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Sim Plant

Sim Plant

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Published by 224edgeb

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Published by: 224edgeb on Aug 06, 2009
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05/14/2011

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With increasing success of placing dental implants due to better biocompatibility and technique, patientsare increasingly accepting dental implants to restore edentulous regions of the oral cavity. Along withincreasing acceptance, practitioners must be acutely aware of the axial orientation and encroachment uponmaxillofacial anatomy to prevent patient postoperative discomfort and/or paresthesia.Radiographic imaging preoperatively and postoperatively is necessary to perceive the safe placement of thedental implant and hard tissue augmentation if necessary. It is common practice for practitioners to usetwo-dimensional imaging and panoramic images to assess the quantity and quality of hard tissue forplacement of implants. Although panoramic images may provide enough information for placement of single implants with plenty of hard tissue, it is not enough information when quality and quantity of hardtissue is in question. In fact, the American Academy of Oral and Maxillofacial Radiology recommendsthree-dimensional imaging for assessing preoperative placement of dental implants.Patients can obtain three-dimensional imaging through medical computer tomography and conebeamtechnology at Carolina OMF Imaging. Images produced by these means provide radiographic views in anydirection as well as three-dimensional volume renderings. Using this three-dimensional data, SimPlantuses implant icons that are manipulated on two-dimensional and three-dimensional images to orient theimplant before the surgical procedure. Finally from this treatment plan, a prosthetic device with guidedsleeves orients the operator during preparation of the hard tissue for implant placement.In short, Materialise has produced software called SimPlant to provide implant placement planning usingconebeam technology images and surgical guided prostheses to safely place dental implants. The followingprovides examples of how this process is accomplished.First, three-dimensional information is acquired from the patient using either medical computertomography or conebeam technology (Carolina OMF Imaging uses conebeam technology) in the form of Digital Imaging and Communications in Medicine (
DICOM)
data.
Figure 1
is an example of a panoramicimage created using conebeam technology.Go to next page…
 
Figure 1.
Panoramic image created using conebeam technology.This data is converted to a format using SimPlant software called SimPlant Master. [Carolina OMFimaging will do this for you.] The imaging data is then placed on a CD for the dental implantologist to useon his or her computer to place implant icon(s) onto the two-dimensional and three-dimensional images.Implants from different manufacturers can be chosen, quality of bone can be detected, and marking of themandibular canal are just a few of the many features of this software. Please contact Carolina OMFImaging for a demonstration of the potential of this software.
Figure 2
is an example of the SimPlantenvironment.
Figure 2.
SimPlant planner environment.
 
Once the implant treatment plan is completed, plaster models of the patient’s dentition and a copy of thetreatment plan are sent to Annapolis, Maryland where Materialise will fabricate prostheses with theappropriate metal sleeves to create the openings in the hard tissue to receive the dental implant(s). Theterm used by Materialise for this prosthesis is called a SurgiGuide. As shown in
Figure 3
, SurgiGuide canbe a tooth-borne, tissue-borne, or bone-borne prosthesis to be used during surgery.
Figure 3.
Diagramatic representation of SurgiGuide types.
Figure 4
is an example of SurgiGuides to be used for placement of five dental implants. Notice that eachSurgiGuide has a different diameter sleeve.
Figure 4.
SurgiGuide Stents.

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