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Morton D, Wismeijer D, Chen S, Hamilton A, Wittneben J, Casentini P, Gonzaga L, Lazarin R, Martin W, Molinero-Mourelle P, Obermailer B, Polido WD, Tahmaseb A, Thoma D, Zembic A. Group 5 ITI Consensus Report: Implant placement and loading protocols. Clin Oral Implants Res 2023; 34 Suppl 26:349-356. [PMID: 37750529 DOI: 10.1111/clr.14137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 07/06/2023] [Indexed: 09/27/2023]
Abstract
OBJECTIVES Working Group 5 was convened to discuss and find consensus on the topics of implant placement and loading protocols associated with single missing teeth in the anterior maxilla (aesthetic zone). Consensus statements, clinical recommendations, patient perspectives and future research suggestions were developed and presented to the plenary for discussion and approval. MATERIALS AND METHODS Two systematic reviews were developed and submitted prior to the conference. The group considered in detail the systematic reviews and developed statements, clinical recommendations, patient perspectives and future research suggestions based on the findings of the reviews and experience of group members. Definitive versions were developed after presentation to and discussion by the plenary. RESULTS Five consensus statements were developed and approved from each systematic review. Twelve clinical recommendations were developed by the group based on both reviews and experience. Three patient perspectives were developed, and five suggestions made for future research. CONCLUSIONS Based on the findings of the systematic reviews and experience of group members, the Type 1A protocol (immediate placement and immediate loading), when utilized in the anterior maxilla under favorable conditions, is considered predictable and is associated with high survival rates. The procedure is considered clinically viable and is associated with aesthetic outcomes, although surgical, technical, and biological complications can occur.
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Affiliation(s)
- Dean Morton
- Department of Prosthodontics, Center for Implant, Esthetic and Innovative Dentistry, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | | | - Stephen Chen
- Periodontics, Melbourne Dental School, Faculty of Medicine, The University of Melbourne, Melbourne, Victoria, Australia
| | - Adam Hamilton
- Division of Oral Restorative and Rehabilitative Sciences, University of Western Australia, Perth, Western Australia, Australia
| | - Julia Wittneben
- Department of Reconstructive Dentistry and Gerodontology, University of Bern, Bern, Switzerland
| | | | - Luiz Gonzaga
- Department of Oral and Maxillofacial Surgery, Center for Implant Dentistry, University of Florida, College of Dentistry, Gainesville, Florida, USA
| | - Rafael Lazarin
- Discipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - William Martin
- Department of Oral and Maxillofacial Surgery, Center for Implant Dentistry, University of Florida, College of Dentistry, Gainesville, Florida, USA
| | - Pedro Molinero-Mourelle
- Department of Reconstructive Dentistry and Gerodontology, University of Bern, Bern, Switzerland
| | | | - Waldemar D Polido
- Department of Oral and Maxillofacial Surgery, Center for Implant, Esthetic and Innovative Dentistry, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Ali Tahmaseb
- Department of Oral and Maxillofacial Surgery, Erasmus University, Rotterdam, The Netherlands
| | - Daniel Thoma
- Center for Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Anja Zembic
- Clinic of Reconstructive Dentistry, University of Zurich, Zurich, Switzerland
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van Putten Y, Rozeboom AVJ, Strabbing EM, Koudstaal MJ, Tahmaseb A. A retrospective cohort study on dental implant survival in patients with grafted alveolar clefts. Clin Oral Implants Res 2023. [PMID: 37060266 DOI: 10.1111/clr.14071] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 03/02/2023] [Accepted: 04/01/2023] [Indexed: 04/16/2023]
Abstract
OBJECTIVES The aim of this study was to assess the survival rate of dental implants inserted in an alveolar cleft area where one or more bone graft procedures were performed and to identify possible factors that affect the survival rate. MATERIALS AND METHODS The available data from 78 implants placed in 64 patients with grafted alveolar clefts were retrospectively analysed. Statistical analyses were performed using Kaplan-Meier survival analysis, log-rank tests and univariable Cox proportional hazard models. RESULTS The median follow-up period from insertion to the last follow-up appointment was 46 months (IQR: 29-79.3). In five patients, a single implant failed. This resulted in a cumulative survival rate of 95.0% at median follow-up. The factors investigated in this study did not have a significant effect on implant survival. CONCLUSIONS Dental implants placed in patients with alveolar clefts are a reliable treatment option for dental rehabilitation.
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Affiliation(s)
- Yordi van Putten
- Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | - Antoinette V J Rozeboom
- Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | - Elske M Strabbing
- Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | - Maarten J Koudstaal
- Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | - Ali Tahmaseb
- Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands
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Tabassum A, Wismeijer D, Hogervorst JMA, Siddiqui IA, Kazmi F, Tahmaseb A. Impact of Harvesting Method and Donor Age on the Behavior of Human Osteoblast-Like Cells. INT J PERIODONT REST 2023; 43:e35-e42. [PMID: 36661881 DOI: 10.11607/prd.5711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Autogenous particulate bone grafts are being utilized in oral implantology for minor grafting procedures. This study aimed to investigate the influence of the bone-harvesting technique, donor age, and donor site on proliferation and differentiation of human primary osteoblast-like cells in the cell culture. Autogenous bone particles (20 samples) were harvested from the maxilla and mandible during surgery using two different protocols, and two types of particulate bone grafts were collected: bone chips and bone sludge. Bone samples were cultured in growth medium and, after 2 to 3 weeks, the cells that grew from bone grafts were cultured in the normal and osteogenic medium for 0, 4, 7, and 20 days. DNA, alkaline-phosphatase (ALP), calcium-content measurements, and Alizarin red/toluidine blue staining were performed. Data were analyzed by repeated-measures analysis of variance with Bonferroni test. The level of statistical significance was set at 5% (P < .05). Total DNA, ALP, and calcium content were significantly higher for the bone chip samples compared to the bone sludge samples. Total DNA and ALP content were significantly higher for the patients in age group 1 (≤ 60 years) compared to age group 2 (> 60 years) and was significantly higher for mandibular samples than maxillary samples on day 20. However, the calcium measurement showed no significant difference concerning donor age and donor site. Data analysis revealed that harvesting technique (bone chips vs bone sludge), donor age (≤ 60 years vs > 60 years), and donor site (maxilla vs mandible) influenced the osteogenic potential of the collected particulate bone graft. The bone chips were superior in terms of osteogenic efficacy and should be considered a suitable option for particulate bone graft collection.
