Vol. 11 – Number 41 – 2019
IMPLANT DENTAL NOTEBOOK
Case report
Page 28-36
A new concept in obtaining the prototyped guide in Implantology – case report
João Marcelo Meireles Rodrigues¹
Pamela Leticia Santos¹
Ana Paula Souza Faloni¹
Aline Oliveira¹
Livia Sertori Finoti²
Rogerio Margonar¹
Abstract
The computed tomography (CT) in implant Dentistry allows virtually plan of the dental implant ideal position considering restorative and anatomical characteristics. Through this planning, a surgical guide can be prototyped for integrate prosthetic aspects in the positioning of the implants. In this context, the “mold tomography technique” for obtaining prototyped guide consists in use the CT of the patient mold to be poured virtually for obtaining a 3D model capable of reproducing soft tissues and dental elements. Then, this image is superimposed on the virtual scan of the patient’s mouth, allowing a complete evaluation of bone and soft tissues. This case report describes the oral rehabilitation with dental implants using a prototyped guide made by “mold tomography technique.” Patient had no 17, 16, 14, 12, 11, 21, 22, and 26 teeth. Due to the presence of quality and adequate bone quantity, it was planned rehabilitation of edentulous areas with dental implants positioned using prototyped guide made by “mold tomography technique.” After obtaining the guide, dental implants were positioned. After 4 months of osseointegration, the final restaurations have been installed. With the installation of the provisory, after 4 months of osseointegration, it has noted that the realization of guided surgery using the guide prototyped obtained by “mold tomography technique” guaranteed predictability in the placement of dental implants bringing ease of application of the prosthesis beyond aesthetic / functional success in restorative treatment and convenience to the patient from beginning to end of treatment.
Descriptors: Dental implants, guide surgery, computed tomography.
¹ Department of Health Sciences – UNIARA.
² Children’s Hospital of Philadelphia, Center for Applied Genomics – Philadelphia – United States.