Literature DB >> 23285331

CAD/CAM technologies in the surgical and prosthetic treatment of the edentulous patient with biomymetic individualized approach.

A Pozzi1, M Gargari, A Barlattani.   

Abstract

BACKGROUND: The advent of modern endosseous implant design and improved surface technology has allowed the development of new restorative techniques that decrease patient's total treatment time. Utilizing the latest scanning, CAD/CAM and manufacturing technolgies we are able to manufacture individualized dental restoration with high accuracy and a perfect precision of fit.
MATERIALS AND METHODS: This report describes the rehabilitation of a completely edentulous patient utilizing a CT-based implant planning with computer-assisted surgical design, simultaneous CAD/CAM fabrication of a surgical template, a flapless surgical placement of the implants, and a prefabricated fixed complete denture for an immediately loaded restoration according to Nobel Biocare's Teeth-in-an-Hour™ (Nobel Biocare Goteborg, Sweden) protocol. This systematic approach to full mouth rehabilitation reduces the time necessary for an edentulous patient to go from severely atrophic alveolar support to implant retained prosthetic restoration. These aspects of minimally invasive and simplified surgery, along with reducing the treatment time and postsurgical discomfort, are beneficial to the patient, and allowing for rehabilitation with the same level of success as in flap surgery.
CONCLUSION: The Teeth-in-an-Hour protocol is a unique solution made possible by the Procera System. With the aid of the CT scans and a virtual planning software, a custom fabricated precision drill guide and a pre-manufactured prosthesis can be made before surgery. The execution of implant placement is performed with a flapless procedure that results in minimal surgical intervention. This results in a short and non-traumatic surgery with a minimum of postoperative complications, allowing the patient to leave the chair with a fixed prosthesis. Utilizing the latest scanning, CAD/CAM and manufacturing technologies the dental team is able to develop individualized zirconia full arch framework with high accuracy and precision of fit.

Entities:  

Keywords:  CAD/CAM technology; Nobel Guide; zirconia full arch framework

Year:  2008        PMID: 23285331      PMCID: PMC3476503     

Source DB:  PubMed          Journal:  Oral Implantol (Rome)        ISSN: 1974-5648


  28 in total

1.  The use and fabrication of a self-retaining surgical guide for controlled implant placement: a technical note.

Authors:  S M Parel; J J Funk
Journal:  Int J Oral Maxillofac Implants       Date:  1991       Impact factor: 2.804

2.  Load factor control for implants in the posterior partially edentulous segment.

Authors:  B R Rangert; R M Sullivan; T M Jemt
Journal:  Int J Oral Maxillofac Implants       Date:  1997 May-Jun       Impact factor: 2.804

3.  Computer-assisted planning of oral implant surgery: a three-dimensional approach.

Authors:  K Verstreken; J Van Cleynenbreugel; G Marchal; I Naert; P Suetens; D van Steenberghe
Journal:  Int J Oral Maxillofac Implants       Date:  1996 Nov-Dec       Impact factor: 2.804

4.  Immediate loading of threaded implants at stage 1 surgery in edentulous arches: ten consecutive case reports with 1- to 5-year data.

Authors:  D P Tarnow; S Emtiaz; A Classi
Journal:  Int J Oral Maxillofac Implants       Date:  1997 May-Jun       Impact factor: 2.804

5.  Three-dimensional distortion of gold alloy castings and welded titanium frameworks. Measurements of the precision of fit between completed implant prostheses and the master casts in routine edentulous situations.

Authors:  T Jemt
Journal:  J Oral Rehabil       Date:  1995-08       Impact factor: 3.837

Review 6.  Osseointegration and its experimental background.

Authors:  P I Brånemark
Journal:  J Prosthet Dent       Date:  1983-09       Impact factor: 3.426

7.  A 15-year study of osseointegrated implants in the treatment of the edentulous jaw.

Authors:  R Adell; U Lekholm; B Rockler; P I Brånemark
Journal:  Int J Oral Surg       Date:  1981-12

8.  The Biotes conversion prosthesis: a provisional fixed prosthesis supported by osseointegrated titanium fixtures for restoration of the edentulous jaw.

Authors:  T J Balshi
Journal:  Quintessence Int       Date:  1985-10       Impact factor: 1.677

Review 9.  The implant-supported prosthesis for the edentulous arch: design considerations.

Authors:  S J Sadowsky
Journal:  J Prosthet Dent       Date:  1997-07       Impact factor: 3.426

10.  Treatment plan for restoring the edentulous maxilla with implant-supported restorations: removable overdenture versus fixed partial denture design.

Authors:  N U Zitzmann; C P Marinello
Journal:  J Prosthet Dent       Date:  1999-08       Impact factor: 3.426

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  6 in total

1.  Full rehabilitation with nobel clinician(®) and procera implant bridge(®): case report.

Authors:  D Spinelli; L Ottria; G DE Vico; R Bollero; A Barlattani; P Bollero
Journal:  Oral Implantol (Rome)       Date:  2013-10-15

2.  Full digital workflow for implant-prosthetic rehabilitations: a case report.

Authors:  L Arcuri; C Lorenzi; F Cecchetti; F Germano; M Spuntarelli; A Barlattani
Journal:  Oral Implantol (Rome)       Date:  2016-07-23

3.  A novel workflow for computer guided implant surgery matching digital dental casts and CBCT scan.

Authors:  G DE Vico; F Ferraris; L Arcuri; F Guzzo; D Spinelli
Journal:  Oral Implantol (Rome)       Date:  2016-11-13

4.  Clinical protocol with digital cad/cam chairside workflow for the rehabilitation of severely worn dentition patients.

Authors:  Fed Germano; Fra Germano; M Piro; C Arcuri; L Ottria
Journal:  Oral Implantol (Rome)       Date:  2017-11-30

Review 5.  Recent Advances in Material and Geometrical Modelling in Dental Applications.

Authors:  Waleed M S Al Qahtani; Salah A Yousief; Mohamed I El-Anwar
Journal:  Open Access Maced J Med Sci       Date:  2018-06-17

6.  Patient Eligibility for Standardized Treatment of the Edentulous Mandible: A Retrospective CBCT-Based Assessment of Mandibular Morphology.

Authors:  Walid Aouini; France Lambert; Luc Vrielinck; Bart Vandenberghe
Journal:  J Clin Med       Date:  2019-05-07       Impact factor: 4.241

  6 in total

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