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Tabassum A, Kazmi F, Wismeijer D, Siddiqui IA, Tahmaseb A. A Prospective Randomized Clinical Trial on Radiographic Crestal Bone Loss Around Dental Implants Placed Using Two Different Drilling Protocols: 12-Month Follow-up. Int J Oral Maxillofac Implants 2021; 36:e175-e182. [PMID: 34919621 DOI: 10.11607/jomi.9029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
PURPOSE There is a substantial need to perform studies to evaluate crestal bone loss (CBL) and implant success when using a newly introduced low-speed drilling protocol. Therefore, this study aimed to evaluate the mean CBL and implant success rate by placing implants utilizing two drilling protocols, ie, standard and low-speed drilling protocols. MATERIALS AND METHODS A randomized controlled clinical trial was carried out in patients who required dental implants to restore their esthetics and function. The patients were recruited from a university hospital (Academic Centre for Dentistry Amsterdam [ACTA], the Netherlands). Based on the inclusion criteria, patients were randomized to two study groups: (1) control group, standard drilling protocol; and (2) test group, low-speed drilling protocol without saline irrigation. The mean CBL and the implant success rate were evaluated after 12 months of implant placement. RESULTS Twenty-three patients (15 men and 8 women with a mean age of 57.5 ± 10.7 years) contributed to the study. Forty Camlog screw-line implants were placed (20 implants per study group). After 12 months of implant placement, the mean CBL of implants placed with the standard protocol and the low-speed protocol was 0.206 ± 0.251 mm and 0.196 ± 0.178 mm, respectively. No statistically significant difference could be recorded among both groups (P = .885). Concerning implants placed in the maxilla, the standard drilling group and low-speed drilling group showed a mean CBL of 0.252 ± 0.175 mm and 0.251 ± 0.175 mm, respectively, compared with 0.173 ± 0.210 mm and 0.141 ± 0.172 mm in the mandible, with no significant difference. The success rate of dental implants at 12 months was 95% in the control group and 90% in the test group. CONCLUSION Within the limitations of this study, it can be concluded that implants placed with the low-speed drilling protocol without saline irrigation exhibited a similar CBL compared with implants placed with the standard drilling protocol. However, a higher success rate was recorded especially in type 1-quality bone for the control group compared with the test group. Further randomized clinical trials with greater sample sizes and extended follow-up times should be performed to obtain stronger evidence and a better understanding of the influence of drilling speed on mean CBL and long-term implant success.
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Khanlar LN, Salazar Rios A, Tahmaseb A, Zandinejad A. Additive Manufacturing of Zirconia Ceramic and Its Application in Clinical Dentistry: A Review. Dent J (Basel) 2021; 9:dj9090104. [PMID: 34562978 PMCID: PMC8469515 DOI: 10.3390/dj9090104] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2021] [Revised: 08/27/2021] [Accepted: 08/31/2021] [Indexed: 12/02/2022] Open
Abstract
Additive manufacturing (AM) has many advantages and became a valid manufacturing technique for polymers and metals in dentistry. However, its application for dental ceramics is still in process. Among dental ceramics, zirconia is becoming popular and widely used in dentistry mainly due to its outstanding properties. Although subtractive technology or milling is the state of art for manufacturing zirconia restorations but still has shortcomings. Utilizing AM in fabricating ceramics restorations is a new topic for many researchers and companies across the globe and a good understanding of AM of zirconia is essential for dental professional. Therefore, the aim of this narrative review is to illustrate different AM technologies available for processing zirconia and discus their advantages and future potential. A comprehensive literature review was completed to summarize different AM technologies that are available to fabricate zirconia and their clinical application is reported. The results show a promising outcome for utilizing AM of zirconia in restorative, implant and regenerative dentistry. However further improvements and validation is necessary to approve its clinical application.
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Affiliation(s)
- Leila Nasiry Khanlar
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
- Correspondence:
| | - Alma Salazar Rios
- College of Dentistry, Texas A&M University, Dallas, TX 75246, USA; (A.S.R.); (A.Z.)
| | - Ali Tahmaseb
- Department of Oral Maxillofacial Surgery Erasmus Medical Centre, 3015 Rotterdam, The Netherlands;
| | - Amirali Zandinejad
- College of Dentistry, Texas A&M University, Dallas, TX 75246, USA; (A.S.R.); (A.Z.)
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Al Najam Y, Tahmaseb A, Wiryasaputra D, Wolvius E, Dhamo B. Outcomes of dental implants in young patients with congenital versus non-congenital missing teeth. Int J Implant Dent 2021; 7:92. [PMID: 34423396 PMCID: PMC8380590 DOI: 10.1186/s40729-021-00362-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Accepted: 05/28/2021] [Indexed: 11/10/2022] Open
Abstract
Objective This cross-sectional study aims to investigate the effect of the cause of missing teeth on the survival and subjective success of dental implant treatment (DIT) in young patients with missing teeth due to non-congenital causes (tooth loss) in comparison to patients with missing teeth because of congenital causes (hypodontia and oligodontia). Material and methods All patients were asked 7 questions to extract information about the survival and subjective success of DIT. Implant survival function was designed using the Kaplan-Meier analysis. Differences in implant success outcomes were studied using binary logistic regression analysis. Results One hundred ten patients aged 18 to 40 years old were included, whereof 32 patients with tooth loss, 25 patients with hypodontia and 53 patients with oligodontia. In the tooth loss group, implant survival reached 96.9%; in the hypodontia group 96.0%; and in the oligodontia group 88.7%. Regarding subjective implant success, patient satisfaction was significantly higher (p < 0.040) among patients with congenital missing teeth in comparison to patients with tooth loss. Other implant success components showed no statistically significant difference (p > 0.050) between the groups. Conclusion The cause of missing teeth does not influence implant survival. However, the cause of missing teeth does have a significant impact on patient satisfaction (implant success), ascertaining young patients with congenital missing teeth as more satisfied of DIT than young patients with tooth loss. Clinical relevance Young patients with tooth agenesis and with an increased number of missing teeth are more content about the treatment with dental implants than patients with tooth loss. Furthermore, a consensus regarding the assessment of implant success is an essential concern for clarification. Supplementary Information The online version contains supplementary material available at 10.1186/s40729-021-00362-7.
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Affiliation(s)
- Yousef Al Najam
- Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center Rotterdam, PO Box 2040, CA, 3000, Rotterdam, the Netherlands
| | - Ali Tahmaseb
- Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center Rotterdam, PO Box 2040, CA, 3000, Rotterdam, the Netherlands
| | - Dorothee Wiryasaputra
- Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center Rotterdam, PO Box 2040, CA, 3000, Rotterdam, the Netherlands
| | - Eppo Wolvius
- Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center Rotterdam, PO Box 2040, CA, 3000, Rotterdam, the Netherlands
| | - Brunilda Dhamo
- Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center Rotterdam, PO Box 2040, CA, 3000, Rotterdam, the Netherlands.
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Derksen W, Tahmaseb A, Wismeijer D. Randomized Clinical Trial comparing clinical adjustment times of CAD/CAM screw-retained posterior crowns on ti-base abutments created with digital or conventional impressions. One-year follow-up. Clin Oral Implants Res 2021; 32:962-970. [PMID: 34080238 PMCID: PMC8453558 DOI: 10.1111/clr.13790] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 11/30/2020] [Accepted: 12/15/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The purpose of this randomized clinical trial was to compare the required time of potential clinical adjustments of posterior screw-retained monolithic zirconia implant retained crowns based on intraoral optical scanning (IOS) or conventional impressions. MATERIALS AND METHODS Patients with posterior tissue level implants (Straumann RN) replacing solitary teeth were recruited. Of all patients, impressions were taken with both an IOS (3M™ TDS) and a conventional (polyether) pick-up impression. Randomization was performed after impression taking and patients were to receive either a crown based on the digital or the conventional impression. The time required for adjustments at placement was recorded. Additionally, restoration survival and mechanical complications with a follow-up of one year were documented. RESULTS Thirty two patients with 45 implants were included: 23 restorations in the test (IOS) and 22 in the control (conventional) group. The average adjustment time was 3.35 min (SD ± 3.38, range: 0-11 min) for the digital versus 6.09 min (SD ± 4.63, range: 0-18 min) for the conventional impressions (p = .039). A proper fit (no adjustments required) was achieved 39,1% in the digital and 18,2% conventional group respectively. All 45 restorations could be placed within the two planned appointments and only two minor mechanical complications occurred during the first year of function. CONCLUSIONS The use of IOS resulted in shorter adjustment times at try-in than conventional impressions for solitary CAD/CAM implant restorations. Screw-retained solitary monolithic zirconia restorations on ti-base abutments show low complication- and survival rates in the short term.
