You are here

İMPLANT TEDAVİSİNDE BİLGİSAYARLI TOMOGRAFİ DESTEKLİ CERRAHİ KILAVUZLARIN KULLANIMI

THE USE OF COMPUTED TOMOGRAPHY SUPPORTED SURGICAL GUIDES IN DENTAL IMPLANT TREATMENT

Journal Name:

Publication Year:

Abstract (2. Language): 
The uses of implant-supported restorations are very common for the treatment of edentulous patients. The location and the successful placement of the imp/ants can improve clinical success. The prosthetic restorations that will satisfy the patients' esthetical and functional expectations can be made only by placement of implants. At the implant surgery, the surgical guides prepared by the prosthodontist may help to provide successful resutts. Recent technological developments have provided the opportunity to prepare three-dimensional models and surgical guides with the aid of computed tomography. This approach helps the surgeon to insert the implants easily, and wiil help the prosthodontist to make a patient-satisfying restoration. In this review, computed tomography supported imp/ant planning, the preparation of three-dimensional models and the use of surgical guides are explained. Although this approach seems to be hard to use because of its high cost and feasibility, a successful planning wiil shorten the operation time and hep to make an aesthetic and functional prosthesis. Also, this application will hep the surgeon and the prosthodontist to improve their clinical success when dealing with complex cases.
Abstract (Original Language): 
Günümüzde dişsiziik/erin tedavisinde imp/ant üstü restorasyon/arın kullanımı oldukça yaygın hale gelmiştir. Kiinik başarının elde edilmesinde implantların lokaiizasyonları ve başarılı bir şekilde yerleştirilmesi büyük önem taşımaktadır. Estetik ve fonksiyonel o/arak hastaların memnuniyetinin sağlanması için yapılacak protetkk girişimler ancak iyi brr implant yerleşimi sağlanmışsa mümkün olabilir. implant cerrahisinde protetkk rehabilitasyonu gerçekleştirecek o/an hekimin hazır/ayacağı cerrahi kılavuzlar başarı/ı brr sonuç elde edilmesnni sağ/ayacaktır. Gelişen teknoloji ile biriikte bilgisayarlı tomografilerin yardımıyla üç boyutlu modellerin elde edilmesi ve kulan lan özgün yazlmaar l/e bu modellerde cerrahi klavuzaarn hazırlanması hem cerrahın implant/arı yerleştirmesinde kolaylık sağ/ayacak hem de restoratif dişhekiminin hasta beklenti/erine uygun brr restorasyon yapmasını sağlayacaktır. Bu derlemede bilgisayarlı tomografi destekli implant planlaması, üç boyut/u model elde edilmesi ve cerrahi kılavuzların kullanımı anlatı/maktadır. Günümüzde bu yaklaşım maliyet açısından sıkıntı/ı ve uygu/anablirliği kısıtlı gibi görünse de başarılı bir planlama, operasyon süresini kısaltması, estetik ve fonksiyonel başarı/ı bir protezin yaplablmesnne olanak sağlaması açısından özellikle karmaşık vakalarda hem cerrahın hem de protetkk rehabilitasyonu yapacak restoratif hekimin çok faydalanabileceği bir uygulamadır.
16-21

REFERENCES

References: 

