You are currently viewing Técnicas cirúrgicas em Implantodontia: convencional e guiada estática – parte 1

Técnicas cirúrgicas em Implantodontia: convencional e guiada estática – parte 1

Estudo realiza uma revisão da literatura a respeito das técnicas cirúrgicas em Implantodontia convencional e guiada estática, com enfoque nesta última.


AUTORES

Talita Suelen de Queiroz
Mestranda do programa de pós-graduação em Odontologia Restauradora – ICT-Unesp.
Orcid: 0000-0001-5523-3280.

Leonardo Jiro Nomura Nakano
Mestre e doutorando do programa de pós-graduação em Odontologia Restauradora – ICT-Unesp.
Orcid: 0000-0001-6786-862X.

Guilherme da Rocha Scalzer Lopes
Especialista em Implantodontia – Unicamp; Pós-doutorando do programa de pós-graduação em Odontologia Restauradora – ICT-Unesp.
Orcid: 0000-0002-4310-0082.

Judith Maria Pinheiro Ottoni
Especialista em Periodontia – PUC; Mestra em Ciências Fisiológicas – Ufes.
Orcid: 0000-0002-4069-1999.

Mateus Favero Barra Grande
Mestre e doutorando do programa de pós-graduação em Odontologia Restauradora – ICT-Unesp.
Orcid: 0000-0002-0996-0847.

Renato Sussumu Nishioka
Professor titular de Implante e Prótese Parcial Fixa do Depto. de Materiais Odontológicos e Prótese – ICT-Unesp.
Orcid: 0000-0002-1458-601X.


RESUMO

A Implantodontia está em crescente demanda e evolução. Diante disso, surgiu a técnica da cirurgia guiada, que proporciona maior previsibilidade cirúrgica e protética. O presente estudo teve como objetivo realizar uma revisão da literatura a respeito das técnicas cirúrgicas em Implantodontia convencional e guiada estática, com enfoque nesta última. A cirurgia totalmente guiada estática apresenta elevada precisão, previsibilidade e redução de desconforto pós-operatório, porém, para que as vantagens dessa técnica sejam empregadas de forma efetiva, é imprescindível que haja atenção em todas as fases do tratamento, uma vez que esta pode ser sensível a erros cumulativos.

Palavras-chave – Cirurgia assistida por computador; Implante dentário; Planejamento de prótese dentária; Procedimentos cirúrgicos pré-protéticos bucais; Projeto assistido por computador.

ABSTRACT

Implantology is in growing demand and evolution. In view of this, guided surgery technique provides greater predictability and surgical prosthetic. This study aimed to conduct a literature review on surgical techniques in conventional and static guided implant dentistry, focusing on the latter. Static fully guided surgery has high precision, predictability and reduced post-operative discomfort, however, for the advantages of this technique be used eff ectively, it is essential that there is attention at all stages of treatment, as it can be sensitive to cumulative errors.

Key words – Computer-aided design; Dental implantation; Dental prosthesis design; Oral surgical procedures; Preprosthetic surgery computer-assisted.