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Affiliation(s)
- Wiebe Derksen
- Section of Oral Implantology and Prosthetic DentistryAcademic Centre for Dentistry Amsterdam (ACTA)AmsterdamThe Netherlands
| | - Ali Tahmaseb
- Section of Oral Implantology and Prosthetic DentistryAcademic Centre for Dentistry Amsterdam (ACTA)AmsterdamThe Netherlands
| | - Daniel Wismeijer
- Section of Oral Implantology and Prosthetic DentistryAcademic Centre for Dentistry Amsterdam (ACTA)AmsterdamThe Netherlands
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Lanis A, Tahmaseb A. Computer-assisted bone reduction and static computer-guided implant surgery in a fully edentulous patient: a technique report. Int J Comput Dent 2021; 24:165-179. [PMID: 34085502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Computer-assisted implant surgery is one of the techniques that has gained much popularity over the past years. The amount of information that can be managed in a virtual environment allows for a faster, safer, and more precise implant placement. In certain cases, an appropriate implant-supported rehabilitation is accompanied by the need for complementary surgical procedures. The present technique report describes a clinical situation in which a bone reduction template and a stackable implant placement guide were digitally designed and 3D printed for a simultaneous ridge ostectomy and computer-assisted implant placement.
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Derksen W, Tahmaseb A, Wismeijer D. A Randomized Clinical Trial comparing the clinical fit of CAD/CAM monolithic zirconia Fixed Dental Prostheses (FDP) on ti-base abutments based on digital or conventional impression techniques. One year follow-up. INT J PROSTHODONT 2021; 34:733–743. [PMID: 33662051 DOI: 10.11607/ijp.7074] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
PURPOSE To compare the fit and clinical performance of screw-retained monolithic zirconia implant fixed dental prostheses (FDPs) based on either intraoral optical scanning (IOS) or conventional impressions. MATERIALS AND METHODS Patients with two posterior tissue-level implants (Straumann Regular Neck) replacing two or three adjacent teeth were recruited. Impressions were taken with both IOS (True Definition Scanner, 3M ESPE) and a conventional (polyether) pick-up impression. Double-blind randomization was performed after impression-taking, and patients were to receive an FDP based on either the digital or the conventional impression. The fit was evaluated, and the time required for adjustments was recorded. Additionally, survival and technical complication rates with a follow-up of 1 year were documented. RESULTS A total of 38 patients requiring 45 FDPs were included: 24 FDPs in the test (IOS) and 21 in the control (conventional) group. The average adjustment time was 6.92 minutes (SD: ± 10.84, range: 0 to 49 minutes) for digital vs 12.38 minutes (SD: ± 14.52, range: 0 to 54 minutes) for conventional impressions (P = .090). A proper fit (no adjustments) was achieved in 33.3% of the digital and 28.6% of the conventional group. Forty-two FDPs could be placed within the two planned appointments, and 3 FDPs exhibited an unacceptable fit and required an extra appointment. Eight technical complications occurred during the first year of function. The overall restoration survival rate was 100%. CONCLUSION The clinical fit of CAD/CAM FDPs based on digital impressions is comparable to conventional impressions. Screw-retained monolithic zirconia FDPs on Ti-base abutments show low major complication and survival rates in the short term.
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Jonker B, Wolvius E, van der Tas J, Tahmaseb A, Pijpe J. Esthetics and Patient-Reported Outcomes of Implants Placed with Guided Bone Regeneration and Complete Native Bone: A Prospective Controlled Clinical Trial. Int J Oral Maxillofac Implants 2020; 35:406-414. [DOI: 10.11607/jomi.7751] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Derksen W, Wismeijer D, Flügge T, Hassan B, Tahmaseb A. The accuracy of computer-guided implant surgery with tooth-supported, digitally designed drill guides based on CBCT and intraoral scanning. A prospective cohort study. Clin Oral Implants Res 2019; 30:1005-1015. [PMID: 31330566 DOI: 10.1111/clr.13514] [Citation(s) in RCA: 67] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2018] [Revised: 03/31/2019] [Accepted: 03/31/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The purpose of this prospective cohort study was to evaluate computer-guided implant surgery with tooth-supported drill guides based on CBCT scans and intraoral scanning. MATERIALS AND METHODS For partially edentulous patients, a prosthetic and surgical planning was completed in the guided surgery software (coDiagnostiX) and drill guides were 3D-printed accordingly. Three months after implant placement, an intraoral scan of the implant's position was used to evaluate the accuracy of placement using the coDiagnostiX treatment evaluation tool. Deviations were reported in degrees and in distance at implant's entry point and apex. Several risk factors, which might influence the accuracy, were evaluated separately: treated jaw, flap design, prior augmentations, amount of unrestored teeth, crowding, location of implants, cortical interference, and implant's length and diameter. RESULTS A total of 66 patients received 145 Straumann tissue level implants that were eligible for accuracy analysis. The mean angular deviation was 2.72° ± 1.42. The mean three-dimensional deviation at the implant's entry point was 0.75 mm ± 0.34. At implant's apex, the mean was 1.06 mm ± 0.44. The amount of unrestored teeth (p = .002 & p = .003), the implant's location (p < .001), the implant's length (p = .004), and cortical interference (p = .033) had a significant influence on the accuracy of placement. Implant survival was 99.3% (n = 1 failed implant) at 12 and 24 months. CONCLUSIONS Guided surgery with tooth-supported drill guides made in a digital workflow is a feasible treatment option. However, deviations do occur and the implant's length, location, cortical interference and the amount of unrestored teeth have a significant influence on the accuracy.
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Affiliation(s)
- Wiebe Derksen
- Section of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
| | - Daniel Wismeijer
- Section of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
| | - Tabea Flügge
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany
| | - Bassam Hassan
- Section of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
| | - Ali Tahmaseb
- Section of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
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Tabassum A, Wismeijer D, Hogervorst J, Tahmaseb A. Comparison of Proliferation and Differentiation of Human Osteoblast-like Cells Harvested During Implant Osteotomy Preparation Using Two Different Drilling Protocols. Int J Oral Maxillofac Implants 2019; 35:141–149. [PMID: 31184630 DOI: 10.11607/jomi.7648] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
PURPOSE Autogenous bone grafts are considered a "gold standard." The success of autografts mainly depends on their ability to promote an osteogenic response. The aim of this study was to collect autogenous bone during implant osteotomy preparation using two different drilling protocols and to evaluate and compare the proliferation and differentiation ability of the collected bone particles. MATERIALS AND METHODS Autogenous bone particles were harvested from 20 patients during implant osteotomy preparation using two different drilling protocols: (1) standard drilling protocol with saline irrigation (according to the manufacturer's recommendation) and (2) low-speed drilling protocol without saline irrigation (speed < 200 rpm). Bone samples collected were cultured in growth medium, and after 2 to 3 weeks, cells that grew out from bone grafts were cultured in the normal medium as well as in osteogenic medium for days 0, 4, 7, and 20. Scanning electron microscopy, alizarin red/toluidine blue staining, DNA, ALP, and calcium content measurements were performed. Repeated measures analysis of variance (ANOVA) with Bonferroni's test was employed to analyze the data of this study. RESULTS The total DNA content was significantly higher for the low-speed drilling samples compared with the standard drilling on day 4 (P < .05), day 7 (P < .01), and day 20 (P < .001) in the normal medium and on day 7 (P < .01) and day 20 (P < .01) in the osteogenic medium. Besides, calcium measurements and mineralized matrix formation observed with alizarin red/toluidine blue staining were significantly higher for the low-speed drilling group compared with the standard drilling group. CONCLUSION Osteogenic efficacy (differentiation and proliferation) of autogenous bone particles collected using low-speed drilling was superior compared with standard drilling samples.
