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Published on: October 18, 2021
[Implant placement on restricted mesiodistal space with simulation software and guiding system: a case report]
Makoto Shiota1, Hidemichi Kihara, Masaki Fujii
1Department of Masticatory Function Rehabilitation, Division of Oral Health Science, Oral Implantology and Regenerative Dental Medicine, Graduate School, Tokyo Medical and Dental University.
Kokubyo Gakkai Zasshi. the Journal of the Stomatological Society, Japan
|November 27, 2009
Summary
This study demonstrates the successful use of a surgical guiding system and simulation software for dental implant placement in a narrow space due to congenital tooth agenesis. The technology ensured precise implant positioning, leading to excellent clinical outcomes.
Area of Science:
- Dentistry
- Surgical Technology
- Implantology
Background:
- Congenital tooth agenesis often presents challenges for dental implant treatment, particularly in cases with limited interdental space.
- Traditional implant placement in narrow mesiodistal regions can be complex and carry risks of malpositioning.
Observation:
- A 19-year-old female patient with a missing mandibular right deciduous canine and a 5mm mesiodistal space was treated with dental implants.
- Computed tomography (CT) imaging was used to assess the narrow bone dimensions.
- A surgical guiding system, utilizing simulation software (SimPlant) and a fabricated surgical guide template (SurgiGuide), was employed for treatment planning and execution.
Findings:
- The surgical guiding system and simulation software enabled precise planning and execution of implant placement in the severely restricted space.
- Post-operative cone-beam CT confirmed the implant was positioned exactly as planned.
- Successful restoration with a ceramo-metal crown was achieved, with optimal soft tissue conditions.
Implications:
- This case highlights the efficacy of guided surgery and simulation software for complex dental implant cases with severe space limitations.
- The technology offers a predictable and safe approach to treating congenital tooth agenesis, improving functional and aesthetic outcomes.
- Guided implant surgery can enhance precision and reduce complications in challenging anatomical situations.
