Conejo Julián, Isleem Wael, Atria Pablo J, Ayub José María, Baumgarten Harold S, Blatz Markus B
Int J Comput Dent. 2023 Feb 24;26(1):75-88. doi: 10.3290/j.ijcd.b3818287.
Digital dentistry has contributed to the evolution and simplification of dental implantology over the last decade. The incorporation of intraoral scanners, CBCT, 3D implant-planning software, and CAD/CAM systems makes prosthetically driven implantology a straightforward process. Such digital resources for treatment planning and execution, following evidence-based concepts, have the ability to improve the long-term esthetics and function of implant-supported restorations as well the long-term survival of dental implants. Dental implants are frequently considered as the first treatment option for replacing failing or missing teeth. However, their use in the esthetic zone remains a challenge for many clinicians. The present article provides clinical guidelines for ideal implant positioning employing computer-guided surgery and chairside CAD/CAM-fabricated provisional and definitive restorations with titanium (Ti)-bases for successful prosthetic outcomes, optimizing gingival architecture, and decreasing overall treatment duration. (Int J Comput Dent 2023;26(1):75-0; doi: 10.3290/j.ijcd.b3818287).
在过去十年中，数字牙科推动了牙种植学的发展并使其更加简化。口腔内扫描仪、锥形束计算机断层扫描（CBCT）、3D种植规划软件以及计算机辅助设计/计算机辅助制造（CAD/CAM）系统的应用，使得以修复为导向的种植学成为一个简单直接的过程。遵循循证理念，这些用于治疗计划和实施的数字资源能够改善种植支持修复体的长期美学效果和功能，以及牙种植体的长期存留率。牙种植体常被视为替换功能丧失或缺失牙齿的首选治疗方案。然而，对许多临床医生而言，在美学区域使用牙种植体仍是一项挑战。本文提供了临床指南，介绍如何通过计算机引导手术以及椅旁CAD/CAM制作的钛基临时和最终修复体，实现理想的种植体定位，从而获得成功的修复效果，优化牙龈结构，并缩短整体治疗时间。（《国际计算机牙科杂志》2023年；26(1):75 - 0；doi: 10.3290/j.ijcd.b3818287）
