Digital design of a surgical guide for placement of definitive implants before orthodontic treatment.
Interdisciplinary treatment planning is an essential part of orthodontic therapy for patients with partial edentulism, especially when dental implants are to serve initially as anchorage and ultimately as prosthetic abutments for the definitive fixed restoration. A technique is presented for designing and fabricating a computed tomography-based surgical guide to place definitive implants before orthodontic therapy. First, the diagnostic cast and the orthodontic tooth arrangement and diagnostic waxing cast are scanned with a 3-dimensional optical scanner. Three-dimensional renderings of these scans are then merged and superimposed onto the cone beam computed tomography (CBCT) image with implant planning software to develop definitive implant positions. A custom surgical guide is fabricated from these data.
Resident, Department of Prosthodontics, Georgia Regents University, Augusta, Ga. Electronic address: hanifebayraktaroglu@gmail.com.
Hanife Canan
HC
Bayraktaroglu
Assistant Professor, Department of Oral Rehabilitation, Georgia Regents University, Augusta, Ga.
Jae Seon
JS
Kim
Assistant Professor, Department of Oral Rehabilitation, Georgia Regents University, Augusta, Ga.
Jimmy
J
Londono
Associate Professor, Department of Oral Rehabilitation, Georgia Regents University, Augusta, Ga.
Philip S
PS
Baker
D017076:Computer-Aided Design; D054893:Cone-Beam Computed Tomography / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000295:instrumentation*; D015921:Dental Implants; D003761:Dental Impression Technique; D019094:Dental Prosthesis, Implant-Supported; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D021621:Imaging, Three-Dimensional / Q000379:methods; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation; D061848:Optical Imaging / Q000379:methods; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation; D009971:Orthodontics, Corrective / Q000379:methods*; D010347:Patient Care Planning; D010348:Patient Care Team; D025321:Surgery, Computer-Assisted / Q000295:instrumentation / Q000379:methods*
D015921:Dental Implants