A multifunctional guided surgery to assist in the 3-dimensional positioning of dental implants and in obtaining a palatal gingival graft.

Parameters such as the correct 3-dimensional positioning and the quality of peri-implant soft tissues are fundamental to the success of implant-supported restorations. Digital planning and guided surgery techniques can make the implant placement more accurate, and modifying the periodontal phenotype is often fundamental to increasing esthetics and peri-implant health, mainly in esthetic areas. This article describes a guided surgery technique that assists in the 3-dimensional positioning of implants and identifies the best anatomic area (volume and safety) for obtaining a palatal gingival graft.

Digital replication of the peri-implant soft tissue contour of implant-supported crowns: A dental technique.

Making an intraoral digital scan of the emergence profile is a clinical challenge. The peri-implant soft tissue collapses after removal of an interim prosthesis, which compromises the correct design of a definitive implant-supported prosthesis. Although techniques are available for digitally reducing such a distortion, achieving a correct alignment of scans to replicate the internal and external characteristics of the peri-implant tissue is still challenging.

Atrophic Maxilla Rehabilitation Through Dental Implants Using the V-4 Strategy Associated With Guided Surgery: A Case Report and Technique Description.

Atrophic maxilla rehabilitation through dental implants is always a challenging procedure. However, alternative approaches such as guided surgery and the installation of short implants are progressively supplanting more invasive bone regeneration procedures. A V-4 technique described in 2016 facilitates the installation of dental implants in patients with atrophic maxilla; however, its authors recommend incision, flap opening, and elevation of the anterior area of the maxillary sinuses.

Guided Surgery in Esthetic Region.

The placement of dental implants and subsequent placement of immediate temporary dentures after extractions has become a treatment modality accepted by the scientific community. In addition to the functional factor, the surgical procedure in a single stage in the anterior region of the maxilla offers an esthetic appearance, and relieves the psychological concerns of patients. To guarantee the success and longevity of treatments performed, the fabrication of surgical guides is a helpful method in these situations.

Fixed Rehabilitation of Edentulous Mandibles Using 2 to 4 Implants: A Systematic Review.

Objective: This systematic review evaluated survival rates, marginal bone loss (MBL), and complications of using 2 to 4 implants to support full-arch fixed prostheses in the mandible.

Materials And Methods: An electronic search was performed in PubMed, Web of Science, and the Cochrane Central Register of Controlled Trials to identify relevant articles published until March 2015. Articles were critically reviewed to determine the level of quality.

Tridimensional analysis of maxillary sinus anatomy related to sinus lift procedure.

Purpose: To evaluate the angulation of the maxillary sinus walls at the apical sinus region.

Materials And Methods: Using preoperative computerized tomographies of 15 patients selected for sinus lift procedures, the angulation of the maxillary sinus floor was measured drawing straight lines tangential to the mesial and lateral walls. The measurements were taken from sagittal images at specific areas (i.