- By : Miguel de Nobre
Dynamic Navigation with X-Guide- Total Edentulous Workflow - Maxilla All-on-4
Author: Miguel de Nobre
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
BackgroundNavigation with virtual implant placement provides accurate spacing and angulation of the implants compared with the use of free-hand approaches. The use of virtual implant planning and subsequent navigation also allows for prosthetic and surgical collaboration with precise planning and accurate orchestration of the plan to achieve a high level of patient-specific results. More research is needed to evaluate the outcome of implant-supported surgical procedures assisted by dynamic navigation.Aim/HypothesisTo describe the workflow of a maxillary full-arch rehabilitation through the All-on-4u00ae concept assisted by dynamic navigation. Material and MethodsA female healthy patient with 57 years of age presented with need of maxillary full-arch rehabilitation. Orthopantomography and Cone Beam Computerized Tomography (CBCT) scan were taken and the DTX Studio Implant Software was used to evaluate the baseline clinical situation.The surgery was performed under local anesthesia. After incision, flap raising and bone reduction 5 tri-screws were fixated in the maxilla. A CBCT scan was made and in the DTX Studio Implant Software the position and size of implants were selected. After the fixation of the X-Guideu00ae receptor the navigation surgery was initiated. The drills used to prepare the implant bed were calibrated before the osteotomy. Four implants (All-on-4u00ae Maxilla MALOCLINIC protocol; Nobel Parallel CC implants) were inserted achieving 35 N/cm of primary stability; Multi-Unit Plus abutments were attached and a provisional pre-made prosthesis was connected achieving immediate function.ResultsThe X-Guide Navigationu00ae provided the precise position and orientation of the drills and implants in every step of the surgery. This tool enabled the placement of the implants in the most favorable prosthetic and surgical positions, avoiding important anatomic structures such as the maxillary sinus and the nasal cavities. All the implants were placed with an insertion torque of 35 N/cm which allowed the connection of the prosthesis on the same day of surgery, achieving immediate function. The main advantages of the dynamic navigation assisted surgery include its accuracy, time- and cost-effectiveness, and the ability to change the implant size, system and location during the surgical procedure. Nevertheless, the clinician must understand that a learning curve is required to gain proficiency using a dynamic navigation system. This system could benefit from the following improvements. For total edentulous cases, simpler fiducial markers could make the surgery faster and less complicated once the tri-screws fixation costs time and could limit the implants position.Conclusion and Clinical implicationsThe surgical procedure assisted by dynamic navigation for the full-arch rehabilitation of the maxilla was safe and predictable, allowing an accurate insertion of the implants in depth, angulation and crestal position. The system could benefit from improvements in order to make the management of full-arch cases simpler.
- By : Wael Att
- Medical
Digital Workflow in Reconstructive Dentistry
Author: Wael Att
Publisher: Quintessenz Verlag
ISBN: 3868675515
Category : Medical
Languages : de
Pages : 467
Book Description
Digital Workflow in Reconstructive Dentistry is the result of efforts made by the academic team at the Department of Prosthodontics, University Hospital of Freiburg. It aims to build a fundamental understanding of the general principles, science, and clinics of digital dental medicine. The information provided within these pages summarizes the various components of the digital workflow in reconstructive dentistry and discusses their advantages and disadvantages. Moreover, insights are provided about upcoming, game-changing technologies. By reading this book, students, clinicians, and researchers will gain and enhance their knowledge about digital dental medicine and identify the areas they need to focus on next in order to integrate the available technologies in their daily work. Clearly, the path of digital dental medicine will not stop here. Contributors Amirah M. R. Alammar • Abdulaziz Alsahaf • Wael Att • Maria Bateli • Jasmin Bernhart • Shaza Bishti • Sarah Blattner • Miha Brezavšček • Sandy Cepa • Nadine Emmanoulidi • Ahmed Fawzy • Manrique Fonseca • Michele Frapporti • Rumpa Ganguly • Yousef Al-Ghamdi • Petra Ch. Gierthmuehlen • Aiste Gintaute • Ulrich Lamott • Christos Lamprinos • Matthias Petsch • Udo Plaster • Aikaterini Ploumaki • Hanna Rauberger • Elisabeth Schwartzkopff • Christian F. Selz • Thamer Al-Sharif • Benedikt Spies • Frank A. Spitznagel • Jörg R. Strub • Michael Swain • Taskin Tuna • Alexander Vuck • Siegbert Witkowski
