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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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Autores principales: Stefanelli, Luigi V., Mandelaris, George A., Franchina, Alessio, Di Nardo, Dario, Galli, Massimo, Pagliarulo, Michele, Testarelli, Luca, Di Carlo, Stefano, Gambarini, Gianluca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344455/
https://www.ncbi.nlm.nih.gov/pubmed/32580340
http://dx.doi.org/10.3390/ma13122806
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author Stefanelli, Luigi V.
Mandelaris, George A.
Franchina, Alessio
Di Nardo, Dario
Galli, Massimo
Pagliarulo, Michele
Testarelli, Luca
Di Carlo, Stefano
Gambarini, Gianluca
author_facet Stefanelli, Luigi V.
Mandelaris, George A.
Franchina, Alessio
Di Nardo, Dario
Galli, Massimo
Pagliarulo, Michele
Testarelli, Luca
Di Carlo, Stefano
Gambarini, Gianluca
author_sort Stefanelli, Luigi V.
collection PubMed
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.
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spelling pubmed-73444552020-07-14 Accuracy Evaluation of 14 Maxillary Full Arch Implant Treatments Performed with Da Vinci Bridge: A Case Series Stefanelli, Luigi V. Mandelaris, George A. Franchina, Alessio Di Nardo, Dario Galli, Massimo Pagliarulo, Michele Testarelli, Luca Di Carlo, Stefano Gambarini, Gianluca Materials (Basel) Article 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. MDPI 2020-06-22 /pmc/articles/PMC7344455/ /pubmed/32580340 http://dx.doi.org/10.3390/ma13122806 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
Stefanelli, Luigi V.
Mandelaris, George A.
Franchina, Alessio
Di Nardo, Dario
Galli, Massimo
Pagliarulo, Michele
Testarelli, Luca
Di Carlo, Stefano
Gambarini, Gianluca
Accuracy Evaluation of 14 Maxillary Full Arch Implant Treatments Performed with Da Vinci Bridge: A Case Series
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 Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344455/
https://www.ncbi.nlm.nih.gov/pubmed/32580340
http://dx.doi.org/10.3390/ma13122806
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