Ekaterinburg, Russian Federation
employee from 01.01.1992 until now
Ekaterinburg, Ekaterinburg, Russian Federation
Subject. Since the mid-20th century, there has been an increase of interest in implantation for the treatment of partial and complete loss of teeth. P. I. Branemark was one of the first pioneers who developed an implant that forms osseointegration. Anatomical restrictions and restorative requirements prompt the implantologist to achieve the accuracy of planning and surgical positioning of dental implants. The ideal placement of the implant facilitates the creation of favorable forces on implants and prosthetic structures, and also provides an aesthetic result. Therefore, it is advisable to establish a logical continuity between the planned restoration and the surgical stages, it is important to use the transmitting device, which undoubtedly increases the effectiveness of the implantation. In 1987, M. J. Edge et al. recommended the use of surgical guides before the implantation operation. Currently, surgical templates have become increasingly used. The article presents data on the features of planning of implant placement and the technology of applying a surgical template for positioning the dental implant unit. Goal. To show the value of using surgical templates for the rational installation of dental implants and preventing possible errors and complications. Methodology. A search for literature using search engines such as Google, Yahoo and scientific bibliographic databases such as PubMed, Medline and textbooks was conducted until September 2017 using medical thematic headings like «Dental Implants», «Surgical Templates». More than 300 sources of literature were identified, after studying which they reduced to 28 sources of articles and literary reviews. Conclusions. The study of available to us literature, revealed the advantages and disadvantages of using surgical templates. The main advantages: precise placement of implants, preservation of anatomical structures; three-dimensional technology allows to accurately estimate anatomical points, such as the size of the maxillary sinus in the upper jaw and the location of the alveolar nerve in the lower jaw, high observable accuracy of 0.1 mm, reduction of the time of surgical intervention. Disadvantages: lack of visibility and tactile control during the surgical procedure, insufficient opening of the mouth jeopardizes the result of complex treatment, there is a risk of damage to vital anatomical structures.
implantation, surgical template, cylindrical implant, computer planning.
1. Kola M. Z., Shah A. H., Khalil H. S., Rabah A. M. N. et al. Surgical Templates for Dental Implant Positioning; Current Knowledge and Clinical Perspectives. Niger J. Surg, 2015, vol. 21, no. 1, pp. 1–5.
2. Ryahovskiy, A. N. Varianty primeneniya napravlyayuschih shablonov na hirurgicheskom etape dental'noy implantacii / A. N. Ryahovskiy, S. V. Mihas'kov // Panorama ortopedicheskoy stomatologii. – 2007. – № 1. – S. 6–11.
3. Ispol'zovanie 3D planirovaniya i hirurgicheskogo shablona dlya profilaktiki nepravil'noy ustanovki cilindricheskih implantatov v kostnoy tkani chelyustey / S. E. Zholudev, P. M. Nersesyan, D. S. Zholudev, A. Yu. Remov // Problemy stomatologii. – 2016. – № 2. – S. 79–85.
4. Misch C. E. St. Louis, 3rd ed, Mosby Publications, 2007, Contemporary Implant Dentistry.
5. Giri R. M., Subramonian R. R., Narendrakumar K. R. Implant surgical guides: From the past to the present. J Pharm Bioallied Sci, 2013, vol. 5, pp. 98–102.
6. D’Souza K. M., Aras M. A. Types of implant surgical guides in dentistry: A review. J. Oral. Implantol, 2012, vol. 38, pp. 643–652.
7. Horwitz J., Zuabi O., Machtei E. E. Accuracy of a computerized tomography-guided template-assisted implant placement system: An in vitro study. Clin Oral Implants Res, 2009, vol. 20, pp. 1156–1162.
8. Borisov R. Radiological templates and CAD/CAM surgical guides. A literature review. Journal of IMAB - Annual Proceeding (Scientific Papers), 2016, vol. 22, iss. 3, pp. 1285–1295.
9. Kola M. Z., Shah A. H., Khalil H. S., Rabah A. M., Harby N. M., Sabra S. A. et al. Surgical templates for dental implant positioning; current knowledge and clinical perspectives. Niger J. Surg, 2015, vol. 21, no. 1, pp. 1–5.
10. Farley N. E., Kennedy K., Mc Glumphy E. A., Clelland N. L. Split-mouth comparison of the accuracy of computer- generated and conventional surgical guides. Int J. Oral Maxillofac Implants, 2013, vol. 28, no. 2, pp. 563–572.
