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Clinical Cone Beam CT and CT-Guided Dental Implant Surgery

Chapter

Abstract

In depth understanding of clinical CBCT is essential for the diagnosis and treatment planning of dental implant patients. Software planning using CBCT data allows a greater in-depth understanding of a patient’s osseous anatomy and dental condition, as well as the ability for the surgeon to presurgically plan precise dental implant trajectories and the creation of a surgical drill guide. Surgical drill guides as the output of rapid printing technologies permit the surgical implementation of the treatment planning. This allows decreased operating time, improved implant placement, and the possibility of flapless surgery. From simple to complex cases, surgical guidance can improve the results for both the dental implant placement and the prosthetic restoration. Zygomatic implants can also be planned and placed using CT-guided surgical techniques. Immediate temporization is another capability of CT-guided surgery. Based on the surgical guide, the dental laboratory can prefabricate the temporary prosthesis. CAD CAM technologies can also create the immediate temporary prosthesis. Patients with complex pathological conditions can have coordinated surgical excision of the pathology and later precise dental implant placement and prosthetic rehabilitation to achieve a satisfactory esthetic and functional outcome. Single dental implants in the anterior maxillary esthetic zone benefit from surgical guidance to ensure correct angulation. Surgical guidance provides complex multiple implant cases such as the “All on 4” or full-arch cases with the avoidance of the mandibular nerves and maxillary sinus perforations. New technologies such as optical scanning allow the merger of a clean data set with the CBCT and the avoidance of a radiographic stent, whether this technology is available in the office or dental laboratory.

Keywords

CBCT (cone beam CT) Digital Guide Implant Drill Software Planning 

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Authors and Affiliations

  1. 1.Division of Oral and Maxillofacial SurgeryColumbia University College of Dental MedicineNew YorkUSA
  2. 2.Department of SurgeryBroward Health Medical CenterFort LauderdaleUSA

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