- By : Daniel Wismeijer
- Medical
Loading Protocols in Implant Dentistry
Author: Daniel Wismeijer
Publisher: Quintessenz Verlag
ISBN: 1850973458
Category : Medical
Languages : en
Pages : 345
Book Description
Implant dentistry has become a standard option for the rehabilitation of fully and partially edentulous patients. With the ever-increasing number of dentists involved in implant dentistry, it is essential to ensure that their treatment methods follow the highest standard. The ITI Treatment Guide series, a compendium of evidence-based implant-therapy techniques in daily practice, is written by renowned clinicians and provides a comprehensive overview of various therapeutic options. Using an illustrated step-by-step approach, the ITI Treatment Guide shows practitioners how to manage different clinical situations, with the emphasis on sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes. The second volume of the ITI Treatment Guide is devoted to the restoration of partially dentate patients. Central to this volume of the ITI Treatment Guide are loading protocols available to the clinician and the patient and how they relate to various treatment indications, including both single and multiple missing teeth in the posterior and anterior regions of the mouth. Among potential topics for upcoming volumes are implant placement in extraction sockets, loading protocols in edentulous patients, implant therapy in the esthetic zone in extended edentulous spaces, and many more.
- By : Saj Jivraj
- Medical
Graftless Solutions for the Edentulous Patient
Author: Saj Jivraj
Publisher: Springer Nature
ISBN: 3031328477
Category : Medical
Languages : en
Pages : 560
Book Description
This book, designed to meet the needs of clinicians and now in an extensively revised second edition, clearly explains the rationale and technique for the rehabilitation of fully edentulous patients utilizing traditional graftless concepts as well as zygomatic implant strategies when posterior support cannot be achieved by the former means. Considerations relevant to treatment planning and the biomechanics of immediate loading and zygomatic implants are first discussed. The techniques for placement of traditional tilted and zygomatic implants and for immediate loading of a full arch restoration are then described step by step. Detailed information and guidance are also provided on the different materials available for full arch restorations, laboratory aspects of the definitive restoration, maintenance of restorations, and management of prosthetic and surgical complications. The book concludes with a helpful series of clinical cases. Graftless Solutions for the Edentulous Patient is designed particularly for clinicians with experience in placing and restoring dental implants.
- By : Miguel Peñarrocha-Diago
- Medical
Atlas of Immediate Dental Implant Loading
Author: Miguel Peñarrocha-Diago
Publisher: Springer Nature
ISBN: 3030055469
Category : Medical
Languages : en
Pages : 383
Book Description
This atlas, in which a wealth of illustrations are supported by clear explanatory text, offers an up-to-date and comprehensive overview of the immediate restoration of teeth and immediate functional loading when using different implant systems and surfaces in patients with single tooth loss or partial or complete edentulism. It provides guidance on all aspects of technique, including procedures for impression and measurement taking, and describes the surgical and prosthetic protocols applicable in various settings. The coverage encompasses the more advanced techniques used for immediate loading of implants placed in conjunction with grafting/augmentation procedures or in fresh extraction sockets, as well as immediate implant loading for mandibular and maxillary full-arch rehabilitation. This atlas will help dental students and practitioners to gain a sound understanding of immediate loading techniques, including their indications and limitations, and to apply them optimally in their practice. The atlas also shows and explains how to integrate a full digital workflow from the intraoral scanner to solve complex cases in a simple way.
