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Reabilitação oral total implanto suportada através de cirurgia guiada digital : é hoje uma realidade?
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Abstract(s)
Nesta revisão bibliográfica, o tema Reabilitação oral total implanto suportada através de cirurgia guiada digital foi o foco principal da revisão. Ao longo da revisão, foram descritos aspectos em relação ao tema. Esses aspectos incluem, obtenção de dados, sobreposição de dados e processamento que integram num fluxo de trabalho digital de cirurgia guiada.
Através de Softwares específicos a sobreposição das imagens de CBCT em formato DICOM com imagens em formato STL obtidas através de scanners IOS ou EOS, permitem a possibilidade de um planeamento virtual de colocação de implantes e de uma reabilitação imediata através de cirurgia guiada.
A tecnologias de CAD/CAM traz o design virtual para a realidade, e permite que processos aditivos ou subtrativos sejam utilizados durante a confecção da guia cirúrgica e da reabilitação.
Através de guias empilháveis é possível que a cirurgia seja guiada desde a osteotomia ou da regeneração óssea à colocação dos implantes e da reabilitação imediata conforme o planeamento virtual.
O protocolo de cirurgia guiada permite em algumas condições, a colocação de implantes sem abertura de retalho o que possibilita uma cirurgia minimamente invasiva tornando-se o pós-operatório mais cómodo para o paciente.
Esta técnica é sensível a uma acumulação de erros em todas as suas etapas que se podem traduzir numa posição dos implantes e da reabilitação diferente da planeada.
Objetivos: Com base na literatura científica publicada sobre reabilitação oral total implanto suportada através de cirurgia guiada digital, este trabalho pretende avaliar de que forma o procedimento torna os tratamentos menos invasivos, bem como melhora a precisão e previsibilidade de sucesso, quando comparado com métodos convencionais.
Metodologia: Propomo-nos a realizar uma revisão, na qual iremos ter em conta artigos publicados disponíveis nas bases de dados Pubmed, Cochrane, Biomed-Central, EBD, CEBD, JEBDP em B-On, com MeSH Words: “computer-guided implant surgery”, “planning for oral rehabilitation”, “CAD-CAM”, “Implant-supported Prostheses”.
The main focus of this paper review was the topic Total implant oral rehabilitation supported through digital guided surgery. Throughout the review, different aspects related to the topic were described. These include data collection, recording and processing, which integrate a digital guided surgery workflow. Through specific software, overlaying CBCT images in DICOM format with images in STL format obtained through IOS or EOS scanners, allows the possibility of virtual planning of implant placement and immediate rehabilitation through guided surgery. CAD/CAM technologies turn virtual design into reality. Additive or subtractive processes are used during the preparation of the surgical guide and rehabilitation. Through stackable guides, it is possible for surgery to be guided from osteotomy or bone regeneration to implant placement and immediate rehabilitation according to the virtual planning. In some conditions, the guided surgery protocol allows flapless implants placement, which allows a minimally invasive surgery, making the postoperative period more comfortable for the patient. The technique is sensitive to error accumulation in all its stages, which can translate into a position of the implants and rehabilitation different than planned. Objective: Based on the published scientific literature on implant-supported total oral rehabilitation through digitally guided surgery, this work aims to evaluate how the procedure makes treatments less invasive, as well as improves the accuracy and predictability of success, when compared to conventional methods. Method: We propose to carry out a review that will take into account articles published and available in Pubmed, Cochrane, Biomed-Central, EBD, CEBD, JEBDP databases in B-On, with MeSH Words: “computer-guided implant surgery”, “planning for oral rehabilitation”, “CAD-CAM”, “Implant-supported Prostheses”.
The main focus of this paper review was the topic Total implant oral rehabilitation supported through digital guided surgery. Throughout the review, different aspects related to the topic were described. These include data collection, recording and processing, which integrate a digital guided surgery workflow. Through specific software, overlaying CBCT images in DICOM format with images in STL format obtained through IOS or EOS scanners, allows the possibility of virtual planning of implant placement and immediate rehabilitation through guided surgery. CAD/CAM technologies turn virtual design into reality. Additive or subtractive processes are used during the preparation of the surgical guide and rehabilitation. Through stackable guides, it is possible for surgery to be guided from osteotomy or bone regeneration to implant placement and immediate rehabilitation according to the virtual planning. In some conditions, the guided surgery protocol allows flapless implants placement, which allows a minimally invasive surgery, making the postoperative period more comfortable for the patient. The technique is sensitive to error accumulation in all its stages, which can translate into a position of the implants and rehabilitation different than planned. Objective: Based on the published scientific literature on implant-supported total oral rehabilitation through digitally guided surgery, this work aims to evaluate how the procedure makes treatments less invasive, as well as improves the accuracy and predictability of success, when compared to conventional methods. Method: We propose to carry out a review that will take into account articles published and available in Pubmed, Cochrane, Biomed-Central, EBD, CEBD, JEBDP databases in B-On, with MeSH Words: “computer-guided implant surgery”, “planning for oral rehabilitation”, “CAD-CAM”, “Implant-supported Prostheses”.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Computer-guided implant surgery Planning for oral rehabilitation CAD-CAM Implant-supported prostheses