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Zembic A, Tahmaseb A, Jung RE, Wiedemeier D, Wismeijer D. Patient-Reported Outcomes of Maxillary Edentulous Patients Wearing Overdentures Retained by Two Implants from Insertion to 4 Years. Int J Oral Maxillofac Implants 2019; 34:481-488. [PMID: 30883624 DOI: 10.11607/jomi.6980] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
PURPOSE This cohort study evaluated patient satisfaction for maxillary implant-retained overdentures (IODs) on two implants up to 4 years and assessed the treatment effect over time. MATERIALS AND METHODS Patients encountering problems with their conventional dentures were included and received maxillary IODs on two titanium-zirconium implants and ball anchors in the canine area. Patient satisfaction was assessed using the oral health impact profile (OHIP-20E) questionnaires both for dentures and IODs. Two months after insertion of IODs (baseline), the patients chose the preferred overdenture design with full or reduced palatal coverage. OHIP-20E questionnaires were followed according to the individual choice at 1 and 4 years, and outcomes were compared with baseline. RESULTS Sixteen out of 21 patients were evaluated at a mean follow-up of 4 years (range: 2.4 to 4.8 years). There was no significant difference in the OHIP domains for IODs at 1 year (OHIP_total_1y: 9.5, SD: 13.0) and 4 years (OHIP_total_4y: 14.2, SD: 19.1) compared with baseline (OHIP_total_BL: 12.4, SD: 14.7). Patients were most satisfied with social disability both for IODs (OHIP_BL: 6.0, SD: 7.6; OHIP_1y: 3.4, SD: 5.4; OHIP_4y: 5.7, SD: 9.5) and dentures (OHIP_CD_old: 28, SD: 29.7; OHIP_CD_new: 25.4, SD: 28.67). Patients were least satisfied with functional limitation both for IODs (OHIP_BL: 6.0, SD: 7.6; OHIP_1y: 3.4, SD: 5.4; OHIP_4y: 5.7, SD: 9.5) and dentures (OHIP_CD_old: 28, SD: 29.7; OHIP_CD_new: 25.4, SD: 28.67). CONCLUSION Patient satisfaction with maxillary IODs on two implants did not change from baseline to 4 years and was high at 4 years of function.
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Dank A, Aartman IHA, Wismeijer D, Tahmaseb A. Effect of dental implant surface roughness in patients with a history of periodontal disease: a systematic review and meta-analysis. Int J Implant Dent 2019; 5:12. [PMID: 30756245 PMCID: PMC6372709 DOI: 10.1186/s40729-019-0156-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Accepted: 01/06/2019] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND To review the literature on the effect of dental implant surface roughness in patients with a history of periodontal disease. The present review addresses the following focus question: Is there a difference for implant survival, mean marginal bone loss, and the incidence of bleeding on probing in periodontally compromised patients receiving a machined dental implant or rough surface dental implant? METHODS Electronic and manual literature searches were conducted on PubMed/MEDLINE and the Cochrane Library on studies published until May 2018 to collect information about the effect of machined, moderately rough, and rough dental implant surfaces in patients with a history of periodontal disease. The outcome variables implant survival, mean marginal bone level, and the incidence of peri-implantitis and bleeding on probing were evaluated. Meta-analysis was performed to obtain an accurate estimation of the overall, cumulative results. RESULTS Out of 2411 articles, six studies were included in this systematic review. The meta-analysis of the implant survival and implant mean marginal bone loss revealed a risk ratio of 2.92 (CI 95% 0.45, 18.86) for implant failure and a total mean difference of - 0.09 (CI 95% - 0.31, 0.14) for implant mean marginal bone loss measured in a total group of 215 implants, both not statistically significant. CONCLUSIONS Due to lack of long-term data (> 5 years), the heterogeneity and variability in study designs and lack of reporting on confounding factors, definitive conclusions on differences in implant survival, and mean marginal bone loss between machined and moderate rough implants in periodontally compromised patients cannot be drawn. Future well-designed long-term randomized controlled trials are necessary to reveal that machined surfaces are superior to moderately rough and rough surfaces in patients with a history of periodontal disease.
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Affiliation(s)
- Anton Dank
- Section of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands.
| | - Irene H A Aartman
- Department of Social Dentistry, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands
| | - Daniël Wismeijer
- Section of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands
| | - Ali Tahmaseb
- Section of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands
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15
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Wismeijer D, Joda T, Flügge T, Fokas G, Tahmaseb A, Bechelli D, Bohner L, Bornstein M, Burgoyne A, Caram S, Carmichael R, Chen C, Coucke W, Derksen W, Donos N, El Kholy K, Evans C, Fehmer V, Fickl S, Fragola G, Gimenez Gonzales B, Gholami H, Hashim D, Hui Y, Kökat A, Vazouras K, Kühl S, Lanis A, Leesungbok R, Meer J, Liu Z, Sato T, De Souza A, Scarfe WC, Tosta M, Zyl P, Vach K, Vaughn V, Vucetic M, Wang P, Wen B, Wu V. Group 5 ITI Consensus Report: Digital technologies. Clin Oral Implants Res 2018; 29 Suppl 16:436-442. [DOI: 10.1111/clr.13309] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 05/29/2018] [Accepted: 05/31/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Daniel Wismeijer
- Academic Center for Dentistry Amsterdam Amsterdam The Netherlands
| | - Tim Joda
- Department of Dental Medicine University of Bern Bern Switzerland
| | - Tabea Flügge
- Department of Oral and Maxillofacial Surgery University of Freiburg Freiburg Germany
| | - George Fokas
- Department Implant DentistryUniversity of Hong Kong Hong Kong
| | - Ali Tahmaseb
- Academic Center for Dentistry Amsterdam Amsterdam The Netherlands
| | | | | | | | | | | | | | | | | | - Wiebe Derksen
- Academic Center for Dentistry Amsterdam Amsterdam The Netherlands
| | | | | | | | | | | | | | | | | | | | - Yu Hui
- Department of Oral SurgerySchool of Dental MedicineUniversity of Belgrade Belgrade Serbia
| | | | | | | | | | | | - Joerd Meer
- University of Groningen Groningen The Netherlands
| | - Zhonghao Liu
- School of StomatologyBinzhou Medical University Binzhou China
| | | | | | | | | | - Paul Zyl
- Private Practice Capetown South Africa
| | - Kirstin Vach
- Department of Oral and Maxillofacial Surgery University of Freiburg Freiburg Germany
| | - Vida Vaughn
- University of Louisville Louisville Kentucky
| | - Milan Vucetic
- Faculty of Dental Medicine University of Belgrade Belgrade Serbia
| | - Ping Wang
- Academic Center for Dentistry Amsterdam Amsterdam The Netherlands
| | - Bo Wen
- Peking University School of Stomatology Beijing China
| | - Vivian Wu
- Academic Center for Dentistry Amsterdam Amsterdam The Netherlands
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16
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Tahmaseb A, Wu V, Wismeijer D, Coucke W, Evans C. The accuracy of static computer‐aided implant surgery: A systematic review and meta‐analysis. Clin Oral Implants Res 2018; 29 Suppl 16:416-435. [DOI: 10.1111/clr.13346] [Citation(s) in RCA: 149] [Impact Index Per Article: 24.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2017] [Revised: 05/22/2018] [Accepted: 05/23/2018] [Indexed: 12/19/2022]
Affiliation(s)
- Ali Tahmaseb
- Department of Oral Implantology and Fixed prosthodonticsUniversity of Amsterdam Amsterdam The Netherlands
| | - Vivian Wu
- Department of Oral Implantology and Fixed prosthodonticsUniversity of Amsterdam Amsterdam The Netherlands
| | - Daniel Wismeijer
- Department of Oral Implantology and Fixed prosthodonticsUniversity of Amsterdam Amsterdam The Netherlands
| | - Wim Coucke
- Department of Clinical BiologyInstitute of Public Health Brussels Belgium
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17
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Tahmaseb A, Tabassum A, Wismeijer D, Hogervorst J. Osteogenic potential of human alveolar bone harvested using two different drilling protocols. Clin Oral Implants Res 2018. [DOI: 10.1111/clr.23_13356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Ali Tahmaseb
- Department of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam , University of Amsterdam and Vrije Univer, Netherlands
| | - Afsheen Tabassum
- Department of Preventive dentistry, Princess Nourah Bint Abdulrahman University, College of Dentistry Riyadh, Kingdom of Saudi Arabia, Saudi Arabia
| | - Daniel Wismeijer
- Department of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam , University of Amsterdam and Vrije Univer, Netherlands
| | - J.M.A. Hogervorst
- Department of Oral Cell Biology, Academic Centre for Dentistry Amsterdam , University of Amsterdam and Vrije University Amsterdam, Netherlands
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18
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Zygogiannis K, Aartman IH, Parsa A, Tahmaseb A, Wismeijer D. Implant Mandibular Overdentures Retained by Immediately Loaded Implants: A 1-Year Randomized Trial Comparing the Clinical and Radiographic Outcomes Between Mini Dental Implants and Standard-Sized Implants. Int J Oral Maxillofac Implants 2017; 32:1377-1388. [PMID: 29140382 DOI: 10.11607/jomi.5981] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
PURPOSE The aim of this 1-year randomized trial was to evaluate and compare the clinical and radiographic performance of four immediately loaded mini dental implants (MDIs) and two immediately loaded standard-sized tissue-level (STL) implants, placed in the interforaminal region of the mandible and used to retain mandibular overdentures (IODs) in completely edentulous patients. MATERIALS AND METHODS A total of 50 completely edentulous patients wearing conventional maxillary dentures and complaining about insufficient retention of their mandibular dentures were divided into two groups; 25 patients received four MDIs and 25 patients received two STL implants. The marginal bone loss (MBL) at the mesial and distal sides of each implant was assessed by means of standardized intraoral radiographs after a period of 1 year. Implant success and survival rates were also calculated. RESULTS Immediate loading was possible for all patients in the first group. In the second group, an immediate loading protocol could not be applied for 10 patients. These patients were treated with a delayed loading protocol. A mean MBL of 0.42 ± 0.56 mm for the MDIs and 0.54 ± 0.49 mm for the immediately loaded STL implants was recorded at the end of the evaluation period. There was no statistically significant difference between the MDIs and the immediately loaded STL implants. Two MDIs failed, resulting in a survival rate of 98%. The success rate was 91%. For the immediately loaded conventional implants, the survival rate was 100% and the success rate 96.7% after 1 year of function. However, in 10 patients, the immediate loading protocol could not be followed. CONCLUSION Considering the limitations of this short-term clinical study, immediate loading of four unsplinted MDIs or two splinted STL implants to retain mandibular overdentures seems to be a feasible treatment option. The marginal bone level changes around the MDIs were well within the clinically acceptable range.
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Hassan B, Gimenez Gonzalez B, Tahmaseb A, Greven M, Wismeijer D. A digital approach integrating facial scanning in a CAD-CAM workflow for complete-mouth implant-supported rehabilitation of patients with edentulism: A pilot clinical study. J Prosthet Dent 2017; 117:486-492. [DOI: 10.1016/j.prosdent.2016.07.033] [Citation(s) in RCA: 60] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2016] [Revised: 07/19/2016] [Accepted: 07/20/2016] [Indexed: 11/25/2022]
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20
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D'haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer-guided implant surgery. Periodontol 2000 2016; 73:121-133. [DOI: 10.1111/prd.12175] [Citation(s) in RCA: 205] [Impact Index Per Article: 25.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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21
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Marković A, Đinić A, Calvo Guirado JL, Tahmaseb A, Šćepanović M, Janjić B. Randomized clinical study of the peri-implant healing to hydrophilic and hydrophobic implant surfaces in patients receiving anticoagulants. Clin Oral Implants Res 2016; 28:1241-1247. [DOI: 10.1111/clr.12948] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/15/2016] [Indexed: 12/20/2022]
Affiliation(s)
- Aleksa Marković
- Department of Oral Surgery; School of Dental Medicine; University of Belgrade; Belgrade Serbia
| | - Ana Đinić
- Department of Oral Surgery; School of Dental Medicine; University of Belgrade; Belgrade Serbia
| | - José Luis Calvo Guirado
- Department of Research; International Dentistry Research Cathedra; UCAM Universidad Catolica San Antonio de Murcia; Murcia Spain
| | - Ali Tahmaseb
- Department of Oral Implantology and Prosthetic Dentistry; Academic Center for Dentistry Amsterdam (ACTA); Move Research Institute; Amsterdam The Netherlands
| | - Miodrag Šćepanović
- Department of Prosthodontics; School of Dental Medicine; University of Belgrade; Belgrade Serbia
| | - Bojan Janjić
- Department of Oral Surgery; School of Dental Medicine; University of Belgrade; Belgrade Serbia
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22
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van Eekeren P, Said C, Tahmaseb A, Wismeijer D. Resonance Frequency Analysis of Thermal Acid-Etched, Hydrophilic Implants During First 3 Months of Healing and Osseointegration in an Early-Loading Protocol. Int J Oral Maxillofac Implants 2016; 30:843-50. [PMID: 26252037 DOI: 10.11607/jomi.3985] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
PURPOSE Safe loading of dental implants requires an optimal osseointegration. This osseointegration process during healing could be analyzed by resonance frequency analysis (RFA). The purpose of the study was to evaluate RFA changes during healing in splinted, early-loaded, thermal acid-etched, hydrophilic implants over time. MATERIALS AND METHODS Patients received a minimum of two implants: an implant with the prosthetic abutment connection at the crestal bone level (bone level) and one with the prosthetic abutment connection at a 2.5-mm supracrestal site (tissue level). Implant stability was measured at weeks 0, 2, 3, and 12 using the Osstell device. RESULTS Seventy-six implants were placed in 32 patients. By week 2, early-loaded tissue-level implants showed a significant drop in mean ± standard deviation (SD) implant stability quotient (ISQ) values of 2.2 ± 3.6 (P < .001). Changes in ISQ values were significant between weeks 3 and 12 and also between weeks 0 and 12, with mean differences of 4.2 (P < .001) and 2.8 (P < .001), respectively. Early-loaded bone-level implants show a significant change in ISQ of 2.3 ± 3.7 at week 2 (P < .01) and -1.3 ± 4.7 at week 12 when compared to an ISQ value of 2.9 ± 4.9 at week 3 (P < .01). Bone-level implants achieved higher ISQ values compared with tissue-level implants at weeks 0, 2, 3, and 12, with mean differences being 3.8 ± 5.5 (P < .01), 3.8 ± 6.1 (P < .01), 3.7 ± 6.7 (P < .01), and 2.3 ± 5.8 (P < .05), respectively. CONCLUSION This study found a significant dip in ISQ values, with the lowest point seen at week 2. ISQ values remained higher in bone-level implants throughout the process of healing and osseointegration.
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23
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Zembic A, Tahmaseb A, Jung RE, Wismeijer D. One-year results of maxillary overdentures supported by 2 titanium-zirconium implants - implant survival rates and radiographic outcomes. Clin Oral Implants Res 2016; 28:e60-e67. [DOI: 10.1111/clr.12863] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/11/2016] [Indexed: 11/25/2022]
Affiliation(s)
- Anja Zembic
- Department of Oral Implantology and Prosthetic Dentistry; Academic Center for Dentistry Amsterdam (ACTA); Move Research Institute; Amsterdam The Netherlands
- Clinic of Fixed and Removable Prosthodontics and Dental Material Science; University of Zurich; Zurich Switzerland
| | - Ali Tahmaseb
- Department of Oral Implantology and Prosthetic Dentistry; Academic Center for Dentistry Amsterdam (ACTA); Move Research Institute; Amsterdam The Netherlands
| | - Ronald E. Jung
- Clinic of Fixed and Removable Prosthodontics and Dental Material Science; University of Zurich; Zurich Switzerland
| | - Daniel Wismeijer
- Department of Oral Implantology and Prosthetic Dentistry; Academic Center for Dentistry Amsterdam (ACTA); Move Research Institute; Amsterdam The Netherlands
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24
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van Eekeren P, van Elsas P, Tahmaseb A, Wismeijer D. The influence of initial mucosal thickness on crestal bone change in similar macrogeometrical implants: a prospective randomized clinical trial. Clin Oral Implants Res 2016; 28:214-218. [DOI: 10.1111/clr.12784] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/21/2015] [Indexed: 01/31/2023]
Affiliation(s)
- Paul van Eekeren
- Department of Oral Implantology and Prosthetic Dentistry of the Academic Centre for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
| | - Pieter van Elsas
- Department of Oral Implantology and Prosthetic Dentistry of the Academic Centre for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
| | - Ali Tahmaseb
- Department of Oral Implantology and Prosthetic Dentistry of the Academic Centre for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
| | - Daniel Wismeijer
- Department of Oral Implantology and Prosthetic Dentistry of the Academic Centre for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
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25
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van Eekeren P, Tahmaseb A, Wismeijer D. Crestal Bone Changes Around Implants with Implant-Abutment Connections at Epicrestal Level or Above: Systematic Review and Meta-Analysis. Int J Oral Maxillofac Implants 2016; 31:119-24. [DOI: 10.11607/jomi.4235] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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26
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van Eekeren PJA, Aartman IHA, Tahmaseb A, Wismeijer D. The effect of implant placement in patients with either Kennedy class II and III on oral health-related quality of life: a prospective clinical trial. J Oral Rehabil 2015; 43:291-6. [DOI: 10.1111/joor.12370] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2015] [Indexed: 11/30/2022]
Affiliation(s)
- P. J. A. van Eekeren
- Department of Oral Function Section of Oral Implantology and Fixed Prosthetics; Academic Centre of Dentistry Amsterdam; Amsterdam
| | - I. H. A. Aartman
- Department of Social Dentistry and Behavioral Sciences; Academic Centre of Dentistry Amsterdam; Amsterdam The Netherlands
| | - A. Tahmaseb
- Department of Oral Function Section of Oral Implantology and Fixed Prosthetics; Academic Centre of Dentistry Amsterdam; Amsterdam
| | - D. Wismeijer
- Department of Oral Function Section of Oral Implantology and Fixed Prosthetics; Academic Centre of Dentistry Amsterdam; Amsterdam
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27
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Hämmerle CHF, Cordaro L, van Assche N, Benic GI, Bornstein M, Gamper F, Gotfredsen K, Harris D, Hürzeler M, Jacobs R, Kapos T, Kohal RJ, Patzelt SBM, Sailer I, Tahmaseb A, Vercruyssen M, Wismeijer D. Digital technologies to support planning, treatment, and fabrication processes and outcome assessments in implant dentistry. Summary and consensus statements. The 4th EAO consensus conference 2015. Clin Oral Implants Res 2015; 26 Suppl 11:97-101. [DOI: 10.1111/clr.12648] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Christoph H. F. Hämmerle
- Clinic of Fixed and Removable Prosthodontics and Dental Material Science; Center of Dental Medicine; University of Zurich; Zurich Switzerland
| | - Luca Cordaro
- Department of Periodontology and Prosthodontics; Eastman Dental Hospital; Rome Italy
| | - Nele van Assche
- Department of Periodontology; Catholic University Leuven; Leuven Belgium
| | - Goran I. Benic
- Clinic of Fixed and Removable Prosthodontics and Dental Material Science; Center of Dental Medicine; University of Zurich; Zurich Switzerland
| | - Michael Bornstein
- Department of Oral Surgery and Stomatology; University of Bern; Bern Switzerland
| | - Felix Gamper
- Clinic of Fixed and Removable Prosthodontics and Dental Material Science; Center of Dental Medicine; University of Zurich; Zurich Switzerland
| | - Klaus Gotfredsen
- Department of Oral Rehabilitation; Faculty of Health Science; University of Copenhagen; Copenhagen Denmark
| | - David Harris
- Dublin Dental School and Hospital; Trinity College; Dublin 2 Ireland
| | - Marc Hürzeler
- Department of Operative Dentistry and Periodontology; University Dental School; University of Freiburg; Albert-Ludwigs-University; Freiburg Germany
- Private Practice; Munich Germany
| | - Reinhilde Jacobs
- Department Imaging & Pathology; Faculty of Medicine; OIC, OMFS IMPATH Research Group; University of Leuven and Oral & Maxillofacial Surgery; University Hospitals Leuven; Leuven Belgium
| | | | - Ralf J. Kohal
- Department of Prosthetic Dentistry; Center for Dental Medicine; Medical Center - University of Freiburg; Freiburg Germany
| | - Sebastian B. M. Patzelt
- Department of Prosthetic Dentistry; Center for Dental Medicine; Medical Center - University of Freiburg; Freiburg Germany
| | - Irena Sailer
- Division of Fixed Prosthodontics and Occlusion; University of Geneva; Geneva Switzerland
| | - Ali Tahmaseb
- Section of Oral Implantology and Fixed Prosthetics; Department of Oral Function; Academic Centre of Dentistry Amsterdam; Amsterdam The Netherlands
| | - Marjolein Vercruyssen
- Department of Oral Health Sciences, Periodontology; Faculty of Medicine; Catholic University Leuven; University Hospitals Leuven; Leuven Belgium
| | - Daniel Wismeijer
- Section of Oral Implantology and Fixed Prosthetics; Department of Oral Function; Academic Centre of Dentistry Amsterdam; Amsterdam The Netherlands
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van Eekeren P, Tahmaseb A, Wismeijer D. Crestal bone changes in macrogeometrically similar implants with the implant-abutment connection at the crestal bone level or 2.5 mm above: a prospective randomized clinical trial. Clin Oral Implants Res 2015; 27:1479-1484. [DOI: 10.1111/clr.12581] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/08/2015] [Indexed: 01/13/2023]
Affiliation(s)
- Paul van Eekeren
- Section of Oral Implantology and Fixed Prosthetics; Department of Oral Function; Academic Centre of Dentistry Amsterdam; Amsterdam The Netherlands
| | - Ali Tahmaseb
- Section of Oral Implantology and Fixed Prosthetics; Department of Oral Function; Academic Centre of Dentistry Amsterdam; Amsterdam The Netherlands
| | - Daniël Wismeijer
- Section of Oral Implantology and Fixed Prosthetics; Department of Oral Function; Academic Centre of Dentistry Amsterdam; Amsterdam The Netherlands
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29
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Tahmaseb A, Wismeijer D, Coucke W, Derksen W. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants 2014; 29 Suppl:25-42. [PMID: 24660188 DOI: 10.11607/jomi.2014suppl.g1.2] [Citation(s) in RCA: 260] [Impact Index Per Article: 26.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
PURPOSE To assess the literature on the accuracy and clinical performance of static computer-assisted implant surgery in implant dentistry. MATERIALS AND METHODS Electronic and manual literature searches were applied to collect information about (1) the accuracy and (2) clinical performance of static computer-assisted implant systems. Meta-regression analysis was performed to summarize the accuracy studies. Failure/complication rates were investigated using a generalized linear mixed model for binary outcomes and a logit link to model implant failure rate. RESULTS From 2,359 articles, 14 survival and 24 accuracy studies were included in this systematic review. Nine different static image guidance systems were involved. The meta-analysis of the accuracy (24 clinical and preclinical studies) revealed a total mean error of 1.12 mm (maximum of 4.5 mm) at the entry point measured in 1,530 implants and 1.39 mm at the apex (maximum of 7.1 mm) measured in 1,465 implants. For the 14 included survival studies (total of 1,941 implants) using static computer-assisted implant dentistry, the mean failure rate was 2.7% (0% to 10%) after an observation period of at least 12 months. In 36.4% of the treated cases, intraoperative or prosthetic complications were reported, which included: template fractures during the surgery, change of plan because of factors such as limited primary implant stability, need for additional grafting procedures, prosthetic screw loosening, prosthetic misfit, and prosthesis fracture. CONCLUSION Different levels of quantity and quality of evidence were available for static computer-assisted implant placement, with tight-fitting high implant survival rates after only 12 months of observation in different indications achieving a variable level of accuracy. Future long-term clinical data are necessary to identify clinical indications; detect accuracy; assess risk; and justify additional radiation doses, effort, and costs associated with computer-assisted implant surgery.
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Bornstein MM, Al-Nawas B, Kuchler U, Tahmaseb A. Consensus statements and recommended clinical procedures regarding contemporary surgical and radiographic techniques in implant dentistry. Int J Oral Maxillofac Implants 2014; 29 Suppl:78-82. [PMID: 24660191 DOI: 10.11607/jomi.2013.g1] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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31
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Zembic A, Tahmaseb A, Wismeijer D. Within-Subject Comparison of Maxillary Implant-Supported Overdentures with and without Palatal Coverage. Clin Implant Dent Relat Res 2013; 17:570-9. [DOI: 10.1111/cid.12125] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Anja Zembic
- Division of Fixed Prosthodontics; School of Dental Medicine; University of Bern; Bern Switzerland
- Department of Oral Implantology and Prosthetic Dentistry; Academic Center for Dentistry Amsterdam (ACTA), Move Research Institute; Amsterdam The Netherlands
| | - Ali Tahmaseb
- Department of Oral Implantology and Prosthetic Dentistry; Academic Center for Dentistry Amsterdam (ACTA), Move Research Institute; Amsterdam The Netherlands
| | - Daniel Wismeijer
- Department of Oral Implantology and Prosthetic Dentistry; Academic Center for Dentistry Amsterdam (ACTA), Move Research Institute; Amsterdam The Netherlands
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32
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Tahmaseb A, De Clerck R, Aartman I, Wismeijer D. Digital protocol for reference-based guided surgery and immediate loading: a prospective clinical study. Int J Oral Maxillofac Implants 2012; 27:1258-1270. [PMID: 23057043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
Abstract
PURPOSE To evaluate the performance of a computer-aided three-dimensional planning protocol in combination with previously inserted reference mini-implants and CAD/CAM technology to restore completely edentulous patients. The study evaluated implant and superstructure survival in a prospective clinical trial. MATERIALS AND METHODS The plan protocol called for treatment of 35 patients who were edentulous in either arch. Mini implants were used to establish a platform for computed tomography and fixation of the surgical template. The planning software based on three-dimensional simulation was used to plan ideal implant placement, digitally integrating the future prosthetic and anatomical situations to design the definitive superstructure. RESULTS A total of 35 patients, 20 with edentulous maxillae, 10 with edentulous mandibles, and 5 patients with edentulism in both arches were treated. All patients received definitive prostheses on the day of surgery. The majority of patients treated in maxilla underwent a sinus graft procedure to achieve sufficient bone to place implants. A total of 40 superstructures were inserted and immediately loaded. Of the 240 inserted implants, 229 (95.4%) survived, with 146 (93.6%) and 83 (98.8%) implants in the maxillary and mandibular arches, respectively. Of the 10 implants that failed in the maxilla, 9 occurred in patients with an augmented sinus. All definitive restorations demonstrated clinically acceptable fit. CONCLUSIONS When evaluating implant and superstructure survival, reference-based guided surgery seems to be a reliable treatment option for edentulous patients. The CAD/CAM superstructure, inserted and loaded immediately after guided implant insertion, demonstrated acceptable fit to the underlying implants.
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Affiliation(s)
- Ali Tahmaseb
- University of Amsterdam School of Dentistry, ACTA, Amsterdam, The Netherlands.
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Tahmaseb A, Mercelis P, de Clerck R, Wismeijer D. Optical scan analysis to detect minor misfit on implant-supported superstructures. Int J Oral Maxillofac Implants 2011; 26:1344-1350. [PMID: 22167442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
PURPOSE Despite the development of novel and more precise fabrication methods, absolute passive fit of implant-supported superstructures has yet to be consistently achieved. In the past, several laboratory techniques have been described to analyze fit. The purpose of this study was to assess two methods of fit evaluation with a control (well fitting) prosthesis and an intentionally misfit prosthesis. MATERIALS AND METHODS In this in vitro study, two comparable implant-supported superstructures (control and test misfit) were fabricated after scanning a test cast of a maxilla with four implants (two on each side). The test structure was fabricated with a known minor misfit on one of the inserted implants by manipulating the coordinates on the scanned files. The control superstructure was fabricated as accurately as possible without manipulating any scanned information. Both superstructures were evaluated using optical scanning and strain gauge measurements by an investigator who was blinded to the designed misfit. RESULTS Optical scanning demonstrated an accuracy of 10 μm for the control frame, while the misfit frame demonstrated greater discrepancies, both at the intentionally misfit connection (connection #2, misfit of 29 μm) and at the other connections (#1, 4 μm; #3, 5 μm; #4, 4 μm), although the latter connections showed less misfit. The strain gauge measurement showed a higher mean deviation of 26.2 μm (± 5.9 μm) in the test model, versus 15.3 μm (± 4.3 μm) in the control model. CONCLUSION Optical scan analysis was able to detect the misfit in the test superstructure and the manipulated implant. The strain gauge measurements confirmed these findings, indicating that both methods of assessing inaccuracy are effective. Optical scan analysis may be used as a simplified and clinically applicable method to detect minor misfits in implant-supported superstructures.
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Affiliation(s)
- Ali Tahmaseb
- University of Amsterdam School of Dentistry, ACTA, The Netherlands.
