Implant treatment planning in fresh extraction sockets: use of a novel radiographic guide and CAD/CAM technology.
Diagnosis and implant treatment planning in cases where hopeless teeth need to be extracted and immediately replaced with implants are more difficult and challenging than a standard multistage approach. Software and CAD/CAM technologies are becoming increasingly common to help clinicians in their practices. They use data from CT scans of the patient and of a radiographic guide for virtual implant treatment planning on a computer and the successive production of a surgical template, which will facilitate surgery and enable fabrication of a prosthesis to be delivered immediately. These procedures, however, are well-established only for patients who are already edentulous in the area to be treated; they are difficult to apply to a patient whose desire is to keep the hopeless dentition until the day of implant surgery to avoid having to wear a removable partial or complete denture. This article describes the advantages and the technique for fabrication of a novel 2-piece radiographic guide that, in conjunction with CAD/CAM technology, will help clinicians in the diagnosis and implant treatment planning of patients who want to retain their teeth until surgery.
Cantoni
Tommaso
T
tcantoni@tin.it
Giovanni
Polizzi
P
D000180:Acrylic Resins / Q000737:chemistry; D017076:Computer-Aided Design; D003287:Contrast Media / Q000737:chemistry; D003758:Dental Implantation, Endosseous / Q000295:instrumentation*; D015921:Dental Implants; D003764:Dental Materials / Q000737:chemistry; D004867:Equipment Design; D006801:Humans; D003765:Models, Dental; D010347:Patient Care Planning; D011873:Radiology Information Systems; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*; D014081:Tooth Extraction; D020390:Tooth Socket / Q000000981:diagnostic imaging / Q000601:surgery*; D014584:User-Computer Interface
D000180:Acrylic Resins; D003287:Contrast Media; D015921:Dental Implants; D003764:Dental Materials