Surgical implant placement guides/ dentistry dental implants

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Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.

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Surgical implant placement guides/ dentistry dental implants

  1. 1. A surgical guide for dental implant placement in edentulous posterior regions INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. Introduction: The accurate placement of the implant is critical to achieving a pleasing esthetic result, as well as the correct alignment for withstanding occlusal forces. It is well documented that dental implants placed using a surgical guide are more accurately positioned than those placed without a guide. www.indiandentalacademy.com
  3. 3. An implant placement guide also allows for less stressful surgery for the operator, knowing that the critical placement factors were considered in the fabrication of the guide. It then becomes a matter of exposing and preparing the osteotomy site and placing the implant. A stable and accurate surgical guide provides a precise reference for implant placement. www.indiandentalacademy.com
  4. 4. Surgical template : • A guide used to assist in proper surgical placement and angulation of dental implants GPT-8 www.indiandentalacademy.com
  5. 5. A surgical guide for dental implant placement in edentulous posterior regions Saadet Saglam Atsu, J Prosthet Dent 2006;96:129-33. www.indiandentalacademy.com
  6. 6. Diagnostic arrangement of planned implant supported fixed partial denture with gutta-percha markers. www.indiandentalacademy.com
  7. 7. Correct angulation of implants determined by angulation of bone and gutta-percha markers for second premolar. Second molar, line a is angulation of bone, line b is angulation of gutta-percha incorporated in guide, and x represents angle change required. www.indiandentalacademy.com
  8. 8. Implant sites prepared through occlusal surfaces of artificial teeth with dental surveyor. 4.5mm diameterwww.indiandentalacademy.com
  9. 9. Stainless steel tubes placed in channels drilled through artificial teeth. 3 internal diameter 4 external diameter 2.8 mm drill 3.7 internal diameter 4.3 external diameter 3.5 mm drill www.indiandentalacademy.com
  10. 10. Smaller metal tubes inserted into larger metal tubes to facilitate drilling pilot holes for implant placement. 2.4 mm internal diameter Pilot path 2.2 mm www.indiandentalacademy.com
  11. 11. Surgical guide www.indiandentalacademy.com
  12. 12. www.indiandentalacademy.com
  13. 13. A surgical guide for accurate mesiodistal paralleling of implants in the posterior edentulous mandible Kıvanç Akça, Haldun I˙plikçiog, and Murat C. Çehreli J Prosthet Dent 2002;87:233-5. www.indiandentalacademy.com
  14. 14. Diagnostic setup of planned implant-supported fixed partial denture. www.indiandentalacademy.com
  15. 15. Duplicated cast with occlusal third of prosthesis trimmed away. Desired mesiodistal parallel reference lines are delineated along buccal side. www.indiandentalacademy.com
  16. 16. Transfer of mesiodistal parallel guide lines to perpendicular plane. www.indiandentalacademy.com
  17. 17. Surgical stent with perpendicular plane for accurate mesiodistal paralleling of implants on master cast. www.indiandentalacademy.com
  18. 18. Surgical guide in place. www.indiandentalacademy.com
  19. 19. www.indiandentalacademy.com
  20. 20. A technique for making a diagnostic and surgical template Fujio Tsuchida, Toshio Hosoi, Masahiro Imanaka, and Kaoru Kobayashi, (J Prosthet Dent 2004;91:395-7.) www.indiandentalacademy.com
  21. 21. Diagnostic wax-up on articulator. www.indiandentalacademy.com
  22. 22. Completed diagnostic template. www.indiandentalacademy.com
  23. 23. Silicone impression and template. www.indiandentalacademy.com
  24. 24. CT images with silicone markers. Left, Horizontal overview. Right, Cross-sectional view. www.indiandentalacademy.com
  25. 25. Facial portion of surgical template removed before surgery. www.indiandentalacademy.com
  26. 26. Fabrication and use of a simple implant placement guide Richard J. Windhorn, J Prosthet Dent 2004;92:196-9.) www.indiandentalacademy.com
  27. 27. Diagnostic cast with wooden stick in place. www.indiandentalacademy.com
  28. 28. Diagnostic casts occluded. www.indiandentalacademy.com
  29. 29. Handpiece head in place on wooden stick as reference for molding acrylic resin. www.indiandentalacademy.com
  30. 30. Trimmed acrylic guide placed back on cast with reference line drawn on vertical wall. www.indiandentalacademy.com
  31. 31. Contrasting color of acrylic resin added. www.indiandentalacademy.com
  32. 32. Completed 2-piece implant placement guide. www.indiandentalacademy.com
