T2b and T3. Changes in gingival width and papilla height in the test group were greater than those in the regular group from T2b to T0. The papilla height, papilla proportion, papilla index score, and black triangles were significantly ameliorated in the test group at T2b. Changes in papilla height, plaque index, patient satisfaction, and food impaction at T3 significantly improved in the test group. However, there were no significant differences in marginal bone loss between the two groups at T3. In summary, customized EP effectively increased the papilla height and decreased the risk of black triangles and peri-implantitis; thus, it is a potential alternative option for prosthodontists.

show abstract

Strategic extraction protocol: Use of an image-fusion stereolithographic guide for immediate implant placement

Cited by 11 publications

References 9 publications

Fully Digital Workflow for Planning Static Guided Implant Surgery: A Prospective Accuracy Study

Fully Digital Workflow for Planning Static Guided Implant Surgery: A Prospective Accuracy Study

"A Versatile Integrated Digital Prosthetic Workflow for the Immediate Pink-free Full-arch Restoration: A Case Series"

Soft and bone tissue responses in a single posterior implant site: a prospective randomized controlled trial comparing customized and regular emergence profiles

Contact Info

Product

Resources

About