- By : Jorge M. Galante
- Medical
Digital Dental Implantology
Author: Jorge M. Galante
Publisher: Springer Nature
ISBN: 303065947X
Category : Medical
Languages : en
Pages : 210
Book Description
This book describes the fusion of CBCT and CAD/CAM technologies for the purpose of surgical dental treatments and explains the advantages and applications of this digital approach for implant placement procedures and other oral surgical protocols. All aspects of computer-aided imaging and design are first covered in the textbook, including the creation of DICOM and STL files; followed by the process of virtual merging to obtain a combined image. Secondly, clinical tips for the use of digital wax up, software interactions and accurate template fabrication are explained, including subtractive and additive methods used for this manufacturing step. The remainder of the book is devoted to the application of technology fusion in implantology, guided bone regeneration, and maxillofacial surgery. Both static and dynamic guided surgeries are described. Materials characteristics and surgical instruments are also presented to define a correct selection criteria. The digital approach outlined in this textbook involves a paradigm shift in the way traditional oral surgery is conceived. Technology fusion aims to improve treatment accuracy, optimize clinical time and reduce patient morbidity. Clinicians will find this book to be a valuable guide for virtual surgical planning and a path to introduce themselves into the exciting world of digital dental surgery.
- By : James Chow
- Medical
Zygomatic Implants
Author: James Chow
Publisher: Springer Nature
ISBN: 3030292649
Category : Medical
Languages : en
Pages : 233
Book Description
This book provides clinicians with state of the art information on the use of zygomatic implants to restore function and improve quality of life. International experts come together to showcase important innovations and advances in techniques that will assist in the optimization of outcomes. Readers will find information on indications, biomechanics, the role of imaging, digital treatment planning, and all aspects of implant placement. Individual chapters are devoted to different procedures, including the extramaxillary surgical technique, extended sinus lift with retained bone window, the anatomy-guided approach, the quad zygoma technique, and static and dynamic guided surgery. The use of zygomatic implants specifically in oncology patients is also given detailed consideration. Today, the zygomatic approach offers many advantages for patients with severe maxillary resorption, in whom grafting was in the past unavoidable. In providing an up-to-date global perspective on the zygoma concept, this book will be an invaluable source of guidance for practitioners at all levels of experience.
- By : James C. Melville
- Medical
Regenerative Strategies for Maxillary and Mandibular Reconstruction
Author: James C. Melville
Publisher: Springer
ISBN: 3319936689
Category : Medical
Languages : en
Pages : 278
Book Description
This book is designed as a comprehensive and up-to-date instructional guide to the strategies employed for regeneration of the maxillomandibular region, with emphasis on allogeneic and tissue engineering principles. Readers will find information on indications and contraindications for procedures, pertinent anatomy, surgical techniques, postoperative management, and management of complications. Current surgical techniques utilizing biotechnology for regeneration and reconstruction are described in depth, with explanation of their benefits in minimizing patient morbidity. In addition, state of the art free vascular transfer for maxillary and mandibular reconstruction is extensively discussed, with a particular focus on indications and step-by-step technique. The authors are well-known experts in their field who are keen to share their extensive experience and preferred approaches. The book is intended for all oral and maxillofacial surgeons, head and neck surgeons, and plastic and reconstruction surgeons who wish to increase their knowledge on the latest modalities of maxillary and mandibular reconstruction.
- By : Alexander Schramm
- Medical
Navigational Surgery of the Facial Skeleton
Author: Alexander Schramm
Publisher: Springer Science & Business Media
ISBN: 3540686274
Category : Medical
Languages : en
Pages : 171
Book Description
Computer-assisted techniques in the surgery of the facial skeleton including the skull base are depicted for the very first time in this atlas of navigational surgery. Experienced surgeons as well as trainees will benefit from the detailed and well-illustrated information on the use of computer technology in clinical routine, accompanied by the experimental basis of intraoperative accuracy. New methods of non-invasive referencing and the use of virtual models in the field of oral and cranio-maxillofacial surgery are demonstrated. Clinical cases illustrate the practical use of this new technique.
