PREDICTABLE COMPUTER GUIDED FLAPLESS SURGERY FOR DENTAL IMPLANTS INSERTION

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2015 CLINICAL ASPECTS AMT   unpublished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,
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