مقاله انگلیسی رایگان در مورد روش نوآورانه جدید جهت قرار دادن ایمپلنت دندان – الزویر ۲۰۱۸

Introduction: Companies selling dental implant guided systems mostly offer similar surgical guides. The purpose of this paper is to present an innovative-guided surgery system which originality lies in its guidance device, and to report the author’s experience in using this system for dental implant surgery. Technical protocol: Two parallel tubes on either side of the drilling axis guide the successive drills and the implant placement. As a result of the lateral guidance, there is no friction of the drills on the surgical guide, which would damage it or contaminate the drilling hole with particles torn out from the guide. No radiological guide is needed during the radiographic examination stage. No successive diameter reduction tubes are requested. This guide can be used for all brands of implants. Discussion: In our experience, 67 implants (31 titanium and 36 zircon implants) were placed in 35 patients with guided surgery system. Multiple clinical cases were treated with this system: ‘onestage’ or a ‘two-stage’ surgical protocol, with flap and flapless surgical techniques, and with delayed or immediate loading. Clinical cases treated revealed good implant placement with planning. The widely open design of this guide allows irrigation and practitioner’s sight control under conditions comparable to those of operations performed without surgical guide. Conclusion: This dental implant guided system appears to be a significant advance in the field of implant surgical guides.

Introduction

The use of guides in implant surgery is constantly increasing. This success is due to the service provided both to trainee practitioners (ensuring their surgical gesture) and to experienced clinicians (for whom guided surgery provides a reliable therapeutic solution in the case of complex implantations in which the accuracy of the implant positioning is crucial and may sometimes avoid pre-implant surgery). Of course, the use of these techniques is also interesting in the implant-supported rehabilitation by immediate ‘loading’. If the characteristics of the ideal guide had to be defined, first of all one would ask for precision: absence of defective manufactur ing, a perfect fit in the mouth, high stability during the operation and optimal drill guide for a perfect reproducibility of the planning. It is also necessary that the guide can be transported, stored and sterilized without any distortion or degradation. In addition, it is desirable that the design of the guide does not interfere with the visual inspection by the surgeon and with the drill irrigation. Finally, the use of this guide should not lead to a high increase in the cost of the operation. Companies selling dental implant guided systems offer surgical guides of similar design: they are dental, mucosa or bone supported, mostly made of resin, whereby drill  holes are prepared within the body of the guide itself. These drill holes usually receive metal sleeves of various diameters to guide successive drills. aving had the opportunity to test this innovative device, which differs significantly from the usual design, the authors wish to describe the system and the surgical protocol and to share their experience in their clinical cases (67 implants).