The Start kit with its 2,0mm drill in combination with the surgical guide allows to define the correct entry point, angulation and depth, helping to achieve predictable implant treatment from an esthetical and functional perspective.
The patient is scanned with a commercially available 3D (CB)CT scanner that delivers imaging information according to the widely accepted DICOM standard. A dental impression is required and could be done conventionally or digitally.
The 3D dataset (DICOM) can be imported directly into commercially available planning softwares (e.g. coDiagnostiX, 3shape, Implant-Assistant) and superimposed with the dental impression. The implant is positioned with respect to the patient’s anatomy and the desired prosthetic outcome.
Planning software provides the design of the surgical guide for the production and the surgical protocol for the Neodent Guided Surgery Instruments. The surgical guide contains the Neodent sleeves that guide the instruments and the implants.
After fixing the surgical template in the patient’s mouth using the Neodent Fixation clamp solution, the implant bed can be prepared with the guided instruments and followed by the guided implant insertion.
REFERENCES AND PUBLICATIONS
1. Martin C, Thomé G, Melo AC, Fontão FN. Peri-implant bone response following immediate implants placed in the esthetic zone and with immediate provisionalization-a case series study. Oral Maxillofac Surg. 2015 Jun;19(2):157- 63.
2. Sartori IAM et al. Retrospective analysis of 2,244 implants and the importance of follow-up in implantology. JDR. 2014;2(6): 555-565.
3. Sotto-Maior BS, Lima Cde A, Senna PM, Camargos Gde V, Del Bel Cury AA. Biomechanical evaluation of subcrestal dental implants with different bone anchorages. Braz Oral Res. 2014;1(28):1-7.
4. Faot F, Hermann C, Sartori EM, Bassi AP. Tilted implants and prototyping: a security option for improving the anchorage in atrophic maxilla. GenDent. 2013;61(2):28-31.
5. Borges AF et al. Prostheses removal for suture removal after immediate load: success of implants. Clin Implant Dent Relat Res. 2010 Sep;12(3):244-8
6. Coppedê AR et al. Fracture resistance of the implant-abutment connection in implants with internal hex and internal conical connections under oblique compressive loading: an in vitro study. Int J Prosthodont. 2009 May-Jun;22(3):283-6.
7. Bernardes SR, da Gloria Chiarello de Mattos M, Hobkirk J, Ribeiro RF. Loss of preload in screwed implant joints as a function of time and tightening/untightening sequences. Int J Oral Maxillofac Implants. 2014 Jan-Feb;29(1):89-96.
8. Sartoretto SC, Alves AT, Resende RF, Calasans-Maia J, Granjeiro JM, Calasans-Maia MD. Early osseointegration driven by the surface chemistry and wettability of dental implants. J Appl Oral Sci. 2015. May-Jun;23(3):279-87.
9. Mendonça G, Mendonça BD, Oliveira SL, Araujo AC. Efeitos da diferenciação de células-tronco mesenquimais humanas sobre superfícies de implantes hidrofílicas. ImplantNews. 2013 Nov-Dez 10(6a):111-116.