Abstract
Radiographic Assessment of Bone Changes Around Implants Placed using Computer-Guided Approach with Single Drilling Protocol: A Randomised Clinical Trial
Highlights
The insertion of dental implants using computer-guided template (CGT) is more precise than the freehand technique [1]
Materials And Methods: A total of 51 patients with maxillary single missing teeth prepared for implant placement using computer-guided template (CGT) in conjunction with either traditional sequential drilling approach (Group I, 26 patients) or single drilling approach (Group II, 25 patients)
Single drill approach showed significantly reduced marginal bone (MB) loss and minimal post-operative pain when compared to sequential drilling approach Conclusion: Within the present study limitations, results concluded that preparation of osteotomy site using CGT with single drill approach demonstrated better conditions regarding peri-implant bony tissue,postoperative pain and reduce the surgical time
Summary
The insertion of dental implants using computer-guided template (CGT) is more precise than the freehand technique [1]. Digital 3-D radiographic assessment of the implant bed is incorporated into planning software that can be used for manufacturing of a CGT [2]. This CGT provides information about implant position, depth, and angulation. Horizontal and vertical Implant positioning using CGT is more precise when compared to freehand procedure regardless the surgeon's experience [4]. Implant bed preparation is important for appropriate fixture placement, assuring initial implant stability, reduction of heat generation, and achievement of osseointegration. Massive traumatic surgery and heat generation during typical drilling technique are critical parameters that could be controlled by surgeon and whose significance is often overlooked. Massive traumatic surgery and heat generation during typical drilling technique are critical parameters that could be controlled by surgeon and whose significance is often overlooked. [5]
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