An image-guided system based on custom templates: case reports.
BACKGROUND
With the use of computer-assisted surgery and other modern imaging technologies, the surgeon's procedures have been modified.


OBJECTIVE
The purpose of these case reports is to show the clinical predictability of dental implant placement using an image-guided system.


METHODS
An acrylic template is made on the patient model. After computed tomographic examination, a treatment plan is established with appropriate software. To fabricate the surgical template, it is necessary to use a dedicated drilling machine. The first osteotomy is achieved through the template with a 2 mm twist drill. The template is then removed, and the osteotomy is completed, followed by implant placement with standard clinical procedures.


RESULTS
An excellent predictability was observed between the planned implants and those placed in the two maxillary cases presented: a full upper screw-retained bridge and two single units.


CONCLUSIONS
This new technology improves the treatment outcome and optimizes the surgical procedure.
Blanchet
Eric
E
Private practice, Lyon, France. emblanchet@AOL.com
Lucchini
Jean-Pierre
JP
Jenny
Rene
R
Fortin
Thomas
T
D000328:Adult; D000848:Anodontia / Q000601:surgery; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D017267:Dental Prosthesis Design / Q000379:methods*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation; D021621:Imaging, Three-Dimensional / Q000295:instrumentation / Q000379:methods*; D007180:Incisor / Q000002:abnormalities; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation / Q000601:surgery; D008297:Male; D008437:Maxilla / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D003765:Models, Dental; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D015921:Dental Implants