EARLY IMPLANT PLACEMENT WITH SOFT TISSUE HEALING IN ANTERIOR REGION USING SURGICAL GUIDE
Main Article Content
Abstract
The important goal for successful implant placement is the ideal position of the correct implant in 3 dimensions in the jawbone, long-lasting, functional and aesthetic. The use of surgical guide in implant placement is believed to offer many benefits. Objectives: To describe the results of early implantation with soft tissue healing with bone grafting using surgical guide on patients with partial tooth loss in the anterior region. Subjects and research methods: Clinical intervention study, comparing the deviation of implant position before (according to plan) - after (actual treatment). The study subjects were patients aged 18 years and older with partial loss of teeth in the anterior region who were implanted using surgical guide with bone grafting 4 to 8 weeks after tooth extraction. Results: Implant is used to implant in the missing tooth area with a length of 10mm to 14mm, mainly 12mm; mainly 3,6mm and 4.0mm in diameter. The maximum implant torque when implanting early soft tissue healing in the area of tooth loss in front of the upper and lower jaw is 58.03 ± 9,095 N/cm with values from 45N/cm to 80N/cm. When performing early implantation of soft tissue healing in the anterior region using surgical guide, the actual implant position compared to the planned implant has an angular deviation of 7.79 ± 4.79, a deviation of platform is 1,82 ± 1,29, the deviation of implant tip position is 2,42 ± 1,35. Deviation difference has no difference between the locus of maxillary and mandibular tooth loss, there is no difference between different bone densities. Conclusion: Implant is used in anterior region with a length of mainly 12mm; mainly 3,6mm and 4,0mm in diameter. The average maximum implant torque is 58,03 ± 9,095 N/cm. The actual implant position compared to the planned implant has an angular deviation of 7.79 ± 4.79, a deviation of platform position is 1,82 ± 1,29, a deviation of implant apex is 2,42 ± 1,35.
Article Details
Keywords
dental implant, surgical guide implant, early implant, tooth loss in anterior teeth, soft tissue healing
References
2. Schelbert T, Gander T, Blumer M, et al. Accuracy of Computer-Guided Template-Based Implant Surgery: A Computed Tomography-Based Clinical Follow-Up Study. Implant Dent 2019;28(6):556-563 (https://doi.org/10.1097/ID.0000000000000936).
3. Đàm Văn Việt (2013), Nghiên cứu điều trị mất răng hàm trên từng phần bằng kỹ thuật implant có ghép xương.
4. Magrin GL, Rafael SNF, Passoni BB, Magini RS, Benfatti CAM, Gruber R, et al. Clinical and tomographic comparison of dental implants placed by guided virtual surgery versus conventional technique: A split-mouth randomized clinical trial. J Clin Periodontol. 2020;47:120-8 (https://doi.org/10.1111/jcpe.13211).
5. Stübinger S, Buitrago-Tellez C, Cantelmi G. Deviations between placed and planned implant positions: An accuracy pilot study of skeletally 23. supported stereolithographic surgical templates. Clin Implant Dent Relat Res 2014;16:540-51 (https://doi.org/10.1111/cid.12019).
6. Tạ Đông Quân. So sánh hai hệ thống máng hướng dẫn phẫu thuật: in 3D và thủ công trong cấy ghép nha khoa răng trước hàm trên. Published online 2020.
7. Raes F, Cosyn J, De Bruyn H. Clinical, aesthetic, and patient-related outcome of immediately loaded single implants in the anterior maxilla: a prospective study in extraction sockets, healed ridges, and grafted sites. Clin Implant Dent Relat Res. 2013;15 (6):819-835.
8. Bùi Việt Hùng. Nghiên cứu phẫu thuật và đánh giá kết quả cấy ghép nhóm răng trước. Published online 2017.
9. Neugebauer J, Traini T, Thams U, Piattelli A, Zöller J E. Peri-implant bone organization under immediate loading state. Circularly polarized light analyses: a minipig study. J Periodontol. 2006;77(2):152-160.