Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Mar;56(1):89-94.
doi: 10.15644/asc56/1/10.

Implantoprosthetic Rehabilitation by Computer-guided Implant Surgery (M-Guide): Case report

Affiliations
Case Reports

Implantoprosthetic Rehabilitation by Computer-guided Implant Surgery (M-Guide): Case report

Roko Bjelica et al. Acta Stomatol Croat. 2022 Mar.

Abstract

Correct implant positioning poses a major challenge in modern dentistry and mismatch between the planned and final implant position is one of the most common treatment complications. A surgical guide or a template is a ''transmission device'' which enables the implant placement in the intended position as accurate as possible. Case study: A woman aged 60 came into dental office to resolve a single tooth loss in regions 15 and 24. Radiographic analysis and clinical examination showed a lack of transversal space in the regions of implantation. Considering the fact of having a narrow area available for implantation, a computer-guided implant therapy using the M-Guide system was selected. The treatment plan was a prosthetic restoration involving the placement of two implants in areas 15 and 24 and the fabrication of zirconium oxide crowns. After digital planning, a fully guided surgical protocol was performed. Immediately after implantation, a temporary suprastructure and temporary crowns were placed. After a period of osseointegration, a definitive prosthetic restoration was made.

Keywords: Computer-Assisted Surgery; Computer-guided Implant Surgery; MeSH terms: Dental Implants; Surgical Guide.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest The authors deny any conflicts of interest.

Figures

Figure 1
Figure 1
Panoramic radiograph at first visit - lack of transversal space in the regions of implantation
Figure 2
Figure 2
CBCT image - mesiodistal width in region 15 is 6, 20 mm and in region 24 is 6, 13 mm
Figure 3
Figure 3
M-soft digital planning - the ideal surgical and prosthetic position of the implant
Figure 4
Figure 4
Surgical guide (M-guide)
Figure 5
Figure 5
Surgical guide checked in mouth
Figure 6
Figure 6
''Tissue punch incision’’ – flapless technique
Figure 7
Figure 7
Implantation – fully guided protocol
Figure 8
Figure 8
Measuring the Implant Stability Quotient -ISQ
Figure 9
Figure 9
PEEK abutment and PMMA crown
Figure 10
Figure 10
Control panoramic radiograph immediately after surgical treatment

References

    1. Binon PP. Implants and Components: Entering the New Millennium. Int J Oral Maxillofac Implants. 2000;1(1):76–94. - PubMed
    1. Colombo M, Mangano C, Mijiritsky E, Krebs M, Hauschild U, Fortin T. Clinical applications and effectiveness of guided implant surgery: A critical review based on randomized controlled trials. BMC Oral Health. 2017;17(1):150. 10.1186/s12903-017-0441-y - DOI - PMC - PubMed
    1. MeSH Browser [database on the Internet]. Filipović-Zore I, Katanec D, Sušić M, Krmpotić M. Complications and Failures in Dental Implantology. Acta stomatol Croat. [Internet]. 2008 [cited: 25.11.2021] Available from: https://ascro.hr/
    1. Pyo S-W, Lim Y-J, Koo K-T, Lee J. Methods Used to Assess the 3D Accuracy of Dental Implant Positions in Computer-Guided Implant Placement: A Review. J Clin Med. 2019.7;8(1):54. - PMC - PubMed
    1. Pjetursson BE, Tan K, Lang NP, Brägger U, Egger M, Zwahlen M. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years: I. Implant-supported FPDs. Clin Oral Implants Res. 2004;15(6):625–42. 10.1111/j.1600-0501.2004.01117.x - DOI - PubMed

Publication types

LinkOut - more resources