Use of collapsible surgical templates in full dentures with immediate loading

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Abstract

BACKGROUND: Complete prosthetics employs the use of collapsible navigable surgical templates, which can effectively mitigate the complications associated with dental implantation at each stage of the process [1–3]. The correct positioning of the implant is of paramount importance, as it directly influences the success of subsequent prosthetics. This is because the planning of the surgical template is conducted simultaneously, taking into account the subsequent prosthetic construction [4–6].

AIM: The study aimed to compare the technique of using collapsible surgical templates versus simple ones in complete dentures.

MATERIALS AND METHODS: The main group consisted of 15 patients, aged 52–70 years, with four women and 11 men. Half of the patients exhibited marked atrophy of the maxilla, while the other half exhibited atrophy of the mandible. All patients underwent the technique of using collapsible surgical templates in full dentures with immediate loading. The control group consisted of 15 patients aged 50–67 years, 6 men and 9 women. They underwent surgery with the use of a conventional surgical navigation template and in whom fixation of the prosthetic structure was performed by the classical method.

RESULTS: In the primary group, the initial two components of the collapsible template are fixed to the teeth. The template structures are connected to each other with pins, which eliminates micro-vibrations of the initial component. The second template element is then removed. Following the removal of the teeth, the third component of the surgical template is fixed to the pins of the initial component. Following the placement of dental implants, the temporary prosthetic construction is also fixed using a special template.

The control group underwent standard surgical technique with a simple surgical template.

In the main group, the accuracy of implant positioning, reduction of the risk of complications, and reduction of the operation time were observed. One-stage fixation of the temporary prosthetic structure did not cause aesthetic and functional inconvenience to the patients. In the control group, errors in implant placement were observed in 34% of cases, and intraoperative complications related to neuralgia developed.

CONCLUSIONS: The use of advanced technology enhances the effectiveness of dental implantation.

Full Text

BACKGROUND: Complete prosthetics employs the use of collapsible navigable surgical templates, which can effectively mitigate the complications associated with dental implantation at each stage of the process [1–3]. The correct positioning of the implant is of paramount importance, as it directly influences the success of subsequent prosthetics. This is because the planning of the surgical template is conducted simultaneously, taking into account the subsequent prosthetic construction [4–6].

AIM: The study aimed to compare the technique of using collapsible surgical templates versus simple ones in complete dentures.

MATERIALS AND METHODS: The main group consisted of 15 patients, aged 52–70 years, with four women and 11 men. Half of the patients exhibited marked atrophy of the maxilla, while the other half exhibited atrophy of the mandible. All patients underwent the technique of using collapsible surgical templates in full dentures with immediate loading. The control group consisted of 15 patients aged 50–67 years, 6 men and 9 women. They underwent surgery with the use of a conventional surgical navigation template and in whom fixation of the prosthetic structure was performed by the classical method.

RESULTS: In the primary group, the initial two components of the collapsible template are fixed to the teeth. The template structures are connected to each other with pins, which eliminates micro-vibrations of the initial component. The second template element is then removed. Following the removal of the teeth, the third component of the surgical template is fixed to the pins of the initial component. Following the placement of dental implants, the temporary prosthetic construction is also fixed using a special template.

The control group underwent standard surgical technique with a simple surgical template.

In the main group, the accuracy of implant positioning, reduction of the risk of complications, and reduction of the operation time were observed. One-stage fixation of the temporary prosthetic structure did not cause aesthetic and functional inconvenience to the patients. In the control group, errors in implant placement were observed in 34% of cases, and intraoperative complications related to neuralgia developed.

CONCLUSIONS: The use of advanced technology enhances the effectiveness of dental implantation.

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About the authors

Valeria G. Logunkova

Ryazan State Medical University

Email: logunkova02@mail.ru
ORCID iD: 0009-0004-0546-8435
Russian Federation, Ryazan

Mahmud M. Mazlum

Ryazan State Medical University

Email: Mahmoud.mazloum5@gmail.com
ORCID iD: 0000-0001-7811-2609
Russian Federation, Ryazan

Alexander V. Kuznetsov

Ryazan State Medical University

Author for correspondence.
Email: ramak@mail.ru
ORCID iD: 0000-0002-1356-3780
SPIN-code: 4857-2705
Russian Federation, Ryazan

References

  1. Borisova EG, Tolmachev IA, Yagmurov HO. Expert analysis of defects and adverse outcomes in the provision of dental implant care. The journal of scientific articles Health and education millennium. 2017;19(10):282–284. EDN: ZATPDH
  2. Gol'dshtein EV, Kozitsyna SI, Gritsai IG. Complications of dental implant surgery and their prevention. Clinical Dentistry. 2015;(4):105–107. (In Russ).
  3. Clinical recommendations (treatment protocols) for the diagnosis of complete absence of teeth (complete secondary adentia, loss of teeth due to an accident, extraction or localized periodontitis). Approved by Resolution No. 15 of the Council of the Association of Public Associations "Stomatological Association of Russia" dated September 30, 2014. (In Russ).
  4. Tian YA, Chen C, Xu X, et al. Review of 3D Printing in Dentistry: Technologies, Affecting Factors, and Applications. Scanning. 2021;2021. doi: 10.1155/2021/9950131
  5. Chuguryan MA, Stepanov IV. Surgical 3d navigation templates in immediate dental implant: effectiveness of application. International Journal of Humanities and Natural Sciences. 2022;74(7-3):9–12. doi: 10.24412/2500-1000-2022-7-3-9-12
  6. Rothlauf S, Pierali S, Wesemann C, et al. Influence of planning software and surgical template design on the accuracy of static computer assisted implant surgery performed using surgical guides fabricated with material extrusion technology: An in vitro study. J Dent. 2023;132. doi: 10.1016/j.jdent.2023.104482

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