Implantoprosthetic Rehabilitation by Computer-guided Implant Surgery : prikaz slucaja

Correct implant positioning poses a major challenge in modern dentistry and mismatch between the planned and final implant position is one of the most common treatment complications. A surgical guide or a template is a "transmission device" which enables the implant placement in the intended position as accurate as possible. Case study: A woman aged 60 came into dental office to resolve a single tooth loss in regions 15 and 24. Radiographic analysis and clinical examination showed a lack of transversal space in the regions of implantation. Considering the fact of having a narrow area available for implantation, a computer-guided implant therapy using the M-Guide system was selected. The treatment plan was a prosthetic restoration involvingthe placement of two implants in areas 15 and 24 and the fabrication of zirconium oxide crowns. After digital planning, a fully guided surgical protocol was performed. Immediately after implantation, a temporary suprastructure and temporary crowns were placed. After a period of osseointegration, a definitive prosthetic restoration was made. Uvod: Pravilno pozicioniranje implantata velik je izazov u suvremenoj dentalnoj medicini, a nesklad izmedu njegova planiranoga i konacnoga položaja jedna je od najcešcih terapijskih komplikacija. Kirurška vodilica ili šablona "prijenosno je sredstvo" kojim se postiže što vjernije postavljanje implantata u planirani položaj. Prikaz slucaja: Žena u dobi od 60 godina došla je u ordinaciju radi sanacije pojedinacne bezubosti u regijama 15 i 24. Radiološkom analizom i klinickim pregledom ustanovljen je manjak transverzalnoga prostora u regijama implantacije. Zbog manjka prostora za implantaciju izabrana je kompjutorski vodena implantoproteticka terapija s pomocu sustava M-Guide. Plan terapije bio je izraditi proteticki rad koji ukljucuje postavljanje dvaju implantata u podrucja 15 i 24 i izradu cirkonij-oksidnih krunica. Nakon digitalnog planiranja pripremljen je potpuno navodeni kirurški protokol. Odmah poslije implantacije postavljena je privremena suprastruktura i privremeni proteticki rad. Nakon oseointegracije pristupilo se izradi defnitivnoga protetickog rada.