Alternative applications of guided surgery: precise outlining of the lateral window in antral sinus bone grafting.
Computed tomography (CT) and the application of CT-based guided implant surgery allow clinicians to provide enhanced precision and accuracy in implant surgery. Because of the difficulty in transferring a patient's often complex anatomic sinus configurations, as viewed on a preoperative CT scan, into precise osteotomy cuts at antral bone graft surgery, a prototype cutting guide was developed. The surgical guide was developed through the use of CT imaging, SimPlant module Oral and Maxillofacial Surgery computer software (Materialise Dental, Glen Burnie, MD), and the stereolithographic process to precisely position the lateral window, facilitating Schneiderian membrane elevation. This report demonstrates the step-by-step method to perform precise guided sinus window preparation using computer software and a stereolithographically generated surgical guide.
Mandelaris
George A
GA
Periodontology and Dental Implant Surgery, Park Ridge, and Oakbrook Terrace, IL, USA. GMandelari@aol.com
Rosenfeld
Alan L
AL
D016025:Bone Transplantation / Q000000981:diagnostic imaging*; D003198:Computer Simulation; D003758:Dental Implantation, Endosseous; D005260:Female; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000000981:diagnostic imaging; D008437:Maxilla / Q000000981:diagnostic imaging; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D008953:Models, Anatomic; D013516:Oral Surgical Procedures, Preprosthetic / Q000379:methods*; D023861:Photography, Dental; D012984:Software; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods