Stomatologist № 1 (36) – 2020, pp. 8-17                                                                                   DENTAL IMPLANTOLOGY. BELARUS

Modern methods of planning and prosthetics with fixed structures based on dental implants

S.P. Rubnikovicha, F.A. Gorbachevb

aMD, PhD, DMSci, Professor, Belarusian Medical Academy of Postgraduate Education, Minsk, Belarus
bMD, PhD, Associate Professor, Belarusian State Medical University, Minsk, Belarus

https://doi.org/10.32993/stomatologist.2020.1(36).11

ABSTRACT
Determining the optimal treatment plan for a particular patient requires a thorough examination and planning.
The aim of the study is to develop an algorithm for planning and prosthetics with fixed orthopedic structures using the digital protocol of dental implantation.
Objects and methods. We used the program of the manufacturer MGUIDE for the digital planning of dental implantation with making a surgical template and prostheses. This software allows you to conduct virtual planning based on DICOM data, as well as design and fabricate surgical templates and prostheses.
Results and discussion. The use of modern technologies in implant dentistry opens up significant new opportunities in the diagnosis, surgical intervention and orthopedic treatment. The introduction of digital planning in implantation has a significant number of advantages for the entire team of dentists, as well as for the patient. The biggest advantage is the predominance of preoperative planning over intraoperative. Implantation becomes a more comfortable, predictable and faster treatment.
Conclusion. The use of special programs for evaluating three-dimensional digital information of the dentofacial system is an innovative approach in modern dentistry. The manufacture of a navigation template made it possible to obtain valuable information about defects, the amount of necessary regeneration and the optimal position of dental implants, which confirms the advisability of using this algorithm when planning implantological and orthopedic treatment. The use of ceramic-metal orthopedic constructions and individual titanium abutments provide a favorable long-term prognosis and, in the presence of optimal conditions, allow achieving a good aesthetic and functional result.

Keywords: dental implantology, implant-supported prosthetics

References 

  1. Nikolsky V.U., Fediaev I.M. Dental’naja implantologija: uchebno-metodichesko eposobie [Dental implantology: teaching aid]. Moscow: OOO «Mediko-informacionnoe agentstvo, 2007. 168 p.
  2.  Paraskevich V.L. Dental’naja implantologija [Dental implantology]. Moscow.: OOO «Mediko-informacionnoe agentstvo», 2006. 400 p.
  3.  Rubnikovich S.P. Protezirovanie zubov so snizhennoj vysotoj koronkovoj chasti [Prosthodontic treatment of teeth with the decreased height of the crown part]. Sovremennaja stomatologija. – Contemporary dentistry. 2002, no. 1, pp. 37-38.
  4.  Rubnikovich S.P., Khomich I.S. Kostnye transplantaty i zamestiteli dlja ustranenija defektov i augmentacii cheljustnyh kostej v implantologii i periodontologii [The use of bone grafts and bone substitutes to eliminate defects and augment jaw bones in dental implantology and periodontology]. Stomatolog. Minsk. – Stomatologist. Minsk. 2014, no. 1(12), pp. 77–86.
  5.  Rubnikovich S.P., Khomich I.S. Primenenie sovremennyh osteoplasticheskih materialov v hirurgicheskoj stomatologii [The use of bone grafts and modern bone substitutes in oral surgery]. Stomatolog. Minsk. – Stomatologist. Minsk. 2014, no. 4(15), pp. 56–57.
  6.  Rubnikovich S.P. Lazerno-opticheskaja diagnostika boleznej periodontal i obosnovanie metodov ih lechenija [Laser-optical diagnostics of periodontal diseases and substantiation of methods of their treatment]. Stomatolog. Minsk. – Stomatologist. Minsk. 2012, no. 1(4), pp. 15–19.
  7.  Rubnikovich S.P. Lechenie pacientov s polnoj adentiej verhnej cheljusti semnymi protezami s oporoj na dental’nye implantaty [Treatment of patients with edentulous maxilla using dental implants supported removable dentures]. Stomatolog. Minsk. – Stomatologist. Minsk. 2015, no. 3(18), pp. 29–36.
  8.  Khomich I.S., Rubnikovich S.P., Khomich S.F. Dental’naja implantacija i protezirovanie u pacienta s saharnym diabetom [Dental implantation and prosthetics in patient with diabetes]. Stomatolog. Minsk. – Stomatologist. Minsk. 2014, no. 3(14), pp. 67–69.
  9.  Arnheiter С., Scarfe W.C., Farman A.G. Trends in maxillofacial cone-beam computed tomography usage. Oral Radiology, 2006, vol. 22, no. 2, pp. 80–85. doi: 10.1007/s11282-006-0055-6.
  10.  Bazulev N., Fomin N., Fuentes C., Hirano T., Lavinskaya E., Martemianov S., Mizukaki T., Nakagawa A., Rubnikovich S., Saulnier J.-B., Takayama K., Tuhault J.-L. Laser monitor for soft and hard biotissue analysis using dynamic speckle photography. Laser Physics, 2003, vol. 13, no. 5, pp. 786–795.
  11.  Beckers L. Positive effect of SurgiGuides on total cost. Materialise Headlines, 2003, no. 1, 3 p.
  12.  Block M.S., Chandler C. Computed tomography-guided surgery: complications associated with scanning, processing, surgery, and prosthetics. Journal of Oral and Maxillofacial Surgery, 2009, vol. 67, no. 11, pp. 13–22. doi: 10.1016/j.joms.2009.04.082.
  13.  Campbell S., Theile R., Stuart G., Cheng E., Sinnott S., Pritchard G., Isles A. Separation of craniopagus joined at the occiput. Case report. Journal of Neurosurgery, 2002, vol. 97, no. 4, pp. 983-987. doi: 10.3171/jns.2002.97.4.0983.
  14.  DeAlmeida E.O., Pellizzer, E.P., Goiatto, M.C., Margonar R., Rocha E.P., Freitas A.C. Jr., Anchieta R.B.Computer-guided surgery in implantology: review of basic concepts.Journal of Craniofacial Surgery, 2010, vol. 21, no.6, pp. 1917-1921. doi: 10.1097/SCS.0b013e3181f4b1a0.
  15.  DiGiacomo G.A.P., Cury P.R., deAraujo N.S., Sendyk W.R., Sendyk C.L. Clinical applications of stereolithographic surgical guides for implant placement: preliminary results. Journal of Periodontology, 2005, vol. 76, no.4, pp. 503-507. doi: 10.1902/jop.2005.76.4.503.
  16.  Ganz S.D. CT-derived model-based surgery for immediate loading of maxillary anterior implants. Practical Procedures and Aesthetic Dentistry, 2007, vol. 19, no.5, pp. 311–318.
  17.  Misch C.E. Contemporary implant dentistry. St. Louis etc.: Mosby, 1999, 684 p.

Correspondence to:  Е-mail: rubnikovichs@mail.ru