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Reducing errors in guided implant surgery to optimize treatment outcomes
Periodontology 2000 ( IF 17.5 ) Pub Date : 2022-02-01 , DOI: 10.1111/prd.12411
Tali Chackartchi 1 , Georgios E Romanos 2 , Laszlo Parkanyi 3 , Frank Schwarz 4 , Anton Sculean 5
Affiliation  

Clinical considerations and treatment criteria in implant placement are constantly evolving. Prosthetically driven implant surgery has become the standard of care to improve short and long-term functional and esthetic outcomes. Therefore, implant position and angulation are planned according to the available bone, anatomical structures, and the requirements of the future prosthetic superstructure. In parallel with these developments, significant progress has been made in data imaging and different software technologies to allow the integration of data within a digital file format. Digitalization in implant surgery enables optimal planning of implant position, as well as the ability to transfer this planning to the surgical field—a process defined as “computer-supported implant planning and guided surgery.” The aims of the present review are as follows: (a) to critically appraise the indications and potential “added value” of guided implant surgery, elaborating the main differences between dynamic and static guidance; and (b) to discuss the most important clinical considerations relevant for the different steps of the workflow that might influence the surgical outcome and to offer recommendations on how to avoid or reduce process errors in order to optimize treatment outcomes.

中文翻译:

减少引导种植手术中的错误以优化治疗结果

种植体植入的临床考虑和治疗标准不断发展。修复体驱动的种植手术已成为改善短期和长期功能和美学效果的护理标准。因此,根据可用的骨骼、解剖结构和未来假体上部结构的要求来规划种植体的位置和角度。在这些发展的同时,数据成像和不同的软件技术也取得了重大进展,以允许将数据集成到数字文件格式中。植入手术中的数字化可以实现植入位置的最佳规划,以及将这种规划转移到手术领域的能力——这一过程被定义为“计算机支持的植入规划和引导手术”。” 本综述的目的如下:(a)批判性地评估引导种植手术的适应症和潜在的“附加价值”,阐述动态和静态引导之间的主要区别;(b) 讨论与可能影响手术结果的工作流程的不同步骤相关的最重要的临床考虑因素,并就如何避免或减少过程错误以优化治疗结果提出建议。
更新日期:2022-02-01
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