Publication: Estudio in vitro de la precisión de la cirugía guiada
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2020-01-20
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Universidad Complutense de Madrid
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Abstract
La implantología ha sufrido un gran cambio en los últimos años debido, entre otros, a los avances en cirugía guiada y a las técnicas cad-cam. La planificación en un caso de implantoprótesis, consiste en hallar la mejor distribución de los implantes para devolver al paciente estética y función teniendo en cuenta la disponibilidad ósea. La incorporación de software asistentes para la planificación, la tecnología digital y cadcam, cambian la sistemática clásica para la realización de un plan de tratamiento y hacen posible la realización de guías estereolitográficas, que permiten transferir la planificación al campo quirúrgico real.
JUSTIFICACIÓN: Se planteó un estudio in vitro para analizar la precisión de la cirugía guiada y ver qué factores pueden influir en la variación de la posición final de los implantes colocados. “No existen diferencias estadísticamente significativas en la posición final coronoapical ni en la profundidad de los implantes empleando guías estereolitográficas independientes de idéntica planificación”.
OBJETIVOS DEL PROYECTO: El objetivo general de este trabajo de investigación in vitro es evaluar la precisión de la cirugía guiada empleando férulas estereolitográficas. Los objetivos específicos son: 1. Cuantificar la desviación final de cada implante a nivel coronal y a nivel apical respecto a la planificación. 2. Evaluar la angulación final de los implantes respecto a lo planificado, en función de la guía estereolitográfica empleada. 3. Analizar que implantes en función de su posición en el modelo obtuvieron mayores desviaciones y si existen o no diferencias estadísticamente significativas en las comparaciones intragrupo e intergrupo...
Due to advances in guided surgery, cad-cam techniques, the incorporation of assistant software for planning, digital technology, implatology has suffered a big change in these last years. The planning in a case of implant prosthesis is to find the best distribution of the implants to return the patient aesthetics and function. Unfavorable implant insertion may result in adverse effects on osseointegration, long-term predictability, success, and esthetic outcomes of prostheses. Presurgical planning is essential to achieve excellent esthetic and functional outcomes with dental implants. Modern implant treatment planning software allows the clinician to plan the desired implant placement in a virtual model and generate a surgical guide, which allow to transfer the planning to the real surgical field. There are many methods of manufacturing surgical guides, we will focus on those manufactured by stereoligraphy. JUSTIFICATION: An in vitro study was proposed to analyze the precision of guided surgery and to see what factors can influence the variation of the final position of the placed implants. OBJECTIVES: The aim of this study is to evaluate the outcome of computer-guided implant placement by planning with Facilitate ™. The objectives of this study are to evaluate the final deviation, coronal and apical, and evaluate the final angulation of each implant with respect to planning...
Due to advances in guided surgery, cad-cam techniques, the incorporation of assistant software for planning, digital technology, implatology has suffered a big change in these last years. The planning in a case of implant prosthesis is to find the best distribution of the implants to return the patient aesthetics and function. Unfavorable implant insertion may result in adverse effects on osseointegration, long-term predictability, success, and esthetic outcomes of prostheses. Presurgical planning is essential to achieve excellent esthetic and functional outcomes with dental implants. Modern implant treatment planning software allows the clinician to plan the desired implant placement in a virtual model and generate a surgical guide, which allow to transfer the planning to the real surgical field. There are many methods of manufacturing surgical guides, we will focus on those manufactured by stereoligraphy. JUSTIFICATION: An in vitro study was proposed to analyze the precision of guided surgery and to see what factors can influence the variation of the final position of the placed implants. OBJECTIVES: The aim of this study is to evaluate the outcome of computer-guided implant placement by planning with Facilitate ™. The objectives of this study are to evaluate the final deviation, coronal and apical, and evaluate the final angulation of each implant with respect to planning...
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Tesis inédita de la Universidad Complutense de Madrid de la Facultad de Odontología del Departamento de Odontología Conservadora y Prótesis Bucofacial, leída el 12 de Julio de 2019