Case report: Fabrication of a dental implant guide based on tetrahedron positioning technology

Abstract Background Conventional static computer-assisted implant surgery (s-CAIS) requires special equipment, such as 3D printers or computer numerical control (CNC) lathes. We present a low-cost workflow for manufacturing dental implant guides based on tetrahedron positioning technology (TPT). The...

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Main Authors: Jie Lin, Zhenxiang Lin, Zhiqiang Zheng
Format: Article
Language:English
Published: BMC 2021-07-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-021-01694-x
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author Jie Lin
Zhenxiang Lin
Zhiqiang Zheng
author_facet Jie Lin
Zhenxiang Lin
Zhiqiang Zheng
author_sort Jie Lin
collection DOAJ
description Abstract Background Conventional static computer-assisted implant surgery (s-CAIS) requires special equipment, such as 3D printers or computer numerical control (CNC) lathes. We present a low-cost workflow for manufacturing dental implant guides based on tetrahedron positioning technology (TPT). The aim of this case report was to use a surgical guide technique for dental implant placement using tetrahedron positioning technology. Case presentation A 28-year-old man consulted for the treatment of a missing right first mandibular molar by implant placement. The cone-beam computed tomography (CBCT) data were imported into medical image processing software for analysis, and the implant design was simulated. The implant design on CBCT was transferred to the mandibular model using TPT, and the implant surgical guide was made to guide the dental implant operation. CBCT was performed postoperatively and compared with the preoperative design to check the accuracy. The central deviation of the implant head was 0.31 mm, the central deviation of the implant apex was 0.93 mm, and the implant angular deviation was 2.45°. Conclusion The use of tetrahedral positioning technology based on CBCT data is a new method for making implant guides. It is a promising technique offering a highly predictable outcome and lower risk of iatrogenic damage. However, these results should be interpreted with care since they are based on limited evidence from a case report. Larger population studies with longer follow-up periods and standardized experimental studies are required.
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spelling doaj.art-ca3592def24b42b1aac8a1cd2d810d922022-12-21T18:01:54ZengBMCBMC Oral Health1472-68312021-07-012111710.1186/s12903-021-01694-xCase report: Fabrication of a dental implant guide based on tetrahedron positioning technologyJie Lin0Zhenxiang Lin1Zhiqiang Zheng2Fujian Key Laboratory of Oral Diseases, School and Hospital of Stomatology, Fujian Medical UniversityDepartment of Stomatology, Hospital of Fujian Provincial AuthoritiesFujian Key Laboratory of Oral Diseases, School and Hospital of Stomatology, Fujian Medical UniversityAbstract Background Conventional static computer-assisted implant surgery (s-CAIS) requires special equipment, such as 3D printers or computer numerical control (CNC) lathes. We present a low-cost workflow for manufacturing dental implant guides based on tetrahedron positioning technology (TPT). The aim of this case report was to use a surgical guide technique for dental implant placement using tetrahedron positioning technology. Case presentation A 28-year-old man consulted for the treatment of a missing right first mandibular molar by implant placement. The cone-beam computed tomography (CBCT) data were imported into medical image processing software for analysis, and the implant design was simulated. The implant design on CBCT was transferred to the mandibular model using TPT, and the implant surgical guide was made to guide the dental implant operation. CBCT was performed postoperatively and compared with the preoperative design to check the accuracy. The central deviation of the implant head was 0.31 mm, the central deviation of the implant apex was 0.93 mm, and the implant angular deviation was 2.45°. Conclusion The use of tetrahedral positioning technology based on CBCT data is a new method for making implant guides. It is a promising technique offering a highly predictable outcome and lower risk of iatrogenic damage. However, these results should be interpreted with care since they are based on limited evidence from a case report. Larger population studies with longer follow-up periods and standardized experimental studies are required.https://doi.org/10.1186/s12903-021-01694-xComputer-assisted therapyTetrahedron positioning technologyImplant surgical guidesCone-beam computed tomography
spellingShingle Jie Lin
Zhenxiang Lin
Zhiqiang Zheng
Case report: Fabrication of a dental implant guide based on tetrahedron positioning technology
BMC Oral Health
Computer-assisted therapy
Tetrahedron positioning technology
Implant surgical guides
Cone-beam computed tomography
title Case report: Fabrication of a dental implant guide based on tetrahedron positioning technology
title_full Case report: Fabrication of a dental implant guide based on tetrahedron positioning technology
title_fullStr Case report: Fabrication of a dental implant guide based on tetrahedron positioning technology
title_full_unstemmed Case report: Fabrication of a dental implant guide based on tetrahedron positioning technology
title_short Case report: Fabrication of a dental implant guide based on tetrahedron positioning technology
title_sort case report fabrication of a dental implant guide based on tetrahedron positioning technology
topic Computer-assisted therapy
Tetrahedron positioning technology
Implant surgical guides
Cone-beam computed tomography
url https://doi.org/10.1186/s12903-021-01694-x
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AT zhenxianglin casereportfabricationofadentalimplantguidebasedontetrahedronpositioningtechnology
AT zhiqiangzheng casereportfabricationofadentalimplantguidebasedontetrahedronpositioningtechnology