Analysis of Digital Pioneer Drilling Guide and Full Process Guide in Full Arch Implant Placement

doi:10.13701/j.cnki.kqyxyj.2022.02.006

Abstract

Abstract: Objective: To evaluate the clinical outcome of full arch implant placement using digital pioneer drilling guide and full guide. Methods: The present study was conducted on 15 patients who received full arch implant placement in the Department of Implantology School and Hospital of Stomatology, Tianjin Medical University between October 2016 to October 2020. There were 6 males and 9 females aged (57.5±6.3) years. There were 6 cases of complete dentition loss and 9 cases of single arch dentition loss. For specific surgical site, 11 were maxilla edentulous and 10 were mandible. 11 cases were conducted with the help of digital pioneer drilling guide and the other 10 cases were accomplished using digital full guide. A total of 121 implants were placed. Three dimensional positions of implants were compared pre- and post-surgery to assess the accuracy of these digital guides. The accuracy of the two digital guides and the duration of implant operation were evaluated. Results: 121 implants were placed under digital guide. One implant disloaded three months after provisional prosthesis and the patient was subsequently loaded on the rest 5 implants. All other cases were finished according to the original plan and no failure happened during the review period. For maxillary and mandible fully guided implant placement, the implant insertion axial direction angulation, and cervical and apical deviation were significantly smaller than digital pioneer drilling guided surgery (P<0.05). The operation time of patients with full digital guide was significantly shorter than that of patients with pioneer drill guide, no matter in maxilla or mandible. Conclusion: Full guided system is more accurate and reduced the operation time in contrast to pioneer drilling guided for full arch implant placement.

Key words: digital pioneer drilling guide, full guide, full arch implant placement, implant, accuracy

JIAO Tiejun, LI Bolong, FU Na. Analysis of Digital Pioneer Drilling Guide and Full Process Guide in Full Arch Implant Placement[J]. Journal of Oral Science Research, 2022, 38(2): 120-124.

References

[1] Kutkut A, Bertoli E, Frazer R, et al. A systematic review of studies comparing conventional complete denture and implant retained overdenture [J]. J Prosthodont Res, 2018, 62(1):1-9.
[2] 范一鸣,邸萍,蒋析,等.全牙弓种植即刻修复225例患者的长期临床效果分析[J].中华口腔医学杂志,2020,55(8): 555-564.
[3] 李晋蒙欧.计算机辅助设计种植导板精确性及其影响因素[J].华西口腔医学杂志,2017,35(1):93-98.
[4] Joda T, Zarone F, Ferrari M. The complete digital workflow in fixed prosthodontics: a systematic review [J]. Bmc Oral Health, 2017, 17(1): 124.
[5] D'haese J, Van De Velde T, Komiyama A, et al. Accuracy and complications using computer-designed stereolithographic surgical guides for oral rehabilitation by means of dental implants: a review of the literature [J]. Clin Implant Dent Relat Res, 2012, 14(3): 321-335.
[6] Maló P, de Araújo Nobre M, et al. All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: A 7-year clinical and 5-year radiographic retrospective case series with risk assessment for implant failure and marginal bone level [J]. Clin Implant Dent Relat Res, 2015, 17 Suppl 2:e531-e541.
[7] Papaspyridakos P, Bordin TB, Kim YJ, et al. Technical complications and prosthesis survival rates with implant-supported fixed complete dental prostheses: A retrospective study with 1-to 12-year follow-up [J]. J Prosthodont, 2020, 29(1):3-11.
[8] 陈子强,周文娟,任静宜,等.数字化导板辅助下中老年患者全口种植固定修复的长期临床效果观察[J].中华口腔医学杂志,2020,55(11): 864-870.
[9] Van Assche N, Vercruyssen M, Coucke W, et al. Accuracy of computer-aided implant placement [J]. Clin Oral Implants Res, 2012, 23 Suppl 6:112-123.
[10] Emery RW, Merritt SA, Lank K, et al. Accuracy of dynamic navigation for dental implant placement-model-based evaluation [J]. J Oral Implantol, 2016, 42(5):399-405.
[11] Cassetta M, Mambro AD, Giansanti M, et al. The intrinsic error of a stereolithographic surgical template in implant guided surgery [J]. Int J Clin Oral Maxillofac Surg, 2013, 42(2): 264-275.

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