Design, manufacturing, and clinical application of digital sequential assembled guide in full arch immediate implant placement and immediate restoration

doi:10.12337/zgkqzzxzz.2021.06.008

Abstract

Abstract: This article discusses the method of precise implantation and provisionalization for patients who intend to accept the treatment of full arch immediate implant placement and immediate restoration. Digital technologies are used to design sequential assembled guide and prefabricated prosthesis. With the guidance of template, alveolar bone reduction following tooth extraction, implant site osteotomy and implant placement, as well as precise placement of temporary prosthesis are carried out. This clinical technology, which is effective and worthy of promotion, enables the implant surgery and prosthetic procedures quick, efficient and accurate. This article gives a systematic elaboration about the design, manufacturing, and clinical application of the digital sequential assembled guide in full arch immediate implant placement and immediate restoration.

Key words: Digital guide, Sequential guide, Immediate implant placement, Immediate restoration, Full arch

Peng Lingyan, Liu Qian, Li Ruhua, Wang Xia, Pi Xueming, Su Yucheng. Design, manufacturing, and clinical application of digital sequential assembled guide in full arch immediate implant placement and immediate restoration[J]. Chinese Journal of Oral Implantology, 2021, 26(3): 185-191.

References

[1] 宿玉成.现代口腔种植学[M]. 北京:人民卫生出版社, 2004.
[2] Mozzati M, Arata V, Gallesio G, et al.Immediate postextraction implant placement with immediate loading for maxillary full-arch rehabilitation: A two-year retrospective analysis[J]. J Am Dent Assoc, 2012,143(2):124-133. DOI: 10.14219/jada.archive.2012.0122.
[3] Beretta M, Poli PP, Tansella S, et al.Virtually guided alveolar ridge reduction combined with computer-aided implant placement for a bimaxillary implant-supported rehabilitation: A clinical report[J]. J Prosthet Dent, 2018,120(2):168-172. DOI: 10.1016/j.prosdent.2017.11.010.
[4] Geng W, Liu C, Su Y, et al.Accuracy of different types of computer-aided design/computer-aided manufacturing surgical guides for dental implant placement[J]. Int J Clin Exp Med, 2015,8(6):8442-8449.
[5] Colombo M, Mangano C, Mijiritsky E, et al.Clinical applications and effectiveness of guided implant surgery: a critical review based on randomized controlled trials[J]. BMC Oral Health, 2017,17(1):150. DOI: 10.1186/s12903-017-0441-y.
[6] 杨静文, 侯建霞, 刘建彰, 等.序列手术导板辅助重度牙周炎患者全牙弓即刻种植即刻修复的临床应用[J]. 中华口腔医学杂志,2021,56(6):576-580. DOI: 10.3760/cma.j.cn112144-20201212-00616.
[7] Wismeijer D, Casentini P, Gallucci G, et al.ITI Treatment Guide.Volume 4:Loading protocols in implant dentistry.Edentulous Patients[M]. Quintessence, 2010.
[8] Granata S, Sforza NM, Giberti L, et al.Computer-guided implant surgery for immediate implanting and loading: The STIL technique[J]. J Prosthet Dent, 2020,DOI: 10.1016/j.prosdent.2020.05.006.
[9] Costa A, Teixeira Neto AD, Burgoa S, et al.Fully Digital Workflow with Magnetically Connected Guides for Full-Arch Implant Rehabilitation Following Guided Alveolar Ridge Reduction[J]. J Prosthodont, 2020,29(3):272-276. DOI: 10.1111/jopr.13150.
[10] Chen L, Lin WS, Polido WD, et al.Accuracy, reproducibility, and dimensional stability of additively manufactured surgical templates[J]. J Prosthet Dent, 2019,122(3):309-314. DOI: 10.1016/j.prosdent.2019.02.007.
[11] Lin WS, Yang CC, Polido WD, et al.CAD-CAM cobalt-chromium surgical template for static computer-aided implant surgery: A dental technique[J]. J Prosthet Dent, 2020,123(1):42-44. DOI: 10.1016/j.prosdent.2019.04.014.
[12] Agliardi EL, Pozzi A, Stappert CF, et al.Immediate fixed rehabilitation of the edentulous maxilla: a prospective clinical and radiological study after 3 years of loading[J]. Clin Implant Dent Relat Res, 2014,16(2):292-302. DOI: 10.1111/j.1708-8208.2012.00482.x.
[13] Oh JH, An X, Jeong SM, et al.A digital technique for fabricating an interim implant-supported fixed prosthesis immediately after implant placement in patients with complete edentulism[J]. J Prosthet Dent, 2019,121(1):26-31. DOI: 10.1016/j.prosdent.2018.03.030.
[14] Daas M, Assaf A, Dada K, et al.Computer-Guided Implant Surgery in Fresh Extraction Sockets and Immediate Loading of a Full Arch Restoration: A 2-Year Follow-Up Study of 14 Consecutively Treated Patients[J]. Int J Dent, 2015,2015:824127. DOI: 10.1155/2015/824127.
[15] Harris BT, Montero D, Grant GT, et al.Creation of a 3-dimensional virtual dental patient for computer-guided surgery and CAD-CAM interim complete removable and fixed dental prostheses: A clinical report[J]. J Prosthet Dent, 2017,117(2):197-204. DOI: 10.1016/j.prosdent.2016.06.012.
[16] Raico Gallardo YN, da Silva-Olivio I, Mukai E, et al.Accuracy comparison of guided surgery for dental implants according to the tissue of support: a systematic review and meta-analysis[J]. Clin Oral Implants Res, 2017,28(5):602-612. DOI: 10.1111/clr.12841.
[17] Zhou W, Liu Z, Song L, et al.Clinical Factors Affecting the Accuracy of Guided Implant Surgery-A Systematic Review and Meta-analysis[J]. J Evid Based Dent Pract, 2018,18(1):28-40. DOI: 10.1016/j.jebdp.2017.07.007.
[18] Tahmaseb A, Wu V, Wismeijer D, et al.The accuracy of static computer-aided implant surgery: A systematic review and meta-analysis[J]. Clin Oral Implants Res, 2018,29 Suppl 16:416-435. DOI: 10.1111/clr.13346.