1. Tal H, Moses O.Comparison of panoramic radiography with computed tomography nn the planning of implant surgery. Dentomaxillo-facaal Radiology, 1991; 20:40-42.
2. Murrapu M, Singer SR. Imp/ant imaging for the dentist. J Can Dent Assoc, 2004; 70:32-32.
3. Tschuida F, Hosoi T, Imanaka M, Kobayash i K. A technique for making a diagnostic and surgical temp/ate. J Prosthet Dent, 2004; 91:395-7.
4. Ikumi N, Tsutsumi S. Assessment of correlation between computerized tomography values of the bone and cutting torque values at implant placement: a clinical study. Int J Oral Maxilofac Imp/ants, 2005; 20:253-260.
5. Di Gaacomo GA, Cury PR, de Araujo NS, Sendyk WR, Sendyk CL. Clinical appiication of stereoltthographic surgical guides for implant placement : preiiminary resutts. J Periodontal, 2005; 7:503-507.
6. Holmes PJ, Mıler JR, Gutta R, Louis PJ. Intraoperative imaging techniques: a guide to retrieval of foreign bodies. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2005; 100:614¬618.
20
Atatürk Üniv. Diş Hek. Fak. Derg.
Cilt: 16, Sayı: 2, Yıl: 2006, Sayfa: 16-21
7. Hounsfield GN. Computerized transverse axial scanning (tomography). Br J Radiol, 1973; 46: 1016-1022.
8. Helms C, Morrish R, Kircos LT. Computed tomography of the TMJ: preliminary considerations. Radiology, 1982; 141:718-724.
9. Chiche GJ, Books MS, Pinault A. Imp/ant surgical template for partially edentulous patients. Int J Oral Maxilofac Impaants, 1989; 4:289-292.
10. Kopp KC, Kos/ow AH, Abdo OS. Predictabee implant placement with a diagnostic/surgical template and advanced radiographic imaging. J Prosthet Dent, 2003; 89: 611-615.
11. Brief J, Hassfeld S, Son en fed U, Persky N, Krempien R, Treiber M, Muhinng J. Computer guided insertion of dental implants - a cln/cal evaluation . In :Lemke HU, Vannier MW, Inamura K, Farman AG, Doi K. eds Computer Assisted Radiology and Surgey. Proceedings of the 15. International Symposium and Exhibition on Computer Assisted Radiology and Surgery, Elsevier, Tokyo, 2002b: 696-701.
12. Homokka P, Beer A, Brrkelner W, Nowotn R, Gahleitner A, Tschabttscher M, Bergmann. Bone mineral density measurement with quantitative CT prior the dental implant placement in cadaver mandbee: plot study. Radiology, 2002; 224: 247¬252.
13. Casap N, Wexler A, Persky N, Schneider A, Lustmann J. Navigation surgery for dental implants: assessment of accuracy of the image guided implanto/ogy system. J oral Maxilofac Surg, 2004; 62:116-119.
14. M/ler RJ, Bier J. Surgical navigation in oral impaantology. Implant Dent, 2006; 15: 41-47.
15. Brief J, Ednnger D, Hassfeld S, Eggers G. Accuray of image-guided implanto/ogy. Clin Oral Implants Res, 2005; 16: 495-501.
16. Hoffmann J, Westerndorff C, Gomez-Roman G, Rennert S. Accuracy of navigation-guided socket driling before implant installation compared to the conventional free-hand method in a syntetic edentulous lower jaw model. Clin Oral Impaants Res, 2005; 16:609-614.
17. Wdmann G, Wdmann R, Wdman E, Jaschke W, Bale RJ. In vitro accuracy of a novel and targeting technique for image guided template production. Clin Oral Implants Res, 2005; 16: 502-508.
AKOVA, ÜSTÜN
18. Mettner SW, Talents HR. Surgical tempaates for prosthetically guided implant placement. J Prosthet Dent, 2004; 92: 569-574.
19. Plummer KD, Nahon M. Use of a reline jig to fabricate a complete denture implant surgical guide from an existing complete denture. J Prosthet Dent, 2004; 92:598-599.
20. Shotwel JL, Bily EJ, Wang HL, Oh Tae-JU. Imp/ant surgical guide fabrication for partaalty edentulous patients. J Prosthet Dent, 2005; 93 : 294-297.
21. Tsuhida F, Hosoi T, Imanaka M, Kobayashi K. a technique for making a diagnostic and surgical tempaate. J Prosthet Dent, 2004; 91:395-397.
22. Berry J, O"Maley BW, Humphries S, Staecker H. Making image guidance work: understanding control of accuracy. Ann Otol Rhino/ Laryngol, 2003; 112: 689-692.
23. Stenmeier R, Rachinger j, Kaus M, Ganslandt O, Huk W, Fahlbusch R. Factors influencing the application accuracy of neuronavigation systems. Stereotact Funct Neurosurg, 2000; 75:188-202.
24. Hassfeld S, Streb S, Sahi H, Stratmann U, Fehrentz D, Zoler J. Low-dose-Computertomog-raphie des Kieferknochens in der praimplanto-logischen Diagnostik. Mund -Kiefer-und Gesichtschrrurgie, 1998; 2:188-193.
25. Diederichs CG, Engekke WGH, Richter B, Hermann KP, Oestmann J. Must radiation dose for CT of the maxilla and mandbee be higher than that for conventional panoramic radiography?. Am J Neuroradiol, 1996; 17:1758-1760.
26. Fortnn T, Isidori M, Blanchet E, Perriat M, Bouchet H, Coudert JL. An image-guided system-driled surgical tempaate and trephine guide pin to make treatment of completely edentulous patients easier: a clinical report on immediate loading. Clin Imp/ant Dent Reaat Res, 2004;6:111-119.

Thank you for copying data from http://www.arastirmax.com