Intraoperative computerized navigation for flapless implant surgery and immediate loading in the edentulous mandible.
Intraoperative computerized navigation for flapless implant surgery and immediate loading in the edentulous mandible.
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DOI：
10.1016/j.prosdent.2005.04.022
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发表时间：
2005-08
期刊：
影响因子：
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通讯作者：
N. Casap;E. Tarazi;A. Wexler;U. Sonnenfeld;J. Lustmann
中科院分区：
文献类型：
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作者：
N. Casap;E. Tarazi;A. Wexler;U. Sonnenfeld;J. Lustmann
计算机导航手术已经发展到促进微创手术，这是当今手术的黄金标准。虽然无瓣植入手术在临床上可能是有益的，但它通常被认为是一种盲目的手术，仅限于直接病例，不会造成皮质板穿孔的风险。本报告的目的是描述使用计算机导航手术在完全无牙的下颌骨进行无瓣种植的方案。描述了图像引导种植系统（IGI， DenX高级牙科系统）。IGI系统提供牙钻的实时成像，并将无瓣种植手术转变为完全监控的过程。高度精确的术中导航能够将详细的术前植入计划精确地传递给患者。这对没有牙弓的无牙颌尤其有价值。植体的精确定位，基于术前数字计划，允许在植体手术前制造临时固定假体，用于立即术后加载。这种创新的方案可以在完全监控的无瓣手术中增强义齿驱动的种植体放置。
Computerized navigation surgery has evolved to facilitate minimally invasive procedures, the gold standard of surgery today. While flapless implant surgery may be clinically beneficial, it has generally been perceived as a blind procedure limited to straightforward cases that do not pose a risk of cortical plate perforation. The objective of this report is to describe a protocol for flapless implant placement in a completely edentulous mandible using computerized navigation surgery. The Image Guided Implantology system (IGI, DenX Advanced Dental Systems) is described. The IGI system provides real-time imaging of the dental drill and transforms flapless implant surgery into a fully monitored procedure. The highly accurate intraoperative navigation enables precise transfer of the detailed presurgical implant plan to the patient. This is particularly valuable in edentulous jaws lacking any indication of the dental arch. The accurate positioning of the implants, based on the presurgical digital plan, allows fabrication of a provisional fixed prosthesis before the implant surgery for immediate postoperative loading. This innovative protocol can enhance prosthodontic-driven placement of implants in a fully monitored flapless surgery.