A custom template and definitive prosthesis allowing immediate implant loading in the maxilla: a clinical report.

PURPOSE The purpose of the present investigation was to examine to what extent precision data from 3-dimensional planning software for oral implants can be transferred to the operative field by means of a drilling template, containing high-precision drilling sleeves, fitted on the jawbone. It was investigated whether this procedure would allow advance preparation of a fixed definitive prosthesis that could be placed at the completion of surgery. MATERIALS AND METHODS This procedure was experimentally carried out in 2 cadavers and later in 8 consecutive human patients. RESULTS The results indicated a nearly perfect match between the positions and axes of the placed implants and those planned. DISCUSSION This procedure permitted the placement of a definitive fixed prosthesis with limited freedom of space between the abutments and the metallic cylinders incorporated into the prosthesis. CONCLUSION These encouraging results of the Leuven information technology-based oral rehabilitation by means of implants (LITORIM) are presently being further investigated at the clinical level.

[1]  M. Quirynen,et al.  Complete nose coverage to prevent airborne contamination via nostrils is unnecessary. , 1997, Clinical oral implants research.

[2]  P. Branemark,et al.  Brånemark Novum: a new treatment concept for rehabilitation of the edentulous mandible. Preliminary results from a prospective clinical follow-up study. , 1999, Clinical implant dentistry and related research.

[3]  S. Szmukler‐Moncler,et al.  Timing of loading and effect of micromotion on bone-dental implant interface: review of experimental literature. , 1998, Journal of biomedical materials research.

[4]  P. Branemark,et al.  Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. , 1977, Scandinavian journal of plastic and reconstructive surgery. Supplementum.

[5]  P Suetens,et al.  Computer-assisted planning of oral implant surgery: a three-dimensional approach. , 1996, The International journal of oral & maxillofacial implants.

[6]  P. Glantz,et al.  Immediate functional loading of Brånemark dental implants. An 18-month clinical follow-up study. , 1999, Clinical oral implants research.

[7]  K. Nilner,et al.  Early functional loading of Brånemark dental implants: 5-year clinical follow-up study. , 2000, Clinical implant dentistry and related research.

[8]  R J Lazzara,et al.  A prospective multicenter study evaluating loading of osseotite implants two months after placement: one-year results. , 1998, Journal of esthetic dentistry.

[9]  R Jacobs,et al.  Predictability of a three-dimensional planning system for oral implant surgery. , 1999, Dento maxillo facial radiology.

[10]  R A Jaffin,et al.  Immediate loading of implants in partially and fully edentulous jaws: a series of 27 case reports. , 2000, Journal of periodontology.

[11]  Ann Wennerberg,et al.  A histomorghometric study of screw‐shaped and removal torque titanium implants with three different surface topographies , 1995 .

[12]  Guy Marchal,et al.  An image-guided planning system for endosseous oral implants , 1998, IEEE Transactions on Medical Imaging.

[13]  Reinhilde Jacobs,et al.  Intra-operative Transfer of Planned Zygomatic Fixtures by Personalized Templates: A Cadaver Validation Study , 2001, MICCAI.

[14]  D. Misiek,et al.  Titanium plasma-sprayed (TPS) screw implants for the reconstruction of the edentulous mandible. , 1986, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[15]  D Buser,et al.  Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. , 1997, Clinical oral implants research.

[16]  D. van Steenberghe.  Outcomes and their measurement in clinical trials of endosseous oral implants. , 1997, Annals of periodontology.

[17]  T. Jemt.  A prospective 15-year follow-up study of mandibular fixed prostheses supported by osseointegrated implants , 1997 .

[18]  T. Albrektsson,et al.  A histomorphometric and removal torque study of screw-shaped titanium implants with three different surface topographies. , 1995, Clinical oral implants research.