Consuela Ghiuță, Corina Marilena Cristache, Augustin Mihai, Gabriela Tănase, Mihai David, Traian Bodnar, Anca Temelcea, Dana Bodnar
2015 CLINICAL ASPECTS AMT   unpublished
Keywords: flapless surgery, cone beam computed tomography (CBCT), computer-aided design/ computer aided manufacturing (CAD/CAM) stereolitographic template Abstract: Computer aided implant planning and placement has been developed in the past years allowing for more efficient preoperative patient evaluation and safe restorative driven implant insertion. The use of a computer based surgical template allows to use the advantages of state-of-the-art flapless surgery including reduced postoperative
more » ... ain and swelling, reduced intraoperative bleeding, preservation of soft and hard tissue and maintenance of periosteal blood supply. The aim of this prospective study was to present a predictable protocol for dental implants insertion with the use of a stereolitographic guide for flapless surgery and immediate or conventional loading based on a bone quality assessment. Material and methods: Four consecutive patients partially dentate and fully edentulous were planned and operated using a computer-aided treatment concept (R2GATE) and flapless surgery. Results: Ten implants were successfully inserted with no accidents or complications during surgery. Four implants placed at one fully mandibular edentulous patient, in type 1 and 2 bone, were immediate loaded. The six other implants were inserted in the anterior and lateral maxilla in type 2, 3 and 4 bone and were conventionally loaded for a predictable treatment outcome. All implants reached primary stability after insertion. As assessed with postoperative panoramic radiograph, all implants were placed according to the planned position, established in a prosthetic driven manner. Conclusions: Within the limitations of this pilot study, it can be stated that three-dimensional guided implant surgery improves the quality of the surgical procedure and the restorative results, enabling a very safe and predictable rehabilitation. 2 Corresponding author: Corina Marilena Cristache, B-dul. Eroii Sanitari,