Recebido em dez/2021
Aprovado em jan/2022

Referências

  1. Clark D, Levin L. In the dental implant era, why do we still bother saving teeth? Dental Traumatol 2019;35(6):368-75.
  2. Gupta R, Gupta N, Weber KK. Dental Implants. In: StatPearls. Treasure Island (FL): StatPearls Publishing,
  3. Li J, Jansen JA, Walboomers XF, van den Beucken JJ. Mechanical aspects of dental implants and osseointegration: a narrative review. J Mech Behav Biomed Mater 2020;103:103574.
  4. Steigenga JT, Al-Shammari KF, Nociti FH, Misch CE, Wang HL. Dental implant design and its relationship to long-term implant success. Implant Dent 2003;12(4):306-17.
  5. D’haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer‐guided implant surgery. Periodontol 2000 2017;73(1):121-33.
  6. Greenstein G, Cavallaro J, Tarnow D. Practical application of anatomy for the dental implant surgeon. J Periodontol 2008;79(10):1833-46.
  7. Greenberg AM. Digital technologies for dental implant treatment planning and guided surgery. Oral Maxillofac Surg Clin North Am 2015;27(2):319-40.
  8. Marlière DA, Demétrio MS, Picinini LS, De Oliveira RG, Netto HD. Accuracy of computer-guided surgery for dental implant placement in fully edentulous patients: a systematic review. Euro J Dent 2018;12(1):153.
  9. Colombo M, Mangano C, Mijiritsky E, Krebs M, Hauschild U, Fortin Clinical applications and effectiveness of guided implant surgery: a critical review based on randomized controlled trials. BMC Oral Health 2017;17(1):150.
  10. Hultin M, Svensson KG, Trulsson M. Clinical advantages of computer‐guided implant placement: a systematic review. Clin Oral Implant Res 2012;23(suppl.6):124-35.
  11. Tahmaseb A, Wu V, Wismeijer D, Coucke W, Evans C. The accuracy of static computer‐aided implant surgery: a systematic review and meta‐analysis. Clin Oral Implant Res 2018;29(suppl.16):416-35.
  12. Raico Gallardo YN, da Silva‐Olivio IR, Mukai E, Morimoto S, Sesma N, Cordaro L. Accuracy comparison of guided surgery for dental implants according to the tissue of support: a systematic review and meta‐analysis. Clin Oral Implants Res 2017;28(5):602-12.
  13. Gaviria L, Salcido JP, Guda T, Ong JL. Current trends in dental implants. J Korean Assoc Oral Maxillofac Surg 2014;40(2):50-60.
  14. Elani HW, Starr JR, Da Silva JD, Gallucci GO. Trends in dental implant use in the US, 1999-2016, and projections to 2026. J Dent Res 2018;97(13):1424-30.
  15. Block MS. Dental implants: the last 100 years. J Oral Maxillofac Surg 2018;76(1):11-26.
  16. Zhou W, Liu Z, Song L, Kuo CL, Shafer DM. Clinical factors affecting the accuracy of guided implant surgery – a systematic review and meta-analysis. J Evid Based Dent Pract 2018;18(1):28-40.
  17. Sancho-Puchades M, Alfaro FH, Naenni N, Jung R, Hämmerle C, Schneider D. A randomized controlled clinical trial comparing conventional and computer-assisted implant planning and placement in partially edentulous patients. part 2: patient related outcome measures. Int J Periodontics Restorative Dent 2019;39(4):e99-110.
  18. Smitkarn P, Subbalekha K, Mattheos N, Pimkhaokham A. The accuracy of single‐tooth implants placed using fully digital‐guided surgery and freehand implant surgery. J Clin Periodontol 2019;46(9):949-57.
  19. Tallarico M, Esposito M, Xhanari E, Caneva M, Meloni SM. Computer-guided vs freehand placement of immediately loaded dental implants: 5-year postloading results of a randomised controlled trial. Eur J Oral Implantol 2018;11(2):203-13.
  20. Tallarico M, Xhanari E, Kim YJ, Cocchi F, Martinolli M, Alushi A et al. Accuracy of computer-assisted template-based implant placement using conventional impression and scan model or intraoral digital impression: a randomised controlled trial with 1 year of follow-up. Int J Oral Implantol 2019;12(2):197-206.
  21. Laleman I, Bernard L, Vercruyssen M, Jacobs R, Bornstein M, Quirynen M. Guided implant surgery in the edentulous maxilla: a systematic review. Int J Oral Maxillofac Implant 2017;31(suppl.):103-17.
  22. Resnik R. Misch’s Contemporary Implant Dentistry (4th). Missouri: Mosby, 2019.
  23. Choi W, Nguyen BC, Doan A, Girod S, Gaudilliere B, Gaudilliere D. Freehand versus guided surgery: factors influencing accuracy of dental implant placement. Implant Dent 2017;26(4):500-9.
  24. Joda T, Derksen W, Wittneben JG, Kuehl S. Static computer‐aided implant surgery (s‐CAIS) analysing patient‐reported outcome measures (PROMs), economics and surgical complications: a systematic review. Clin Oral Implant Res 2018;29(suppl.):359-73.
  25. Marei HF, Abdel-Hady A, Al-Khalifa K, Al-Mahalawy H. Influence of surgeon experience on the accuracy of implant placement via a partially computer-guided surgical protocol. Int J Oral Maxillofac Implants 2019;34(5):1177-83.
  26. Schubert O, Schweiger J, Stimmelmayr M, Nold E, Güth JF. Digital implant planning and guided implant surgery-workflow and reliability. Br Dent J 2019;226(2):101-8.
  27. Kiatkroekkrai P, Takolpuckdee C, Subbalekha K, Mattheos N, Pimkhaokham A. Accuracy of implant position when placed using static computer-assisted implant surgical guides manufactured with two different optical scanning techniques: a randomized clinical trial. Int J Oral Maxillofac Surg 2021;49(3):377-83.
  28. Vercruyssen M, Fortin T, Widmann G, Jacobs R, Quirynen M. Different techniques of static/dynamic guided implant surgery: modalities and indications. Periodontol 2000 2014;66(1):214-27.
  29. Al Yafi F, Camenisch B, Al-Sabbagh M. Is digital guided implant surgery accurate and reliable? Dental Clin North Am 2019;63(3):381-97.
  30. El Kholy K, Janner SF, Schimmel M, Buser D. The influence of guided sleeve height, drilling distance, and drilling key length on the accuracy of static computer‐assisted implant surgery. Clin Implant Dent Relat Res 2019;21(1):101-7.
Tags: , , , ,