{"id":2772,"date":"2022-09-29T15:05:07","date_gmt":"2022-09-29T13:05:07","guid":{"rendered":"https:\/\/blog.avinent.com\/?p=2772"},"modified":"2024-11-11T13:06:45","modified_gmt":"2024-11-11T12:06:45","slug":"guided-surgery-implant-prostheses","status":"publish","type":"post","link":"https:\/\/avinent.com\/en\/blog\/guided-surgery-implant-prostheses\/","title":{"rendered":"Treatment with implants and fixed prostheses: Guided Surgery Making the uncontrollable predictable. A case report."},"content":{"rendered":"\n\t\t\t\t\n
Introduction
<\/h5>\n\n\n\n

Treatment with implants and fixed prostheses <\/strong>is currently the first choice for\nrestorations in fully edentulate patients, as it is linked to a high long-term\nsuccess rate.<\/p>\n\n\n\n

The use of new digital technology in odontology has made it possible to make better diagnoses and apply better treatment plans, such as fitting the fixed prosthesis on implants in the same surgical session with an immediate-load protocol. Treatment with implants and fixed prostheses.<\/p>\n\n\n\n

These immediate-load clinical protocols reduce the total treatment time and notably improve the edentulate patient’s quality of life <\/strong>in terms of function, aesthetics and psychological wellbeing. But to do this, a multidisciplinary focus is required, perfectly integrating and synchronizing the diagnostic, surgical and prosthodontic techniques.Treatment with implants and fixed prostheses.<\/p>\n\n\n\n

<\/div>\n\n\n\n
Patient history<\/strong><\/h5>\n\n\n\n

Male 72-year-old patient with Parkinson’s disease.
Smoker of a couple of packets of cigarettes a day for more than 18 years.
He has not visited the dentist for years as he experiences extreme fear in the consulting room, to the extent that he requested that any treatment be carried out under general anesthesia.<\/p>\n\n\n\n

<\/div>\n\n\n\n
Reason for consultation<\/strong><\/h5>\n\n\n\n

He came to the clinic wishing to improve his oral health and appearance.
His request, if possible, was to never see himself with no teeth from the moment he enters the operating room until he wakes up.<\/p>\n\n\n\n

<\/div>\n\n\n\n
Treatment plan<\/strong><\/h5>\n\n\n\n

After the radiodiagnostics examination conducted using CBCT, it was verified that the severe periodontitis that the patient suffered had caused infection and bone loss<\/strong> in certain areas of both arches that made it unfeasible to preserve the teeth, which is always the principal objective of any treatment.

We opted for a treatment plan based on a multidisciplinary focus between the odontological team, the dental laboratory and the technology partner, planning dental implants with guided surgery immediately <\/strong>post-extraction in the maxilla and mandible, to be able to secure a provisional prosthetic restoration on transepithelial abutments in each arch in the same surgical intervention.

This was a patient with odontophobia, so it was decided to perform the surgery in a hospital environment due to the duration of the treatment. <\/p>\n\n\n\n

<\/div>\n\n\n\n
Description of the case<\/strong><\/h5>\n\n\n\n

After the patient had approved the treatment, the virtual planning of the implant placement surgery and the digital design of provisionals based on virtual models could begin.<\/p>\n\n\n\n