An image-guided system-drilled surgical template and trephine guide pin to make treatment of completely edentulous patients easier: a clinical report on immediate loading.
OBJECTIVE
An image-guided system has been developed to drill a conventional surgical guide following a preoperative three-dimensional plan for accurate placement of implant on bone. The aim of this study is to illustrate how this system facilitates treatment of completely edentulous patients by modifying both surgical and prosthetic protocols, thereby making flapless surgery possible as well as the preparation of the transitional prosthesis before surgery.


METHODS
This system was tested on 10 consecutive patients, placing all planned implants without raising the mucoperiosteal flap and with the connection of all implants to pre-angulated abutments.


RESULTS
A 1-year follow-up demonstrated stable and properly functioning prostheses in all cases.


CONCLUSIONS
This technique can be expected to flourish because implantology makes the highest demands on comfort, precision, and safety.
Fortin
Thomas
T
Department of Oral Surgery, Dental University of Lyon, 69008 Lyon, France. Thomas.fortin@rockefeller.univ-lyon1.fr
Isidori
Michel
M
Blanchet
Eric
E
Perriat
Michel
M
Bouchet
Hervé
H
Coudert
Jean Loup
JL
D000044:Dental Abutments; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003794:Dental Restoration, Temporary; D003799:Dental Stress Analysis; D003825:Denture, Complete, Immediate; D006801:Humans; D021621:Imaging, Three-Dimensional; D007575:Jaw, Edentulous / Q000000981:diagnostic imaging / Q000601:surgery*; D008953:Models, Anatomic; D003765:Models, Dental; D010347:Patient Care Planning; D012984:Software; D025321:Surgery, Computer-Assisted / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed; D016474:Weight-Bearing
D015921:Dental Implants