11. Chan P. W., Chik F. F., Pow E. H., Chow T. W. Stereoscopic technique for conversion of radiographic guide into implant surgical guide. Clin Implant Dent Relat Res, 2013, vol. 15 (4), pp. 613–624.12. Elhayes K. A., Gamal Eldin M. A. Calibration of new software with cone beam c. t. for valuation of its reliability in densitometric analysis around dental implants. Life Sci J, 2012, no. 9 (2), pp. 61–67.
12. Tardieu P. B., Vrielinck L., Escolano E. Computer-assisted implant placement. A case report: treatment of the mandible. Int. J. Oral. Maxillofac. Implants, 2003, vol. 18 (4), pp. 599–604.
13. Gonzalez-Garcia R., Monje F. The reliability of cone-beam computed tomography to assess bone density at dental implant recipient sites: a histomorphometric analysis by micro-CT. Clin. Oral. Implants, 2012, no. 1, pp. 17.
14. Scherer U., Stoetzer M., Ruecker M., Gellrich N. C., von See C. Templateguided vs. non-guided drilling in site preparation of dental implants. Clin Oral Investig, 2015, vol. 19 (6), pp. 1339–1346.
15. Block M. S., Emery R. W. Static or Dynamic Navigation for Implant Placement- Choosing the Method of Guidance. J. Oral. Maxillofac. Surg, 2016, vol. 74 (2), pp. 269–277.
16. Pozzi A., Tallarico M., Marchetti M., Scarfò B., Esposito M. Computerguided versus free-hand placement of immediately loaded dental implants: 1- year post-loading results of a multicenter randomised controlled trial. Eur. J. Oral. Implantol, 2014, no. 7 (3), pp. 229–242.
17. Arisan V., Karabuda C. Z., Ozdemir T. Implant surgery using bone- and mucosa- supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques. Clin Oral Implants Res, 2010, vol. 21 (9), pp. 980–988.
18. Moy P. K., Medina D., Shetty V., Aghaloo T. L. Dental implant failure rates and associated risk factors. Int. J. Oral Maxillofac. Implants, 2005, vol. 20 (4), pp. 569–577.
19. Yatzkair G., Cheng A., Brodie S., Raviv E., Boyan B. D., Schwartz Z. Accuracy of computer-guided implantation in a human cadaver model. Clin Oral Implants Res, 2015, vol. 26 (10), pp. 1143–1149.
20. Cassetta M., Giansanti M., Di Mambro A., Stefanelli L. V. Accuracy of positioning of implants inserted using a mucosa-supported stereolithographic surgical guide in the edentulous maxilla and mandible. Int J Oral Maxillofac Implant, 2014, vol. 29 (5), pp. 1071–1078.
21. Vieira D. M., Sotto-Maior B. S., Barros C. A., Reis E. S., Francischone C. E. Clinical accuracy of flapless computerguided surgery for implant placement in edentulous arches. Int J Oral Maxillofac Implants, 2013, vol. 28 (5), pp. 1347–1351.
22. Fortin T., Champleboux G., Lormee J., Coudert J. L. Precise dental implant placement in bone using surgical guides in conjunction with medical imaging techniques. J. Oral. Implantol, 2000, vol. 26 (4), pp. 300–303.
23. Giordano M., Ausiello P., Martorelli M. Accuracy evaluation of surgical guides in implant dentistry by non-contact reverse engineering techniques. Dent Mater, 2012, vol. 28 (9), pp. 178–185.
24. Behneke A., Burwinkel M., Knierim K. B. Accuracy assessment of cone beam computed tomography-derived laboratory-based surgical templates on partially edentulous patients. Clin. Oral. Implants. Res, 2012, vol. 23 (2), pp. 137–143.
25. Pesun I. J., Gardner F. M. Fabrication of a guide for radiographic evaluation and surgical placement of implants. J. Prosthet. Dent, 1995, vol. 73, pp. 548–552.
26. Ersoy A. E., Turkyilmaz I., Ozan O., McGlumphyE. A. Reliability of implant placement with stereolithographic surgical guides generated from computed tomography: clinical data from 94 implants. J. Periodontol, 2008, vol. 79 (8), pp. 1339–1345.
27. Van Assche N., van Steenberghe D., Guerrero M. E., Hirsch E., Schutyser F., Quirynen M., Jacobs R. Accuracy of implant placement based on pre-surgical planning of three-dimensional conebeam images: a pilot study. J. Clin. Periodontol, 2007, vol. 34 (9), pp. 816–821.
