Dr. Jonatan BELEY France

Cas clinique

The advantages of using INITIAL guided surgery in a typical clinical situation #2

Guided surgery

Clinical case

Guided surgery

Introduction

A 67-year-old patient wishes to regain molar alignment after decompensated tooth loss. The indication supports the placement of two implants in positions 46 and 47. The therapeutic project is the design of two screw-retained restorations with their numerous

clinical advantages, particularly in terms of peri-implant health. The bone volumes available make it possible to carry out this project effectively using guided surgery. A mucosal thickening will be carried out at the same time as implant placement and a quantity of keratinised surrounding gum will be added during the operation.

Dr. Jonatan BELEY France

1. Pre-operative panoramic x-ray

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3. Pre-operative vestibular view2. Pre-operative occlusal view

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Care plan Surgery Prosthetic

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Guided surgery

5. . Implant planning 46 4. Implant planning 44

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Initial situation

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Avec la courtoisie du Dr Dominique Dupont

Avec la courtoisie du Dr Dominique Dupont

Avec la courtoisie du Dr Dominique Dupont

Avec la courtoisie du Dr Dominique Dupont

Avec la courtoisie du Dr Dominique Dupont

Avec la courtoisie du Dr Dominique Dupont

Avec la courtoisie du Dr Dominique Dupont

Avec la courtoisie du Dr Dominique Dupont

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6. Guide design

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7. Guide placement 8. Guide placement – occlusal view

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9. Initial pointer drilling

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10. Initial drilling passage 11. Initial drilling passage

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12. Drilling channels

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13. Inserting the implant

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14. Implant in place 15. Mucoderm Membrane (Botiss)

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16. Membrane in place 17. Sutures

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18. Postoperative panoramic x-ray

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Conclusion

Studies have shown the benefits of partially guided surgery as opposed to freehand surgery in terms of 3D positioning accuracy. The Anthogyr INITIAL Guided Surgery Kit allows rapid execution of the surgical procedure with few drill passages through the guide, in an area that often demands a great deal of effort from patients in terms of mouth opening. The pointer drill in the kit is very effective and prevents any lateral “sliding” if the angle of access is too tangential to the bone crest. It guides the pilot drill and enables it to find its way smoothly. This case illustrates a common clinical situation for implantology practitioners. It highlights the value of using a system with an integrated solution for guided surgery in the management of a simple case.

Guided surgery

Dr. Jonatan BELEY France

Acknowledgements

• Post graduation Diploma of Dental Surgery Nancy University

• Implant Residency- Ashman Department of Periodontology and Implantology, New York University College of Dentistry

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Courtesy of Dr Jonatan Beley

ANTHOGYR SAS2 237 avenue André Lasquin74700 Sallanches - France

www.anthogyr.com

Photo credits: Anthogyr, Getty images, Dr Beley. All rights reserved, non-contractual photos.