Accuracy Evaluation of 14 Maxillary Full Arch Implant Treatments Performed with Da Vinci Bridge: A Case Series
The use of pterygoid implants can be an attractive alternative to sinus bone grafting in the treatment of posterior atrophic maxilla. This technique has not been widely used because of the difficulty of the surgical access, the presence of vital structures, and the prosthetic challenges. The use of...
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MDPI AG
2020-06-01
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| Online Access: | https://www.mdpi.com/1996-1944/13/12/2806 |
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| author | Luigi V. Stefanelli George A. Mandelaris Alessio Franchina Dario Di Nardo Massimo Galli Michele Pagliarulo Luca Testarelli Stefano Di Carlo Gianluca Gambarini |
| author_facet | Luigi V. Stefanelli George A. Mandelaris Alessio Franchina Dario Di Nardo Massimo Galli Michele Pagliarulo Luca Testarelli Stefano Di Carlo Gianluca Gambarini |
| author_sort | Luigi V. Stefanelli |
| collection | DOAJ |
| description | The use of pterygoid implants can be an attractive alternative to sinus bone grafting in the treatment of posterior atrophic maxilla. This technique has not been widely used because of the difficulty of the surgical access, the presence of vital structures, and the prosthetic challenges. The use of dynamic computer aided implantology (DCAI) allows the clinician to utilize navigation dental implant surgery, which allows the surgeon to follow the osteotomy site and implant positioning in real time. A total of 14 patients (28 pterygoid implants and 56 intersinusal implants) were enrolled in the study for a full arch implant prosthetic rehabilitation (4 frontal implants and 2 pterygoids implants), using a dynamic navigation system. The reported accuracy of pterygoid implants inserted using DCAI was 0.72 mm at coronal point, 1.25 mm at apical 3D, 0.66 mm at apical depth, and 2.86° as angular deviation. The use of pterygoid implants in lieu of bone grafting represents a valid treatment opportunity to carry out a safe, accurate, and minimally invasive surgery, while reducing treatment time and avoiding cantilevers for a full implant prosthetic rehabilitation of the upper arch. |
| first_indexed | 2024-03-10T18:58:45Z |
| format | Article |
| id | doaj.art-e23df0d1d95742efb655ecb4dc9984fb |
| institution | Directory Open Access Journal |
| issn | 1996-1944 |
| language | English |
| last_indexed | 2024-03-10T18:58:45Z |
| publishDate | 2020-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Materials |
| spelling | doaj.art-e23df0d1d95742efb655ecb4dc9984fb2023-11-20T04:34:57ZengMDPI AGMaterials1996-19442020-06-011312280610.3390/ma13122806Accuracy Evaluation of 14 Maxillary Full Arch Implant Treatments Performed with Da Vinci Bridge: A Case SeriesLuigi V. Stefanelli0George A. Mandelaris1Alessio Franchina2Dario Di Nardo3Massimo Galli4Michele Pagliarulo5Luca Testarelli6Stefano Di Carlo7Gianluca Gambarini8Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, ItalyPrivate Practice, Periodontics and Dental Implant Surgery; Periodontal Medicine & Surgical Specialists, LTD, Chicago, IL 60601, USAPrivate Practice, Periodontics and Dental Implant Surgery, 36100 Vicenza, ItalyDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, ItalyFaculty of Dental Medicine, University of Plovdiv, 4002 Plovdiv, BulgaryDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, ItalyThe use of pterygoid implants can be an attractive alternative to sinus bone grafting in the treatment of posterior atrophic maxilla. This technique has not been widely used because of the difficulty of the surgical access, the presence of vital structures, and the prosthetic challenges. The use of dynamic computer aided implantology (DCAI) allows the clinician to utilize navigation dental implant surgery, which allows the surgeon to follow the osteotomy site and implant positioning in real time. A total of 14 patients (28 pterygoid implants and 56 intersinusal implants) were enrolled in the study for a full arch implant prosthetic rehabilitation (4 frontal implants and 2 pterygoids implants), using a dynamic navigation system. The reported accuracy of pterygoid implants inserted using DCAI was 0.72 mm at coronal point, 1.25 mm at apical 3D, 0.66 mm at apical depth, and 2.86° as angular deviation. The use of pterygoid implants in lieu of bone grafting represents a valid treatment opportunity to carry out a safe, accurate, and minimally invasive surgery, while reducing treatment time and avoiding cantilevers for a full implant prosthetic rehabilitation of the upper arch.https://www.mdpi.com/1996-1944/13/12/2806dynamic navigation implantologypterygoid implantsatrophic maxillatotally edentulous patientscomputer aided implantology |
| spellingShingle | Luigi V. Stefanelli George A. Mandelaris Alessio Franchina Dario Di Nardo Massimo Galli Michele Pagliarulo Luca Testarelli Stefano Di Carlo Gianluca Gambarini Accuracy Evaluation of 14 Maxillary Full Arch Implant Treatments Performed with Da Vinci Bridge: A Case Series Materials dynamic navigation implantology pterygoid implants atrophic maxilla totally edentulous patients computer aided implantology |
| title | Accuracy Evaluation of 14 Maxillary Full Arch Implant Treatments Performed with Da Vinci Bridge: A Case Series |
| title_full | Accuracy Evaluation of 14 Maxillary Full Arch Implant Treatments Performed with Da Vinci Bridge: A Case Series |
| title_fullStr | Accuracy Evaluation of 14 Maxillary Full Arch Implant Treatments Performed with Da Vinci Bridge: A Case Series |
| title_full_unstemmed | Accuracy Evaluation of 14 Maxillary Full Arch Implant Treatments Performed with Da Vinci Bridge: A Case Series |
| title_short | Accuracy Evaluation of 14 Maxillary Full Arch Implant Treatments Performed with Da Vinci Bridge: A Case Series |
| title_sort | accuracy evaluation of 14 maxillary full arch implant treatments performed with da vinci bridge a case series |
| topic | dynamic navigation implantology pterygoid implants atrophic maxilla totally edentulous patients computer aided implantology |
| url | https://www.mdpi.com/1996-1944/13/12/2806 |
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