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Virtual Implant Rehabilitation of the Severely Atrophic Maxilla: A Radiographic Study

Background: Advanced maxillary atrophy is one of the most common clinical scenarios where implant placement could become difficult. Nevertheless, a volumetric evaluation using a suitable diagnostic software could facilitate the implant planning. The purpose of the present study is to suggest the pot...

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Autores principales: Manacorda, Michele, Poletti de Chaurand, Bianca, Merlone, Alberto, Tetè, Giulia, Mottola, Francesca, Vinci, Raffaele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7148484/
https://www.ncbi.nlm.nih.gov/pubmed/32024286
http://dx.doi.org/10.3390/dj8010014
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author Manacorda, Michele
Poletti de Chaurand, Bianca
Merlone, Alberto
Tetè, Giulia
Mottola, Francesca
Vinci, Raffaele
author_facet Manacorda, Michele
Poletti de Chaurand, Bianca
Merlone, Alberto
Tetè, Giulia
Mottola, Francesca
Vinci, Raffaele
author_sort Manacorda, Michele
collection PubMed
description Background: Advanced maxillary atrophy is one of the most common clinical scenarios where implant placement could become difficult. Nevertheless, a volumetric evaluation using a suitable diagnostic software could facilitate the implant planning. The purpose of the present study is to suggest the potential application of the maxillary retro-canine area as the designated location for virtual tilted implants. Methods: A sample of Cone Beam Computed Tomography (CBCT) images from the Department of Dentistry (IRCSS San Raffaele, Milan, Italy) was evaluated. After a 3D anatomical evaluation, tilted implants were virtually positioned in the retro-canine regions. All the implants were inserted using the same procedure at 30° and 45° degrees of tilting. The length, palatal angulation and diameter of the placed implant were identified. Results: A total of 220 tilted implants were placed. An average implant measurement of 13.51 mm in length and 3.42 mm in diameter were calculated. Additionally, an average buccal–palatal angulation of 6° was identified. Upon statistical analysis, the implant length was found to be significantly higher at 45° degrees of mesio-distal angulation than at 30° degrees (<0.0001). Conclusions: A considerable number of patients show a significant degree of bone atrophy. The implant-supported treatment plan can rely on three-dimensional imaging of the residual bone as a guiding tool to establish the most effective implant position for each specific case. In this study, it was found that an implant could have a greater length if its mesio–distal angulation was more accentuated. In addition, owing to the volumetric evaluation, it was possible to virtually insert tilted implants in almost all of the cases of atrophy. This could lead clinicians to consider the retro-canine area as a viable place to insert a longer tilted implant.
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spelling pubmed-71484842020-04-21 Virtual Implant Rehabilitation of the Severely Atrophic Maxilla: A Radiographic Study Manacorda, Michele Poletti de Chaurand, Bianca Merlone, Alberto Tetè, Giulia Mottola, Francesca Vinci, Raffaele Dent J (Basel) Article Background: Advanced maxillary atrophy is one of the most common clinical scenarios where implant placement could become difficult. Nevertheless, a volumetric evaluation using a suitable diagnostic software could facilitate the implant planning. The purpose of the present study is to suggest the potential application of the maxillary retro-canine area as the designated location for virtual tilted implants. Methods: A sample of Cone Beam Computed Tomography (CBCT) images from the Department of Dentistry (IRCSS San Raffaele, Milan, Italy) was evaluated. After a 3D anatomical evaluation, tilted implants were virtually positioned in the retro-canine regions. All the implants were inserted using the same procedure at 30° and 45° degrees of tilting. The length, palatal angulation and diameter of the placed implant were identified. Results: A total of 220 tilted implants were placed. An average implant measurement of 13.51 mm in length and 3.42 mm in diameter were calculated. Additionally, an average buccal–palatal angulation of 6° was identified. Upon statistical analysis, the implant length was found to be significantly higher at 45° degrees of mesio-distal angulation than at 30° degrees (<0.0001). Conclusions: A considerable number of patients show a significant degree of bone atrophy. The implant-supported treatment plan can rely on three-dimensional imaging of the residual bone as a guiding tool to establish the most effective implant position for each specific case. In this study, it was found that an implant could have a greater length if its mesio–distal angulation was more accentuated. In addition, owing to the volumetric evaluation, it was possible to virtually insert tilted implants in almost all of the cases of atrophy. This could lead clinicians to consider the retro-canine area as a viable place to insert a longer tilted implant. MDPI 2020-02-02 /pmc/articles/PMC7148484/ /pubmed/32024286 http://dx.doi.org/10.3390/dj8010014 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Manacorda, Michele
Poletti de Chaurand, Bianca
Merlone, Alberto
Tetè, Giulia
Mottola, Francesca
Vinci, Raffaele
Virtual Implant Rehabilitation of the Severely Atrophic Maxilla: A Radiographic Study
title Virtual Implant Rehabilitation of the Severely Atrophic Maxilla: A Radiographic Study
title_full Virtual Implant Rehabilitation of the Severely Atrophic Maxilla: A Radiographic Study
title_fullStr Virtual Implant Rehabilitation of the Severely Atrophic Maxilla: A Radiographic Study
title_full_unstemmed Virtual Implant Rehabilitation of the Severely Atrophic Maxilla: A Radiographic Study
title_short Virtual Implant Rehabilitation of the Severely Atrophic Maxilla: A Radiographic Study
title_sort virtual implant rehabilitation of the severely atrophic maxilla: a radiographic study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7148484/
https://www.ncbi.nlm.nih.gov/pubmed/32024286
http://dx.doi.org/10.3390/dj8010014
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