关键词: cbct dental implants digital dentistry guided implant surgery periodontics

来  源:   DOI:10.7759/cureus.62469   PDF(Pubmed)

Abstract:
CT-guided surgery has demonstrated superior accuracy over traditional methods in the dental literature. However, inherent errors such as discrepancies between jaw dimensions in scans and reality can challenge the fabrication of screw-retained provisional restorations. These discrepancies can impede final restoration fabrication. Traditional immediate loading of edentulous jaws using temporary cylinders in existing dentures often requires time-consuming abutment positioning and drilling. Many articles addressed these issues through minimally invasive implant placement with immediate loading, achieved through careful preoperative planning and exact prosthetic techniques. CT-guided surgery facilitates minimally invasive procedures and immediate restoration of edentulous jaws, resulting in reduced morbidity and quicker, more precise outcomes. This case report illustrates how digital dentistry enhances implant placement precision and reliability. It involves using a lock object system between the surgical guide and provisional restoration, streamlining the process. A 59-year-old male with significant periodontal issues and non-restorable teeth was treated with implant-supported fixed prostheses using digital planning and computer-fabricated surgical guides. The plan included immediate loading with mechanical and magnetic locks for optimal outcomes. The patient received complete fixed provisional restorations on both arches through minimally invasive procedures. Digital dentistry facilitated precise implant placement and restoration, improving function, esthetics, and patient satisfaction. Digital technologies streamlined the process, reducing time and enhancing predictability and reproducibility. In conclusion, integrating digital dentistry into implant treatment planning and execution offers enhanced accuracy, efficiency, and patient outcomes. By utilizing digital technologies and innovative methods, clinicians can attain consistent and reliable outcomes, thereby enhancing the quality of care for patients undergoing implant therapy.
摘要:
在牙科文献中,CT引导的手术比传统方法具有更高的准确性。然而,固有的错误,例如扫描中的颌骨尺寸与现实之间的差异,可能会挑战螺钉保留的临时修复体的制造。这些差异可能会阻碍最终的修复制造。在现有假牙中使用临时气缸对无牙颌进行传统的即时加载通常需要耗时的基牙定位和钻孔。许多文章通过立即加载的微创植入物放置解决了这些问题,通过仔细的术前计划和精确的假体技术实现。CT引导的手术有助于微创手术和无牙颌的立即恢复,导致发病率降低和更快,更精确的结果。此案例报告说明了数字牙科如何提高植入物的放置精度和可靠性。它涉及在手术指南和临时修复之间使用锁定对象系统,简化流程。使用数字计划和计算机制造的手术指南,使用植入物支持的固定假体治疗了一名59岁的男性,患有严重的牙周问题和无法修复的牙齿。该计划包括立即装载机械和磁锁以获得最佳结果。患者通过微创手术在两个牙弓上接受了完整的固定临时修复。数字牙科促进了精确的植入物放置和修复,改善功能,美学,患者满意度。数字技术简化了流程,减少时间,提高可预测性和可重复性。总之,将数字牙科集成到植入物治疗计划和执行中可以提高准确性,效率,和患者结果。通过利用数字技术和创新方法,临床医生可以获得一致和可靠的结果,从而提高植入治疗患者的护理质量。
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