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    Computer-guided dental implant planning and treatment workflows were developed to improve the accuracy and precision of implant placement while allowing for minimally invasive procedures. Recent innovations include the ability to integrate 3D scans into surgical planning software and the use of stock metal bars and adjustable abutments to place and restore multiple implants in a single surgery. Computer guidance allows implants to be placed flaplessly using 3D imaging for improved positioning without direct visualization of underlying anatomy. Guided surgery reduces trauma, pain, and swelling for patients compared to conventional non-guided approaches.

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    Computer-guided dental implant planning and treatment workflows were developed to improve the accuracy and precision of implant placement while allowing for minimally invasive procedures. Recent innovations include the ability to integrate 3D scans into surgical planning software and the use of stock metal bars and adjustable abutments to place and restore multiple implants in a single surgery. Computer guidance allows implants to be placed flaplessly using 3D imaging for improved positioning without direct visualization of underlying anatomy. Guided surgery reduces trauma, pain, and swelling for patients compared to conventional non-guided approaches.

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    37 views1 page

    First Page PDF

    Uploaded by

    Jordan Bz
    Computer-guided dental implant planning and treatment workflows were developed to improve the accuracy and precision of implant placement while allowing for minimally invasive procedures. Recent innovations include the ability to integrate 3D scans into surgical planning software and the use of stock metal bars and adjustable abutments to place and restore multiple implants in a single surgery. Computer guidance allows implants to be placed flaplessly using 3D imaging for improved positioning without direct visualization of underlying anatomy. Guided surgery reduces trauma, pain, and swelling for patients compared to conventional non-guided approaches.

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    of 1

    C omput er-Guided D en t al

    I m p l a n t Tre a t m e n t o f
    C o m p l e t e A rc h R e s t o r a t i o n of
    Edentulous and Terminal
    Dentition Patients
    Gary Orentlicher, DMDa,b,*, Andrew Horowitz, DMD, MDa,b,
    Leonard Kobren, DDSc

    KEYWORDS
     Computer-guided dental implants  Minimally invasive  Guided surgery workflow
     Complete-arch dental implant treatment  CT guided surgery  Surgical guides

    KEY POINTS
     Computerized tomography (CT)-guided implant planning and treatment workflows were developed
    to improve the accuracy and precision of dental implant placement while placing implants in a mini-
    mally invasive manner.
     The ability to import intraoral and/or dental impression or model optical scan Standard Triangula-
    tion Language (STL) data into CT-guided planning software applications, and to overlay that data
    over the medical CT and conebeam CT Digital Imaging and Communications in Medicine (DICOM)
    images, has simplified and expanded the workflow.
     Recently introduced complete-arch treatment workflows using 3 implants with stock metal bars
    and adjustable abutments, as well as techniques using stackable bone reduction guides, implant
    placement guides, and digitally planned and milled provisional restorations, fabricated prior to
    implant placement surgery, have added to the options for treatment.

    Computer-guided implant planning and treat- tissue. Some clinicians have advocated implant
    ment workflows were developed to improve the placement using flapless techniques, either
    accuracy and precision of dental implant place- with or without initial visualization of the
    ment while placing implants in a minimally inva- underlying anatomy using 3-dimensional (3D)
    sive manner.1–8 Placing implants in this way radiographic evaluation. The clinical challenge
    reduces tissue trauma, decreases patient post- of a flapless nonguided approach is significant,
    operative pain and swelling, improves patient requiring careful 3D position assessment, intui-
    postoperative experiences and may improve pa- tion, and experience. With the introduction in
    tient case outcome. Dental implants are the early 2000s of computerized tomographic
    commonly placed under direct visualization of (CT)-guided dental implant planning software
    oralmaxsurgery.theclinics.com

    the osseous bed following elevation of soft- and workflows, the fabrication of corresponding

    Disclosure Statement: Dr G. Orentlicher has received honoraria for speaking for NobelBiocare. Dr L. Kobren has
    received honoraria for speaking for Dentsply Sirona. Dr A. Horowitz has nothing to disclose.
    a
    Private Practice, New York Oral, Maxillofacial, and Implant Surgery, 495 Central Park Avenue, Scarsdale, NY
    10583, USA; b Oral and Maxillofacial Surgery, White Plains Hospital, White Plains, NY, USA; c Private Practice,
    Westchester Prosthodontics, 12 Old Mamaroneck Road, White Plains, NY 10605, USA
    * Corresponding author.
    E-mail address: g@nyomis.com

    Oral Maxillofacial Surg Clin N Am 31 (2019) 399–426


    https://doi.org/10.1016/j.coms.2019.03.004
    1042-3699/19/Ó 2019 Elsevier Inc. All rights reserved.

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