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Dynamic Navigation for Dental Implant Placement
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Guided implant surgery for one-piece ceramic implants: a digital workflow.

Felix Burkhardt, Frank Peter Strietzel, Kerstin Bitter

    International Journal of Computerized Dentistry
    |March 25, 2020
    PubMed
    Summary

    This study demonstrates a prosthetic-driven digital planning method for precise one-piece implant placement. This technique enhances accuracy and simplifies impression procedures for ceramic implants.

    Keywords:
    CAD/CAMbackward planningdigital workflowguided implant surgeryintraoral scanceramic implants

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    Area of Science:

    • Dentistry
    • Biomaterials Science
    • Digital Dentistry

    Background:

    • Accurate implant placement is crucial for successful dental implant treatment.
    • Correcting implant axis orientation, especially for one-piece implants, is challenging post-insertion.
    • Prosthetic-driven digital planning and guided surgery enhance safety in implantology.

    Purpose of the Study:

    • To present a digital workflow for precise placement of one-piece ceramic implants.
    • To evaluate a method for fabricating a monolithic zirconia restoration using digital data.
    • To demonstrate an alternative to manufacturer-specific guide solutions for implant placement.

    Main Methods:

    • Digital planning utilized DICOM and intraoral surface data for optimal implant positioning.
    • Guided implant placement was performed using a contra-angle handpiece and a sleeveless drill guide.
    • Intraoral scanning captured implant impressions, with reflection errors corrected using digital abutment geometry.

    Main Results:

    • Successful placement of three one-piece zirconia implants in an edentulous space (sites 13-16).
    • Fabrication of a monolithic zirconia fixed partial denture via subtractive milling.
    • Digital impressions for implants were improved by superimposing ideal abutment geometry.

    Conclusions:

    • A prosthetic-driven strategy enabled one-piece ceramic implant placement without manufacturer-specific guides.
    • The method simplifies implant axis adjustment, avoiding irreversible abutment grinding.
    • This approach eliminates the need for gingival retraction during impression acquisition for these implants.