Casap Nardy, Tarazi Eyal, Wexler Alon, Sonnenfeld Uri, Lustmann Joshua
Department of Oral and Maxillofacial Surgery, Hadassah Faculty of Dental Medicine, The Hebrew University, PO Box 12272, Jerusalem 91120, Israel.
Int J Oral Maxillofac Implants. 2005 Jan-Feb;20(1):92-8.
Computerized navigation surgery has evolved to facilitate minimally invasive procedures, the gold standard of surgery today. While flapless implant surgery may be clinically beneficial, it has generally been perceived as a blind procedure limited to straightforward cases that do not pose a risk of cortical plate perforation. The objective of this report is to describe a protocol for flapless implant placement in a completely edentulous mandible using computerized navigation surgery. The Image Guided Implantology system (IGI, DenX Advanced Dental Systems) is described. The IGI system provides real-time imaging of the dental drill and transforms flapless implant surgery into a fully monitored procedure. The highly accurate intraoperative navigation enables precise transfer of the detailed presurgical implant plan to the patient. This is particularly valuable in edentulous jaws lacking any indication of the dental arch. The accurate positioning of the implants, based on the presurgical digital plan, allows fabrication of a provisional fixed prosthesis before the implant surgery for immediate postoperative loading. This innovative protocol can enhance prosthodontic-driven placement of implants in a fully monitored flapless surgery.
计算机导航手术已经发展起来，以促进微创程序，这是当今手术的金标准。虽然无瓣种植手术在临床上可能有益，但它通常被认为是一种盲目操作，仅限于不会有皮质骨板穿孔风险的简单病例。本报告的目的是描述一种使用计算机导航手术在完全无牙的下颌骨中进行无瓣种植体植入的方案。描述了图像引导种植系统（IGI，DenX先进牙科系统）。IGI系统提供牙钻的实时成像，并将无瓣种植手术转变为一个完全受监测的程序。高度精确的术中导航能够将详细的术前种植计划精确地转移到患者身上。这在没有任何牙弓迹象的无牙颌中尤为有价值。基于术前数字计划对种植体进行精确放置，允许在种植手术前制作临时固定修复体，以便术后立即加载。这种创新方案可以在完全受监测的无瓣手术中增强由修复学驱动的种植体植入。
