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Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities

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A subtractive radiographic template for computer-guided surgery.

Christopher B Marchack¹, Allan Charles², Alex J Matosian³

¹Associate Clinical Professor, Department of Continuing Education, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, Calif.

The Journal of Prosthetic Dentistry

|July 8, 2014

Summary

This study presents a new technique for guided surgery using NobelClinician software to place immediate dental implants in partially edentulous patients. The modified radiographic template enables immediate implant placement after tooth extractions.

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Area of Science:

Dental Implantology
Computer-Aided Surgery
Prosthodontics

Background:

Computer-aided design/computer-aided manufactured (CAD/CAM) surgical templates, initially for fully edentulous arches, are now applicable to partially edentulous cases.
Guided surgery protocols using NobelClinician software for immediate implants in partially edentulous patients are not well-established.

Purpose of the Study:

To describe a novel technique for guided surgery of immediate dental implants in partially edentulous arches using NobelClinician software.
To adapt existing CAD/CAM surgical template procedures for immediate implant placement post-extraction.

Main Methods:

Modification of a radiographic template to facilitate guided surgery.
Application of the modified template for immediate dental implant placement after extractions in partially edentulous arches.
Utilizing NobelClinician software for treatment planning and template design.

Main Results:

The described technique allows for the guided surgical placement of immediate dental implants in partially edentulous patients.
Successful adaptation of CAD/CAM template technology for immediate implantology in complex partially edentulous scenarios.

Conclusions:

A viable protocol for guided immediate implant placement in partially edentulous arches using NobelClinician software has been established.
This technique expands the application of guided surgery for immediate dental implants, addressing a gap in current literature.