Digital implant placement accuracy:a clinical study on a fully‑guided flapless single‑unit immediate‑loading protocol
10.1186/s40902-023-00387-5
- Author:
Parsa PIROOZ
1
;
Faezeh ATRI
;
Paria GHOLAMI
;
Mohammad BAYAT
Author Information
1. School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
- Publication Type:RESEARCH
- From:Maxillofacial Plastic and Reconstructive Surgery
2023;45(1):19-
- CountryRepublic of Korea
- Language:English
-
Abstract:
Materials and methods:Fourteen implants in nine patients were virtually planned after importing intraoral scans and cone-beam computed tomography (CBCT) records into 3D planning software. Accordingly, fully-guided surgical templates, customized abutments, and provisional restorations were designed and fabricated. The implant position after the surgery was compared with its virtual counterpart in terms of angular and apical linear deviations. Implants were immediately loaded after the surgery, and the occlusal level of the delivered provisional restorations was compared with their designed positions. Early implant failure, bleeding on probing, and peri-implant pockets were documented on the 3-month follow-up.
Results:A mean angular deviation of 5.07 ± 2.06° and a mean apical linear deviation of 1.74 ± 0.63 mm resulted. Twoout of 14 implants failed within the first 3 months of the surgery, and the occlusal level difference was calculated for nine prefabricated provisional restorations.
Conclusions:DIONAVI protocol has been evaluated regarding its accuracy, and an estimation of the expected deviation is presented to the clinicians using this protocol. However, before widespread use, immediate-loading protocols and provisional restorations must be studied further.
