title: Depth deviation and occurrence of early surgical complications or unexpected events using a single stereolithographic surgi-guide.
abstract: The purpose of this study was to determine the accuracy of depth implant insertion and to describe the frequency of early surgical complications or unexpected events, recorded using a single, totally guided, stereolithographic surgi-guide (bone-, mucosa- and teeth-supported) for both osteotomy site preparation and implant delivery. Ten adults were included in this study. Six patients were treated in both arches, and the number of computer aided implantology (CAI) interventions was 16, which equalled the number of guides used, for a total of 111 implants inserted. Complications and unexpected events occurred during the positioning of the surgical guide and whilst preparing the implant site and installing implants. In order to minimize the risk of complications and unexpected events, attention must be paid to every stage of treatment, including checking computed tomography (CT) images, guide manufacturing, proper guide positioning in the mouth, guide fixation, rotational allowance of drill in tubes, shape and sharpness of the drills, first entry point, mouth opening and guided implant insertion.
authors: Department of Oral and Maxillo-facial Sciences, School of Dentistry, Sapienza University of Rome, Italy. michele.cassetta@uniroma1.it
authors: M
authors: M
authors: Cassetta
authors: L V
authors: LV
authors: Stefanelli
authors: M
authors: M
authors: Giansanti
authors: A
authors: A
authors: Di Mambro
authors: S
authors: S
authors: Calasso
mesh_terms: D000328:Adult; D017076:Computer-Aided Design / Q000592:standards; D003758:Dental Implantation, Endosseous / Q000009:adverse effects / Q000295:instrumentation*; D015921:Dental Implants / Q000009:adverse effects; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D021621:Imaging, Three-Dimensional / Q000379:methods; D007431:Intraoperative Complications; D007575:Jaw, Edentulous / Q000534:rehabilitation / Q000601:surgery; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation / Q000601:surgery; D008297:Male; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects / Q000295:instrumentation*; D010347:Patient Care Planning / Q000592:standards; D011183:Postoperative Complications; D012189:Retrospective Studies; D012399:Rotation; D012984:Software; D013499:Surface Properties; D025321:Surgery, Computer-Assisted; D036542:Tomography, Spiral Computed / Q000379:methods
chemical_list: D015921:Dental Implants