title: Computer-assisted surgery in the lower jaw: double surgical guide for immediately loaded implants in postextractive sites-technical notes and a case report.
abstract: Computer-assisted surgery is based on computerized tomography (CT) scan technology to plan the placement of dental implants and a computer-aided design/computer-aided manufacturing (CAD-CAM) technology to create a custom surgical template. It provides guidance for insertion implants after analysis of existing alveolar bone and planning of implant position, which can be immediately loaded, therefore achieving esthetic and functional results in a surgical stage. The absence of guidelines to treat dentulous areas is often due to a lack of computer-assisted surgery. The authors have attempted to use this surgical methodology to replace residual teeth with an immediate implantoprosthetic restoration. The aim of this case report is to show the possibility of treating a dentulous patient by applying a computer-assisted surgical protocol associated with the use of a double surgical template: one before extraction and a second one after extraction of selected teeth.
authors.affiliation: Department of Maxillofacial Surgery and Dentistry, University of Verona, Italy. research.univr@hotmail.it
authors.forename: Daniele
authors.initials: D
authors.lastname: De Santis
authors.forename: Luciano Claudio
authors.initials: LC
authors.lastname: Canton
authors.forename: Alessandro
authors.initials: A
authors.lastname: Cucchi
authors.forename: Guglielmo
authors.initials: G
authors.lastname: Zanotti
authors.forename: Enrico
authors.initials: E
authors.lastname: Pistoia
authors.forename: Pier Francesco
authors.initials: PF
authors.lastname: Nocini
mesh_terms: D000328:Adult; D017076:Computer-Aided Design; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019094:Dental Prosthesis, Implant-Supported; D003799:Dental Stress Analysis; D003833:Denture, Partial, Temporary; D005260:Female; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000000981:diagnostic imaging* / Q000534:rehabilitation / Q000601:surgery; D008334:Mandible / Q000601:surgery; D008953:Models, Anatomic; D025321:Surgery, Computer-Assisted; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014081:Tooth Extraction; D020390:Tooth Socket / Q000601:surgery*