Loading...
Publication
Cirurgia guiada em implantologia atual : indicações, princípios e protocolos clínicos
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.46 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
A reabilitação oral de pacientes desdentados através de implantes dentários, veio permitir um enorme incremento na qualidade de vida dos pacientes, contribuindo para melhoria da função mastigatória e estética. O princípio da cirurgia guiada por computador no tratamento com implantes dentários é um avanço tecnológico que combina a utilização de software e tomografia de feixe cónico no planeamento cirúrgico e colocação de
implantes, contribuindo assim para um posicionamento mais preciso dos implantes.
Atualmente, existem vários protocolos cirúrgicos para cirurgia guiada, diferenciados pela técnica de produção das guias cirúrgicas, instrumental cirúrgico e protocolos de instalação dos implantes dentários. A disponibilidade de novas tecnologias de imagem, softwares de diagnóstico e guias cirúrgicas, contribuem para facilitar o cirurgião na seleção de casos clínicos, auxiliar a assistência nos procedimentos cirúrgicos e na escolha das técnicas cirúrgicas mais apropriadas para a reabilitação oral com implantes dentários.
A colocação de implantes dentários através de guia cirúrgica permite a redução do tempo operatório, associado a menor morbilidade, um posicionamento correto dos implantes dentários, minimizar riscos intraoperatórios evitando lesões de estruturas anatómicas, e a confeção pré-operatória da reabilitação protética provisória imediata. Esta revisão narrativa tem como objetivo principal rever os princípios atuais da cirurgia guiada, os seus protocolos cirúrgicos, o seu instrumental associado, as suas vantagens limitações. A
revisão bibliográfica será baseada na pesquisa de artigos científicos, em língua inglesa, francesa e portuguesa, publicados nos últimos 30 anos, nas bases de dados MEDLINEPubmed, Cochrane Library, Google Scholar e B-on. Adicionalmente será feita uma pesquisa bibliográfica manual, através de livros científicos de referência da área.
The oral rehabilitation of edentulous patients by means of dental implants has allowed an enormous increase in the patients' quality of life, contributing to the improvement of masticatory function and aesthetics. The principle of computer-guided surgery in dental implant treatment is a technological advance that combines the use of software and cone beam tomography in surgical planning and implant placement, thus contributing to more precise implant positioning. Currently, there are several surgical protocols for guided surgery, differentiated by the technique of producing the surgical guides, surgical instruments, and installation protocols of the dental implants. The availability of new imaging technologies, diagnostic software, and surgical guides, contribute to facilitate the surgeon in the selection of clinical cases, aid assistance in surgical procedures and the choice of the most appropriate surgical techniques for oral rehabilitation with dental implants. The placement of dental implants through surgical guide allows the reduction of operative time, associated with lower morbidity, a correct positioning of dental implants, minimize intraoperative risks by avoiding injury to anatomical structures, and the preoperative making of the immediate provisional prosthetic rehabilitation. This narrative review has as main objective to review the current principles of guided surgery, its surgical protocols, its associated instrumental, its advantages and limitations. The literature review will be based on a search of scientific articles in English, French and Portuguese language, published in the last 30 years, in MEDLINE-Pubmed, Cochrane Library, Google Scholar and B-on databases. Additionally, manual bibliographic research will be made, through scientific books of reference of the area.
The oral rehabilitation of edentulous patients by means of dental implants has allowed an enormous increase in the patients' quality of life, contributing to the improvement of masticatory function and aesthetics. The principle of computer-guided surgery in dental implant treatment is a technological advance that combines the use of software and cone beam tomography in surgical planning and implant placement, thus contributing to more precise implant positioning. Currently, there are several surgical protocols for guided surgery, differentiated by the technique of producing the surgical guides, surgical instruments, and installation protocols of the dental implants. The availability of new imaging technologies, diagnostic software, and surgical guides, contribute to facilitate the surgeon in the selection of clinical cases, aid assistance in surgical procedures and the choice of the most appropriate surgical techniques for oral rehabilitation with dental implants. The placement of dental implants through surgical guide allows the reduction of operative time, associated with lower morbidity, a correct positioning of dental implants, minimize intraoperative risks by avoiding injury to anatomical structures, and the preoperative making of the immediate provisional prosthetic rehabilitation. This narrative review has as main objective to review the current principles of guided surgery, its surgical protocols, its associated instrumental, its advantages and limitations. The literature review will be based on a search of scientific articles in English, French and Portuguese language, published in the last 30 years, in MEDLINE-Pubmed, Cochrane Library, Google Scholar and B-on databases. Additionally, manual bibliographic research will be made, through scientific books of reference of the area.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Cirurgia guiada Guias cirúrgicas Implante osteointegrado Imagem tridimensional