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Position of digitally guided implants in completely edentulous maxillae by using a modified double-scan and overlap of three digital surface protocol
Indexado
WoS WOS:001446630000001
Scopus SCOPUS_ID:85159289963
DOI 10.1016/J.PROSDENT.2023.03.028
Año 2023
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Statement of problem: In patients with a completely edentulous maxilla, the variability in resilience and mucosal thickness and the lack of teeth and rigid supporting structures may lead to poor adaptation of the surgical guide and significant variation in the definitive implant position. Whether a modified double-scan technique with overlap of surfaces will improve implant placement is unclear. Purpose: The purpose of this prospective clinical study was to evaluate the 3-dimensional position and the correlation of 6 dental implants in participants with a completely edentulous maxilla using a mucosa-supported flapless surgical guide designed with 3 matched digital surfaces obtained with a modified double-scan protocol. Material and methods: Dental implants were installed with an all-on-6 protocol in the edentulous maxilla of participants at the Santa Cruz Public Hospital, Chile. A stereolithographic mucosa-supported template was fabricated from a cone beam computed tomography (CBCT) scan made with a prosthesis with 8 radiopaque ceramic spheres inserted and by scanning the same prosthesis with an intraoral scanner. The mucosa was obtained by digitally casting the relining of the removable complete denture in the design software program. After 4 months, a second CBCT scan was obtained to evaluate the position of the installed implants measured at 3 locations: apical, coronal, platform depth, and angulation. Differences in position between the 6 implants in the completely edentulous maxilla and their linear correlation at the measured points were compared with the Kruskal-Wallis and Spearman correlation tests (α=.05). Results: Sixty implants were installed in 10 participants (age 54.3 ±8.2 years; 7 women). The average deviation in the apical axis was 1.02 ±0.9 mm, coronal 0.76 ±0.74 mm, platform depth 0.92 ±0.8 mm, and the major axis angulation of the 6 implants was 2.92 ±3.65 degrees. The implant in the maxillary left lateral incisor region had the most significant deviation in apical and angular points (P<.05). A linear correlation between apical-to-coronal deviations and apical-to-angular deviations was observed for all implants (P<.05). Conclusions: A stereolithographic mucosa-supported guide designed with the overlap of 3 digital surfaces had average dental implant position values similar to those reported by systematic reviews and meta-analyses. In addition, implant position varied based on the location of the implant installation in the edentulous maxilla.

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Disciplinas de Investigación



WOS
Dentistry, Oral Surgery & Medicine
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Troncoso-Pazos, Jorge - Government of Chile - Chile
Make Solid Digital Dent Implant Study Grp - Chile
Santa Cruz Hosp - Chile
2 Matamala, Pablo - Hospital del Salvador - Chile
Make Solid Digital Dent Implant Study Grp - Chile
3 Jusari, María Francisca - Universidad Austral de Chile - Chile
4 Risco, Keila - Universidad Austral de Chile - Chile
5 Aguilera, Felipe Rodrigo Hombre Universitat de Barcelona, Facultad de Medicina y Ciencias de la Salud - España
Universidad Austral de Chile - Chile
Univ Barcelona - España
6 Aravena, Pedro Christian Hombre Universidad Austral de Chile - Chile

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Financiamiento



Fuente
O'Higgins Health Service

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
We did not have funding for this article. All administrative support, provision of study material and patients were obtained from Department of Dental Services, Santa Cruz Hospital, O'Higgins Health Service, Chile.

Muestra la fuente de financiamiento declarada en la publicación.