The use of pterygoid implants can be an attractive alternative to sinus bone grafting in the treatment of posterior atrophic maxilla. This technique has not been widely used because of the difficulty of the surgical access, the presence of vital structures, and the prosthetic challenges. The use of dynamic computer aided implantology (DCAI) allows the clinician to utilize navigation dental implant surgery, which allows the surgeon to follow the osteotomy site and implant positioning in real time. A total of 14 patients (28 pterygoid implants and 56 intersinusal implants) were enrolled in the study for a full arch implant prosthetic rehabilitation (4 frontal implants and 2 pterygoids implants), using a dynamic navigation system. The reported accuracy of pterygoid implants inserted using DCAI was 0.72 mm at coronal point, 1.25 mm at apical 3D, 0.66 mm at apical depth, and 2.86ffi as angular deviation. The use of pterygoid implants in lieu of bone grafting represents a valid treatment opportunity to carry out a safe, accurate, and minimally invasive surgery, while reducing treatment time and avoiding cantilevers for a full implant prosthetic rehabilitation of the upper arch.
Accuracy evaluation of 14 maxillary full arch implant treatments performed with Da Vinci bridge: a case series / Stefanelli, L. V.; Mandelaris, G. A.; Franchina, A.; Di Nardo, D.; Galli, M.; Pagliarulo, M.; Testarelli, L.; Di Carlo, S.; Gambarini, G.. - In: MATERIALS. - ISSN 1996-1944. - 13:12(2020), pp. 1-16. [10.3390/ma13122806]
Titolo: | Accuracy evaluation of 14 maxillary full arch implant treatments performed with Da Vinci bridge: a case series | |
Autori: | GAMBARINI, Gianluca (Ultimo) [Conceptualization] | |
Data di pubblicazione: | 2020 | |
Rivista: | ||
Citazione: | Accuracy evaluation of 14 maxillary full arch implant treatments performed with Da Vinci bridge: a case series / Stefanelli, L. V.; Mandelaris, G. A.; Franchina, A.; Di Nardo, D.; Galli, M.; Pagliarulo, M.; Testarelli, L.; Di Carlo, S.; Gambarini, G.. - In: MATERIALS. - ISSN 1996-1944. - 13:12(2020), pp. 1-16. [10.3390/ma13122806] | |
Handle: | http://hdl.handle.net/11573/1436047 | |
Appartiene alla tipologia: | 01a Articolo in rivista |
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Stefanelli_Accuracy_2020_Parte1.pdf | https://www.mdpi.com/1996-1944/13/12/2806 | Versione editoriale (versione pubblicata con il layout dell'editore) | ![]() | Open Access Visualizza/Apri |
Stefanelli_Accuracy_2020_Parte2.pdf | https://www.mdpi.com/1996-1944/13/12/2806 | Versione editoriale (versione pubblicata con il layout dell'editore) | ![]() | Open Access Visualizza/Apri |