Designing of Zygomatic Implant Surgery Navigation with Visualization Technology based on CBCT Data.

doi:10.13701/j.cnki.kqyxyj.2018.10.015

Abstract

Abstract: Objective: To design the zygomatic implant for patients with severely atrophied alveolar ridge by Simplant using CBCT data, and to implement it in surgery. Methods: Implants were designed for 5 patients with severely atrophied alveolar ridge by Simplant. During the operation, the navigation software will match the pathway to the designed plan. Results: Implant positions deviated from planed slightly. The deviation of the angle of implant to the Fankfort plane (A) is less than 1°, the deviations of the length of implant in Zygoma (LZ) to the distance from the implant to orbit wall length (D) and to the length of implant in alveolar bone (LA) were less than 2mm. After 12 months, no implant failure occurred. Conclusion: Designing the surgical pathway of zygomatic implant through Simplant software and effectuating the surgery through surgical navigation system can make the planting plan more precise, and greatly enhance the safety and accuracy of complex zygomatic implant surgery.

Key words: CBCT, Zygoma implant, Surgery simulation, Visualization technology

LIU Shu, TONG Xin, WANG Tie-mei, LIU Hui-fen, LIN Zi-tong.. Designing of Zygomatic Implant Surgery Navigation with Visualization Technology based on CBCT Data.[J]. Journal of Oral Science Research, 2018, 34(10): 1093-1097.

References

[1] 林梓桐,王铁梅,刘澍,等.CBCT与Simplant软件口腔种植模拟的初步研究[J].口腔医学研究,2013,28(1)∶52-54
[2] Aparicio C, Manresa C, Francisco K, et al. Zygomatic implants: indications, techniques and outcomes, and the zygomatic success code [J]. Periodontol 2000, 2014, 66(1)∶41-58
[3] Schiroli G, Angiero F, Zangerl A, et al. Accuracy of a flapless protocol for computer-guided zygomatic implant placement in human cadavers: expectations and reality [J]. Int J Med Robot Comp, 2016, 12(1)∶102-108
[4] Pellegrino G, Tarsitano A, Basile F, et al. Computer-aided rehabilitation of maxillary oncological defects using zygomatic implants: a defect-based classification [J]. J Oral Maxil Surg, 2015, 73(12)∶2441-2446
[5] Wang M, Qu X, Cao M, et al. Biomechanical three-dimensional finite element analysis of prostheses retained with/without zygoma implants in maxillectomy patients [J]. J Biomech,2013,46(6)∶1155-1161
[6] Dawood A, Collier J, Darwood A, et al. The reverse zygomatic implant: a new implant for maxillofacial reconstruction [J]. Int J Oral Maxillofac Implants, 2015, 30(6)∶1405-1408
[7] Bedrossian E. Rescue implant concept: the expanded use of the zygoma implant in the graftless solutions [J]. Oral Maxil Surg Clin, 2011, 23(2)∶257-276
[8] Vega LG, Gielincki W, Fernandes RP. Zygoma implant reconstruction of acquired maxillary bony defects [J]. Oral Maxil Surg Clin, 2013, 25(2)∶223-239
[9] Ali SA, Karthigeyan S, Deivanai M, et al. Implant rehabilitation for atrophic maxilla: a review [J]. J Indian Prosthodont Soc, 2014, 14(3)∶196-207
[10] Kaya B, Sar C, Arman-Ozcirpici A, et al. Palatal implant versus zygoma plate anchorage for distalization of maxillary posterior teeth [J]. Eur J Orthod, 2013, 35(4)∶507-514
[11] de Moraes PH, Olate S, de Arruda Nóbilo M, et al. Maxillary “All-On-Four” treatment using zygomatic implants. A mechanical analysis [J]. Rev Stomatol Chir, 2016, 117(2)∶67-71
[12] Binon PP. Innovative solutions using zygoma implants [J]. J Prosthodont, 2017, 26(3)∶244-251
[13] Guevara-Rojas G, Figl M, Schicho K, et al. Patient-specific polyetheretherketone facial implants in a computer-aided planning workflow [J]. J Oral Maxil Surg, 2014, 72(9)∶1801-1812

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