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Tahmaseb A. Digital protocol for reference-based guided surgery and immediate loading: a prospective clinical study. Int J Oral Maxillofac Surg 2011. [DOI: 10.1016/j.ijom.2011.07.074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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Tahmaseb A, De Clerck R, Eckert S, Wismeijer D. Reference-based digital concept to restore partially edentulous patients following an immediate loading protocol: a pilot study. Int J Oral Maxillofac Implants 2011; 26:707-717. [PMID: 21841978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
PURPOSE To describe the use of a computer-aided three-dimensional planning protocol in combination with previously placed reference elements and computer-aided design/computer-assisted manufacture (CAD/CAM) technology to restore the partially edentulous patient. MATERIALS AND METHODS Mini-implants and/or reference brackets were inserted or positioned in specified locations in a test cast and in two patients prior to imaging to act as definitive fiducial markers. This served as a fixed base to better define a setup for the fabrication of a surgical template used during computed tomographic imaging. A simulated partially edentulous maxilla was used for the study, and two partially edentulous patients participated. With the CT images, a CAD/CAM superstructure was created prior to surgery and inserted immediately after surgery. Fit of the prosthesis was assessed using three-dimensional tension measurements with strain gauges. RESULTS Mean misfit for all implants in the x-, y-, and z-axes was 26.6, 24.8, and 10.4 μm, respectively. The total misfit calculated according to the Pythagorean theorem was 42.6 μm. CONCLUSIONS Based upon this pilot study in two patients and an in vitro analysis, it appears that the use of reproducible fiducial markers consisting of mini-implants and reference brackets results in the fabrication of an acceptably accurately fitting definitive prosthesis prior to implant placement.
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MESH Headings
- Adult
- Computer-Aided Design
- Dental Implantation, Endosseous/instrumentation
- Dental Implantation, Endosseous/methods
- Dental Implants
- Dental Prosthesis Design
- Dental Stress Analysis
- Fiducial Markers
- Humans
- Imaging, Three-Dimensional/instrumentation
- Immediate Dental Implant Loading
- Jaw, Edentulous, Partially/diagnostic imaging
- Jaw, Edentulous, Partially/rehabilitation
- Jaw, Edentulous, Partially/surgery
- Middle Aged
- Patient Care Planning
- Pilot Projects
- Prosthesis Fitting
- Surgery, Computer-Assisted
- Tomography, X-Ray Computed
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Affiliation(s)
- Ali Tahmaseb
- Department of Oral Implantology and Prosthetics, Academic Centre for Dentistry Amsterdam, University of Amsterdam, Amsterdam, The Netherlands.
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Tahmaseb A, van de Weijden JJ, Mercelis P, De Clerck R, Wismeijer D. Parameters of passive fit using a new technique to mill implant-supported superstructures: an in vitro study of a novel three-dimensional force measurement-misfit method. Int J Oral Maxillofac Implants 2010; 25:247-257. [PMID: 20369082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
Abstract
PURPOSE The objectives of this study are to describe, in vitro, a novel technique to measure the misfit of digitally designed and manufactured implant-supported frameworks according to a new concept based on computer-guided surgery in combination with previously placed mini-implants. Also, the digitally created framework and an impression-based milled structure were compared using strain gauge measurements. MATERIALS AND METHODS Acrylic resin and plaster models were prepared to represent the edentulous mandible. After insertion of three mini-implants in the acrylic resin model, a cone-beam computed tomographic scan was performed. The data were imported to planning software, where six implants were virtually inserted. A drill guide and titanium framework were designed and milled using a fully digital computer-aided design/computer-assisted machining protocol. Six implants were inserted using the drill guide attached to the mini-implants. After an impression was made of the acrylic resin model with six implants, the second model (plaster model) was prepared. A second milled titanium structure was fabricated following optical scanning of the acrylic resin model. Strain gauge measurements were done on both structures attached to both models. To validate the results, a high-accuracy industrial optical scanning system was used to capture all connection geometry and the measurements were compared. RESULTS The accuracy of the digital superstructures was 19, 22, and 10 Microm with standard deviations (SD) of 19.2 (17.9), 21.5 (28.3), and 10.3 (10.1) Microm for the x-, y-, and z-axes, respectively. For the impression-based superstructure the measured misfit was 11, 20, and 17 Microm, with SD 11.8 (10.5), 19.7 (11.7), and 16.7 (8.2) Microm for the x-, y-, and z-axes, respectively. CONCLUSION The misfit of the digitally designed and produced superstructure on the digitally planned and inserted implants was clinically insignificant.
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Affiliation(s)
- Ali Tahmaseb
- Department of Oral Implantology and prosthetics, Academic centre for dentistry Amsterdam, University of Amsterdam, Amsterdam, The Netherlands.
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Tahmaseb A, De Clerck R, Wismeijer D. Computer-guided implant placement: 3D planning software, fixed intraoral reference points, and CAD/CAM technology. A case report. Int J Oral Maxillofac Implants 2009; 24:541-546. [PMID: 19587879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
Abstract
The aim of this article is to explain the use of a computer-aided three-dimensional planning protocol in combination with previously placed mini-implants and computer-aided design/computer-assisted manufacture (CAD/CAM) technology to restore a completely edentulous patient. Mini-implants were used to establish a setup for computerized tomographic imaging and a surgical template. The software and its three-dimensional simulation allowed the authors to plan ideal implant placement, digitally integrating the future prosthetic and anatomic situations to design the definitive superstructure. The CAD/CAM superstructure is produced digitally with a precise fit and occlusion and good esthetics, and is placed immediately after surgery.
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MESH Headings
- Aged
- Computer-Aided Design
- Dental Implantation, Endosseous/methods
- Dental Implants
- Dental Prosthesis Design
- Dental Prosthesis, Implant-Supported
- Denture, Complete, Immediate
- Humans
- Imaging, Three-Dimensional
- Male
- Miniaturization
- Models, Anatomic
- Mouth, Edentulous/diagnostic imaging
- Mouth, Edentulous/rehabilitation
- Mouth, Edentulous/surgery
- Patient Care Planning
- Software
- Surgery, Computer-Assisted
- Tomography, X-Ray Computed
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Affiliation(s)
- Ali Tahmaseb
- Department of Implant Dentistry and Fixed Prosthetics, University of Amsterdam, ACTA, The Netherlands.
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Jung RE, Schneider D, Ganeles J, Wismeijer D, Zwahlen M, Hämmerle CHF, Tahmaseb A. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants 2009; 24 Suppl:92-109. [PMID: 19885437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
Abstract
PURPOSE To assess the literature on accuracy and clinical performance of computer technology applications in surgical implant dentistry. MATERIALS AND METHODS Electronic and manual literature searches were conducted to collect information about (1) the accuracy and (2) clinical performance of computer-assisted implant systems. Meta-regression analysis was performed for summarizing the accuracy studies. Failure/complication rates were analyzed using random-effects Poisson regression models to obtain summary estimates of 12-month proportions. RESULTS Twenty-nine different image guidance systems were included. From 2,827 articles, 13 clinical and 19 accuracy studies were included in this systematic review. The meta-analysis of the accuracy (19 clinical and preclinical studies) revealed a total mean error of 0.74 mm (maximum of 4.5 mm) at the entry point in the bone and 0.85 mm at the apex (maximum of 7.1 mm). For the 5 included clinical studies (total of 506 implants) using computer-assisted implant dentistry, the mean failure rate was 3.36% (0% to 8.45%) after an observation period of at least 12 months. In 4.6% of the treated cases, intraoperative complications were reported; these included limited interocclusal distances to perform guided implant placement, limited primary implant stability, or need for additional grafting procedures. CONCLUSION Differing levels and quantity of evidence were available for computer-assisted implant placement, revealing high implant survival rates after only 12 months of observation in different indications and a reasonable level of accuracy. However, future long-term clinical data are necessary to identify clinical indications and to justify additional radiation doses, effort, and costs associated with computer-assisted implant surgery.
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Affiliation(s)
- Ronald E Jung
- Clinic od Fixed and Removable Prosthodontics, Center for Dental and Oral Medicine and Cranio-Maxillofacial Surgery, University of Zurich, Plattenstrasse 11, CH-8032 Zurich, Switzerland.
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