clinical case cas clinique - straumann
TRANSCRIPT
Dr. Jonatan BELEY France
Cas clinique
The advantages of using INITIAL guided surgery in a typical clinical situation #2
Guided surgery
Clinical case
Guided surgery
Introduction
A 67-year-old patient wishes to regain molar alignment after decompensated tooth loss. The indication supports the placement of two implants in positions 46 and 47. The therapeutic project is the design of two screw-retained restorations with their numerous
clinical advantages, particularly in terms of peri-implant health. The bone volumes available make it possible to carry out this project effectively using guided surgery. A mucosal thickening will be carried out at the same time as implant placement and a quantity of keratinised surrounding gum will be added during the operation.
Dr. Jonatan BELEY France
1. Pre-operative panoramic x-ray
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3. Pre-operative vestibular view2. Pre-operative occlusal view
Initial situation
Care plan Surgery Prosthetic
RestorationFinal
situation
Guided surgery
5. . Implant planning 46 4. Implant planning 44
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Initial situation
Care plan Surgery Prosthetic
RestorationFinal
situation
Guided surgery
Avec la courtoisie du Dr Dominique Dupont
Avec la courtoisie du Dr Dominique Dupont
Avec la courtoisie du Dr Dominique Dupont
Avec la courtoisie du Dr Dominique Dupont
Avec la courtoisie du Dr Dominique Dupont
Avec la courtoisie du Dr Dominique Dupont
Avec la courtoisie du Dr Dominique Dupont
Avec la courtoisie du Dr Dominique Dupont
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6. Guide design
Initial situation
Care plan Surgery Prosthetic
RestorationFinal
situation
Guided surgery
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7. Guide placement 8. Guide placement – occlusal view
Initial situation
Care plan Surgery Prosthetic
RestorationFinal
situation
Guided surgery
9. Initial pointer drilling
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10. Initial drilling passage 11. Initial drilling passage
Initial situation
Care plan Surgery Prosthetic
RestorationFinal
situation
Guided surgery
12. Drilling channels
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13. Inserting the implant
Initial situation
Care plan Surgery Prosthetic
RestorationFinal
situation
Guided surgery
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14. Implant in place 15. Mucoderm Membrane (Botiss)
Initial situation
Care plan Surgery Prosthetic
RestorationFinal
situation
Guided surgery
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16. Membrane in place 17. Sutures
Initial situation
Care plan Surgery Prosthetic
RestorationFinal
situation
Guided surgery
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18. Postoperative panoramic x-ray
Initial situation
Care plan Surgery Prosthetic
RestorationFinal
situation
Guided surgery
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Conclusion
Studies have shown the benefits of partially guided surgery as opposed to freehand surgery in terms of 3D positioning accuracy. The Anthogyr INITIAL Guided Surgery Kit allows rapid execution of the surgical procedure with few drill passages through the guide, in an area that often demands a great deal of effort from patients in terms of mouth opening. The pointer drill in the kit is very effective and prevents any lateral “sliding” if the angle of access is too tangential to the bone crest. It guides the pilot drill and enables it to find its way smoothly. This case illustrates a common clinical situation for implantology practitioners. It highlights the value of using a system with an integrated solution for guided surgery in the management of a simple case.
Guided surgery
Dr. Jonatan BELEY France
Acknowledgements
• Post graduation Diploma of Dental Surgery Nancy University
• Implant Residency- Ashman Department of Periodontology and Implantology, New York University College of Dentistry
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Courtesy of Dr Jonatan Beley
ANTHOGYR SAS2 237 avenue André Lasquin74700 Sallanches - France
www.anthogyr.com
Photo credits: Anthogyr, Getty images, Dr Beley. All rights reserved, non-contractual photos.