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Digital Workflows for Restoring Patient-Specific Implants and Digitally Designed Subperiosteal Implants.
Vishtasb Broumand1, Seongnoh Lee2, Travis D Pero2
1Desert Ridge Oral Surgery Institute, 20950 N Tatum Boulevard #200, Phoenix, AZ 85050, USA; Department of Oral and Maxillofacial Surgery, Banner University Medical Center, University of Arizona, Phoenix, AZ, USA.
Oral and Maxillofacial Surgery Clinics of North America
|February 28, 2025
Summary
Classic subperiosteal implants (CSI) offer solutions for atrophic ridges. Patient-specific implants (PSI) represent an evolution, leveraging digital technology for improved treatment planning and restoration in implant dentistry.
Area of Science:
- Dental Implantology
- Oral and Maxillofacial Surgery
- Biomaterials Engineering
Background:
- Classic subperiosteal implants (CSI) have a long history in dentistry, particularly for managing severe alveolar bone atrophy.
- Advancements in digital technology have spurred renewed interest in subperiosteal implant techniques.
- Patient-specific implants (PSI) are emerging as a modern adaptation of traditional CSI.
Purpose of the Study:
- To provide a comprehensive overview of the historical evolution of subperiosteal implants.
- To detail the treatment planning considerations for patient-specific subperiosteal implants.
- To outline the design principles and fundamental requirements for successful PSI placement and restoration.
Main Methods:
- Literature review of classic subperiosteal implant techniques and their evolution.
- Analysis of digital technologies impacting implant design and fabrication.
- Synthesis of current best practices for patient-specific implant treatment planning and surgical execution.
Main Results:
- CSI have been a valuable tool for decades, especially in cases of significant bone loss.
- Digital technologies enable highly precise, patient-specific designs for subperiosteal implants.
- Successful PSI outcomes depend on meticulous treatment planning, accurate design, and proper surgical placement.
Conclusions:
- Patient-specific implants represent a significant advancement over classic subperiosteal implants.
- The integration of digital workflows is crucial for optimizing PSI outcomes.
- Further research can refine the application of PSI for complex restorative cases.

