title: [New protocol combining orthodontics and implant therapy for partially edentulous adult patients. Part I: Description of the Decker protocol].
abstract: BACKGROUND
  The treatment of adult malocclusion is usually complex and pluridisciplinary. Its prognosis is not reliable. We present a new clinical protocol to improve the management and final result.
  
  
  METHODS
  We use a specific software (Simplant®, OMS®, Materialise Dental) and its accessory modules. It allows visualization of the expected final clinical result of the orthodontic treatment. Combined with guided-surgery, it allows placing implants at the beginning of treatment in a position that is compatible with the final position. The implants serve as absolute anchorage for dental motions during the orthodontic step; it is also used to support the final prosthesis. The treatment is thus optimized and its prognosis is improved. Finally, the reversed surgical sequences shorten the treatment thus promoting the compliance of patients.
authors.affiliation: EID research group, service d'odontologie, hôpital Bretonneau, université Paris Descartes, Paris, France. Electronic address: davarpanah@perioimplant.fr.
authors.forename: K
authors.initials: K
authors.lastname: Davarpanah
authors.affiliation: Université Paris Descartes, hôpital Bretonneau, France.
authors.forename: A
authors.initials: A
authors.lastname: Decker
authors.affiliation: Service d'orthodontie, hôpital Bretonneau, université Paris Descartes, Paris, France.
authors.forename: M P
authors.initials: MP
authors.lastname: Sache
authors.affiliation: Hôpital américain de Paris, 2, rue de St Petersbourg, 75008 Paris, France.
authors.forename: D
authors.initials: D
authors.lastname: Deffrennes
authors.affiliation: EID research group, département de prothèse, hôpital Charles Foix, université Paris Descartes, Paris, France.
authors.forename: G
authors.initials: G
authors.lastname: Demurashvili
authors.affiliation: EID research group, laboratoire de biologie Orale (OBL), département des sciences odontostomatologiques, université de Cagliari, Italie; Im Hinterstück 32, 4107 Ettingen-Basel, Suisse.
authors.forename: S
authors.initials: S
authors.lastname: Szmukler-Moncler
mesh_terms: D000328:Adult; D000848:Anodontia / Q000601:surgery; D003758:Dental Implantation, Endosseous / Q000295:instrumentation / Q000379:methods*; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D007576:Jaw, Edentulous, Partially / Q000601:surgery*; D008310:Malocclusion / Q000601:surgery*; D008953:Models, Anatomic; D019647:Oral Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods
keywords: 3D imaging; Chirurgie assistée par ordinateur; Computer simulation; Computer-assisted surgery; Endo-osseous implant; Imagerie 3D; Implant endo-osseux; Orthodontics; Orthodontie; Simulation informatique