Abstract

GOMEZ DE LA MATA GALIANA, Jesús; LORA-VAZQUEZ, Manuel; GOMEZ DE LA MATA GALIANA, Gonzalo  and  GUTIERREZ-PEREZ, José Luis. Treatment planning and immediate rehabilitation in minimally invasive surgery. RCOE [online]. 2006, vol.11, n.2, pp.221-227. ISSN 1138-123X.

Basis: In the early years of treatment with dental implants, treatment planning was based on the interpretation of two-dimensional radiographic images. Today we can carry out a more precise preparation with the computerized information obtained from CT scans. The planning can be directly taken to the surgical phase thanks to the surgical guide generated by stereolithography; this gives the surgeon the possibility to perform less invasive surgeries, as well as to place a provisional prosthesis during the same intervention.  Material and Method: We reviewed the literature published in support of the use of different radiographic diagnostic tools and the use of IT systems in the preparation for treatments involving dental implants. Also, a clinical case is presented which shows the various steps to follow in order to achieve a good diagnosis and preparation, a less invasive surgical intervention and an immediate rehabilitation.  Results: The information gained from the treatment planning was used in surgery, providing the desired aesthetic results.  Conclusions: With an exhaustive preparation and the use of stereolithographic surgical guides, implant surgery is simplified. The provisional prosthesis can be designed prior to the surgical intervention and placed during surgery.

Keywords : Preparation; Osseointegrated implants; Surgical guide; Stereolithography; Immediate rehabilitation.

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