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Novel Techniques with the Aid of a Staged CBCT Guided Surgical Protocol
The case report will present some novel techniques for using a “staged” protocol utilizing strategic periodontally involved teeth as transitional abutments in combination with CBCT guided implant surgery. Staging the case prevented premature loading of the grafted sites during the healing phase. A C...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4302971/ https://www.ncbi.nlm.nih.gov/pubmed/25632356 http://dx.doi.org/10.1155/2015/439706 |
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author | Chasioti, Evdokia Sayed, Mohammed Drew, Howard |
author_facet | Chasioti, Evdokia Sayed, Mohammed Drew, Howard |
author_sort | Chasioti, Evdokia |
collection | PubMed |
description | The case report will present some novel techniques for using a “staged” protocol utilizing strategic periodontally involved teeth as transitional abutments in combination with CBCT guided implant surgery. Staging the case prevented premature loading of the grafted sites during the healing phase. A CBCT following a tenting screw guided bone regeneration procedure ensured adequate bone to place an implant fixture. Proper assessment of the CBCT allowed the surgeon to do an osteotome internal sinus lift in an optimum location. The depth of the bone needed for the osteotome sinus floor elevation was planned. The staged appliance allowed these sinus-augmented sites to heal for an extended period of time compared to implants, which were uncovered and loaded at an earlier time frame. The staged protocol and CBCT analysis enabled the immediate implants to be placed in proper alignment to the adjacent fixture. After teeth were extracted, the osseointegrated implants were converted to abutments for the transitional appliance. Finally, the staged protocol allowed for soft tissue enhancement in the implant and pontic areas prior to final insertion of the prosthesis. |
format | Online Article Text |
id | pubmed-4302971 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-43029712015-01-28 Novel Techniques with the Aid of a Staged CBCT Guided Surgical Protocol Chasioti, Evdokia Sayed, Mohammed Drew, Howard Case Rep Dent Case Report The case report will present some novel techniques for using a “staged” protocol utilizing strategic periodontally involved teeth as transitional abutments in combination with CBCT guided implant surgery. Staging the case prevented premature loading of the grafted sites during the healing phase. A CBCT following a tenting screw guided bone regeneration procedure ensured adequate bone to place an implant fixture. Proper assessment of the CBCT allowed the surgeon to do an osteotome internal sinus lift in an optimum location. The depth of the bone needed for the osteotome sinus floor elevation was planned. The staged appliance allowed these sinus-augmented sites to heal for an extended period of time compared to implants, which were uncovered and loaded at an earlier time frame. The staged protocol and CBCT analysis enabled the immediate implants to be placed in proper alignment to the adjacent fixture. After teeth were extracted, the osseointegrated implants were converted to abutments for the transitional appliance. Finally, the staged protocol allowed for soft tissue enhancement in the implant and pontic areas prior to final insertion of the prosthesis. Hindawi Publishing Corporation 2015 2015-01-06 /pmc/articles/PMC4302971/ /pubmed/25632356 http://dx.doi.org/10.1155/2015/439706 Text en Copyright © 2015 Evdokia Chasioti et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Chasioti, Evdokia Sayed, Mohammed Drew, Howard Novel Techniques with the Aid of a Staged CBCT Guided Surgical Protocol |
title | Novel Techniques with the Aid of a Staged CBCT Guided Surgical Protocol |
title_full | Novel Techniques with the Aid of a Staged CBCT Guided Surgical Protocol |
title_fullStr | Novel Techniques with the Aid of a Staged CBCT Guided Surgical Protocol |
title_full_unstemmed | Novel Techniques with the Aid of a Staged CBCT Guided Surgical Protocol |
title_short | Novel Techniques with the Aid of a Staged CBCT Guided Surgical Protocol |
title_sort | novel techniques with the aid of a staged cbct guided surgical protocol |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4302971/ https://www.ncbi.nlm.nih.gov/pubmed/25632356 http://dx.doi.org/10.1155/2015/439706 |
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