O uso da técnica de cirurgia guiada sem retalho para reabilitação oral com implantes dentários em área estética

Artigo demonstra um caso clínico em que a cirurgia guiada sem retalho obteve um resultado funcional e estético satisfatório.

AUTORES

Nicolas Nicchio
Mestre e doutorando em Periodontia (Depto. de Diagnóstico e Cirurgia) – FOAr/Unesp. Orcid: 0000-0001-9332-8862.

Ísis de Fátima Balderrama
Mestra em Periodontia e doutoranda em Implantodontia (Depto. de Diagnóstico e Cirurgia) – FOAr/Unesp. Orcid: 0000-0002-8606-9054.

Carolina Mendonça de Almeida Malzoni
Mestra e doutoranda em Periodontia (Depto. de Diagnóstico e Cirurgia) – FOAr/Unesp. Orcid: 0000-0003-2868-4451.

Victor Gonçalves
Doutorando em Implantodontia (Depto. de Diagnóstico e Cirurgia) – FOAr/Unesp. Orcid: 0000-0001-7896-4414.

Elcio Marcantonio Jr.
Mestre e doutor em Dentística Restauradora, e professor titular da disciplina de Periodontia e Implantodontia (Depto. de Diagnóstico e Cirurgia) – FOAr/Unesp. Orcid: 0000-0003-1294-2305.

RESUMO

Pacientes desdentados vêm procurando cada vez mais tratamentos que forneçam uma maior qualidade estética e funcional. A reabilitação oral com implantes é um tratamento com uma alta taxa de sucesso e previsibilidade, principalmente com o desenvolvimento de novas técnicas cirúrgicas, como a cirurgia guiada, onde é possível realizar um planejamento virtual previamente à cirurgia, além de proporcionar maior conforto pós-operatório para o paciente e diminuir o tempo de procedimento. Esse artigo teve como objetivo demonstrar um caso clínico em que a paciente apresentava ausência de dentes anteriores, sendo realizada uma cirurgia de implante guiada e posterior reabilitação do mesmo. Foi feito um planejamento cirúrgico virtual e confecção de um guia cirúrgico impresso para realização de uma cirurgia de implantes totalmente guiada, em que foram instalados três implantes e, após 90 dias, os mesmos receberam uma prótese de porcelana. Após 180 dias, foi observado um resultado funcional e estético satisfatório, em que o tratamento proposto atingiu a expectativa da paciente. Concluiu-se que a cirurgia guiada proporciona um posicionamento tridimensional ideal dos implantes, tornando a reabilitação protética mais adequada.

Palavras-chave – Cirurgia assistida por computador; Implantes dentários; Prótese dentária.

ABSTRACT

Edentulous patients are increasingly looking for treatments that provide greater esthetic and functional results. Oral rehabilitation with implants has a high success rate and predictability, especially with the development of new surgical techniques, such as guided surgery, where it is possible to perform virtual planning prior to surgery. In addition, provide greater postoperative comfort for the patient and reduce procedure time. This article aims to report a clinical case where the patient had no anterior teeth and underwent implant guided surgery and subsequent rehabilitation. A virtual surgical planning was carried out and a printed surgical guide was made to perform a fully guided implant surgery, where three implants were installed and after 90 days, they received a porcelain prosthesis. After 180 days, a satisfactory functional and esthetic result was observed, where the proposed treatment reached the patient’s expectations. It was concluded that guided surgery provides an ideal three-dimensional positioning of implants, making prosthetic rehabilitation more adequate.

Key words – Surgery computer-assisted; Dental implants; Dental prosthesis.

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