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Computer-Guided Implant Dentistry

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Innovative Perspectives in Oral and Maxillofacial Surgery

Abstract

Implant rehabilitation success is related to correct diagnosis and meticulous treatment planning. The optimal three-dimensional (3D) implant positioning can ensure the long-term success of implant therapy and proper prosthetic restoration design. When prosthetically driven implant placement emerged as a key factor for long-term stability and esthetics, the conventional workflow included radiographic and surgical guides duplicated from diagnostic wax-up. The constraints of this technique were that the decision of surgeon intraoperatively defined the final angulation, depth, and position of the implant. Furthermore, conventional impression deformations and errors during laboratory procedures contributed to generating a misfit in implant prosthodontics. The combination of computer-assisted design-computer-assisted manufacturing (CAD-CAM) systems has recently provided simultaneous visualization of 3D bone morphology, soft tissue of the alveolar ridge, and teeth. Computer-guided software is used for virtual implant planning prior to surgery; to identify important anatomical structures, such as soft tissue and teeth; and for functional and esthetic analysis of the future prostheses. During the surgical process, the planned implant position is transferred to the surgical site either by using a surgical guide (static guided systems) or by loading positioning software for navigated implantation (dynamic guided systems).

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Tasopoulos, T., Foskolos, PG., Kouveliotis, G., Karoussis, I. (2021). Computer-Guided Implant Dentistry. In: Stevens, M.R., Ghasemi, S., Tabrizi, R. (eds) Innovative Perspectives in Oral and Maxillofacial Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-75750-2_29

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