  33. 33. Intraoral placement of guide. (Inset) Round bur inserted through semi-circular hole. www.indiandentalacademy.com
  34. 34. After completion of osteotomy site. www.indiandentalacademy.com
  35. 35. Implant surgical guide fabrication for partially edentulous patients Jeffrey L. Shotwell, Edward J. Billy, Hom-Lay Wang, and Tae-Ju Oh J Prosthet Dent 2005;93:294-7. www.indiandentalacademy.com
  36. 36. Light-polymerizing material adapted and contoured at buccal aspect to provide reference to proposed gingival margin of restoration. www.indiandentalacademy.com
  37. 37. Orientation of cast with aid of dental surveyor to establish proper angulation of implant. www.indiandentalacademy.com
  38. 38. Implant site with reference lines drawn to determine bucco-lingual as well as mesio-distal placement of implant. www.indiandentalacademy.com
  39. 39. Small-sized drill creating hole in cast at precise location and angulation previously determined www.indiandentalacademy.com
  40. 40. Drill blank placed in opening showing orientation of proposed implant and light-polymerized material adapted to cast and drill blank from lingual aspect. www.indiandentalacademy.com
  41. 41. View of presurgical radiographic guide, RCP guide, and drill guides for each implant drill (from bottom to top). www.indiandentalacademy.com
  42. 42. View of implant drill guide used during implant site osteotomy. www.indiandentalacademy.com
  43. 43. Maxillary right second premolar restored with single metal-ceramic crown in function for 12 months. www.indiandentalacademy.com
  44. 44. A technique to enhance closed surgical stents for implant placement BARRY F. McARDLE JADA, March 2002, Vol. 133, 331 www.indiandentalacademy.com
  45. 45. The guide-core in place on the model after trimming. www.indiandentalacademy.com
  46. 46. The guide-core and stent after the center channel is created. www.indiandentalacademy.com
  47. 47. Harel Simon J Prosthet Dent 2002;87:229-32. Use of transitional implants to support a surgical guide: Enhancing the accuracy of implant placement www.indiandentalacademy.com
  48. 48. Tissue-supported surgical template for implant placement in edentulous mandible. www.indiandentalacademy.com
  49. 49. Transitional implants strategically placed away from future location of conventional implants. Impression copings placed on transitional implants. www.indiandentalacademy.com
  50. 50. Transitional implant analogues connected to impression copings. www.indiandentalacademy.com
  51. 51. Mandibular cast with transitional implant analogues. www.indiandentalacademy.com
  52. 52. Radiographic markers placed in tentative implant sites. www.indiandentalacademy.com
  53. 53. Computerized tomography scan performed with radiographic template demonstrates transitional implant placed labial and mesial to conventional implant site marker. www.indiandentalacademy.com
  54. 54. Radiographic template converted to surgical template. Note transitional implant locations, which were planned prior to extraction to allow optimal conventional implant placement. www.indiandentalacademy.com
  55. 55. Surgical template supported by transitional implants. www.indiandentalacademy.com
  56. 56. Accurate implant placement facilitated by template. www.indiandentalacademy.com
  57. 57. Restoration cemented on transitional implants upon completion of surgery. www.indiandentalacademy.com
  58. 58. Predictable implant placement with a diagnostic/surgical template and advanced radiographic imaging Kevin C. Kopp, Alyson H. Koslow, and Omar S. Abdo, J Prosthet Dent 2003;89:611-5. www.indiandentalacademy.com
  59. 59. Acrylic resin teeth luted in place and occlusion verified. www.indiandentalacademy.com
  60. 60. Buccal wire luted in place. www.indiandentalacademy.com
  61. 61. Cross-sections in SIM/Plant of desired sections. Frame 37 demonstrates buccal wire (arrow). www.indiandentalacademy.com
  62. 62. Implant replica placed at ideal angulation. www.indiandentalacademy.com
  63. 63. Angulation to buccal wire is calculated. Linear relationship to buccal wire is calculated. www.indiandentalacademy.com
  64. 64. Modified surveyor table is adjusted to correct buccal-lingual and mesiodistal angulation as determined from SIM/Plant. Protractor is used to determine angle on surveyor table Finalized position of surveyor table spatially. www.indiandentalacademy.com
  65. 65. Cylinders fixed in proper position with guide pins to verify alignment. www.indiandentalacademy.com
  66. 66. Final implant placement. www.indiandentalacademy.com
  67. 67. www.indiandentalacademy.com
  68. 68. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

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