Technology of surgical guide development: practical application in implantology

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Purpose. To examine and describe the steps involved in creating a surgical guide for dental implant installation, and to assess the advantages of using surgical guides compared to traditional implant placement methods.

Materials and methods. The study utilized data from cone-beam computed tomography, intraoral scanning, and specialized software for data merging and surgical guide modeling. A clinical case with the installation of three implants was analyzed to evaluate the effectiveness of the method. Additionally, 15 similar cases were reviewed where implant placement was performed without using a surgical guide to compare operation times.

Results. The results showed that using a surgical guide reduced the operation time to 23 minutes compared to the average duration of 58 minutes with the traditional method.

Conclusions. The use of guides minimizes the need for constant checks and adjustments, reduces the risk of complications, and improves patient comfort by shortening the time spent on the operating table. Patients feel more confident in the outcome since the template minimizes the likelihood of medical errors.

全文:

受限制的访问

作者简介

N. Osmanova

"Okodent" LLC

编辑信件的主要联系方式.
Email: naidaosmanova18@icloud.com
ORCID iD: 0009-0006-8653-7424
俄罗斯联邦, Saint Petersburg

参考

  1. Дегтярев Н.Е., Мухаметшин Р.Ф., Мамедов С.И. др. Этапы изготовления хирургических шаблонов и их применение в сложных клинических случаях. Голова и шея. Российский журнал. 2020; 8 (3): 61–7 [Degtyarev N.E., Mukhametshin R.F., Mamedov S. et al. Stages of manufacturing surgical templates and their application in complex clinical cases. Head and neck. Russian Journal. 2020; 8 (3): 61–7 (in Russ)]. doi: 10.25792/HN.2020.8.3.61–67
  2. Иващенко А.В., Яблоков А.Е., Антонян Я.Э. и др. Анализ методов дентальной имплантации. Вестник медицинского института «РЕАВИЗ»: реабилитация, врач и здоровье. 2018; 3 (33): 65–75 [Ivashchenko A.V., Yablokov A.E., Antonyan Ya. E. et al. Analysis of dental implantation techniques. Bulletin of the Medical Institute "REAVIZ": Rehabilitation, Doctor and Health. 2018; 3 (33): 65–75 (in Rus)].
  3. Метелев И.А., Звигинцев М.А., Фокас Н.Н. и др. Использование хирургического навигационного шаблона в дентальной имплантации. Актуальные вопросы современной науки: мат-лы XVIII междунар. научно-практ. конф. Томск, 13 февраля 2019 г. Уфа, 2019; с. 96–101 [Metelev I. A., Zvigintsev M. A., Fokas N. N. et al. Analysis of the features of using a surgical navigation template during dental implantation surgery. Current Issues of Modern Science: Proceedings of the 18th International Scientific and Practical Conference. Tomsk, February 13, 2019. Ufa, 2019; pp. 96–101 (in Rus)].
  4. Жолудев С.Е., Нерсесян П.М. Современные знания и клинические перспективы использования для позиционирования дентальных имплантатов хирургических шаблонов: обзор литературы. Проблемы стоматологии. 2017; 13 (4): 74–80 [Zholudev S.E., Nersesyan P.M. Modern knowledge and clinical perspectives of use for positioning dental implants of surgical templates. Literature review. The problems of dentistry. 2017; 13 (4): 74–80 (in Russ)]. doi: 10.18481/2077-7566-2017-13-4-74-80
  5. Jacobs R., Salmon B., Codari M. et al. Cone beam computed tomography in implant dentistry: recommendations for clinical use. BMC Oral Health. 2018; 18 (1): 88. doi: 10.1186/s12903-018-0523-5
  6. Kernen F., Kramer J., Wanner L. et al. A review of virtual planning software for guided implant surgery: data import and visualization, drill guide design and manufacturing. BMC Oral Health. 2020; 20 (1): 251. doi: 10.1186/s12903-020-01208-1
  7. Buser D., Bornstein M.M., Weber H.P. et al. Early implant placement with simultaneous guided bone regeneration following single-tooth extraction in the esthetic zone: a cross-sectional, retrospective study in 45 subjects with a 2 to 4-year follow-up. J Periodontol. 2008; 79 (9): 1773–81. doi: 10.1902/jop.2008.080071
  8. Buser D., Wittneben J., Bornstein, M.M. et al. Stability of contour augmentation and esthetic outcomes of implant-supported single crowns in the esthetic zone: 3-year results of a prospective study with early implant placement postextraction. J Periodontal. 2011; 82 (3): 342–9. doi: 10.1902/jop.2010.100408
  9. Linkevicius T., Puisys A., Vindasiute E. et al. Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis. Clin Oral Implants Res. 2013; 24 (11): 1179–84. doi: 10.1111/j.1600-0501.2012.02570.x
  10. Ramanauskaite A., Becker J., Sader R. et al. Anatomic factors as contributing risk factors in implant therapy. Periodontol 2000. 2019; 81 (1): 64–75. doi: 10.1111/prd.12284

补充文件

附件文件
动作
1. JATS XML
下载
2. Fig. 1. Alignment of data based on marker points made from flowable composite on the complete maxillary denture

下载 (157KB)
索引源数据
3. Fig. 2. Cone-beam computed tomography (CBCT) slice of the patient before surgery

下载 (55KB)
索引源数据
4. Fig. 3. Modeling of virtual crowns

下载 (102KB)
索引源数据
5. Fig. 4. Alignment of CBCT data and scanning

下载 (245KB)
索引源数据
6. Fig. 5. Placement of implants in optimal positions, creation of absolute parallelism between them, and control of the trajectory of the channels

下载 (128KB)
索引源数据
7. Fig. 6. Guide modeling with the creation of inspection windows and support beams

下载 (136KB)
索引源数据
8. Fig. 7. Surgical report

下载 (318KB)
索引源数据
9. Fig. 8. Surgery stages: а – placement of the guide; б – insertion of the implant through the guide sleeve; в – occlusal view, implants are placed; г – parallelism check on Connect-abutments

下载 (335KB)
索引源数据
10. Fig. 9. CBCT immediately after surgery. Implants are placed in the planned position

下载 (133KB)
索引源数据

版权所有 © Russkiy Vrach Publishing House, 2025