da Silva Salomão Gustavo Vargas, Chun Eliseo Pablo, Panegaci Renato Dos Santos, Santos Fernando Toledo
Department of Oral Rehabilitation, School of Dentistry, Ibirapuera University (Unib), Av. Interlagos, 1329, Chácara Flora, São Paulo, SP 04661-100, Brazil.
Department of Prosthodontics, School of Dentistry, Ibirapuera University (Unib), Av. Interlagos, 1329, Chácara Flora, São Paulo, SP 04661-100, Brazil.
Case Rep Dent. 2021 Feb 15;2021:6655908. doi: 10.1155/2021/6655908. eCollection 2021.
Digital workflow is increasingly accessible in daily dental practice. It has several benefits in implantology, such as the possibility of precise planning, which results in faster and safer surgery and, consequently, reduced prosthetic complications. There are also disadvantages that must be taken into consideration for successful treatment, such as deviations between the planned and placed implant position and intraoral scanning inaccuracies. We report a clinical case in implantology in which digital workflow was used throughout the process, pointing out its facilities and complications in the daily practice of dental surgeons. The patient had grade II mobility and external root resorption of tooth 11. After virtual planning, a surgical guide was fabricated by a CAD/CAM system, with immediate placement of a dental implant using the guided surgery technique. At the end of the osseointegration period, intraoral scanning was performed for fabrication of the final prosthesis also by a CAD/CAM system. After placement, the patient approved the aesthetic and functional results of the implant. We observed advantages such as simplification of clinical steps and safety of the proposed planning, but there were also disadvantages such as the complexity of digital tools, deviations of the placed implant, and inaccuracy in color selection. It was concluded that digital workflow is a reality that can be integrated into daily dental practice, resulting in greater safety, predictability of results, and ease of use in all clinical stages. However, it should be noted that there are still inaccuracies in digital tools and that a steep learning curve is needed in this area, which, if neglected, may lead to unsatisfactory results.
数字化工作流程在日常牙科实践中越来越容易实现。它在种植学中有几个优点，比如精确规划的可能性，这会带来更快、更安全的手术，进而减少修复并发症。然而，为了成功治疗，也必须考虑到一些缺点，比如计划种植位置与实际植入位置之间的偏差以及口内扫描不准确。我们报告了一个种植学临床病例，该病例在整个过程中都使用了数字化工作流程，指出了其在牙科外科医生日常实践中的便利之处和并发症。患者11号牙有II度松动和牙根外吸收。经过虚拟规划后，通过CAD/CAM系统制作了手术导板，并使用引导手术技术立即植入牙种植体。在骨结合期结束后，也通过CAD/CAM系统进行口内扫描以制作最终修复体。植入后，患者对种植体的美学和功能效果表示满意。我们观察到了一些优点，比如简化临床步骤和所提议规划的安全性，但也存在一些缺点，比如数字工具的复杂性、植入种植体的偏差以及颜色选择不准确。得出的结论是，数字化工作流程已成为现实，可以融入日常牙科实践，在所有临床阶段带来更高的安全性、结果可预测性和易用性。然而，应该注意的是，数字工具仍然存在不准确之处，并且在这一领域需要陡峭的学习曲线，如果忽视这一点，可能会导致不尽如人意的结果。
