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The advantages of this surgical protocol are its minimally invasive nature, accuracy of implant placement, predictability, less post-surgical discomfort and reduced time required for definitive rehabilitation. Aim of this work is to describe a new protocol Smart Fusion by Nobel Biocare , thanks to which is now possible to do a mini-invasive static guided implant surgery, in partially edentulous patients with at least 6 remaining teeth, without the use of a radiographic guide. The full protocol is examined focusing the attention on the clinical and laboratory procedures. Conclusions Also with some critical points and needing an adequate learning curve, this protocol allows to select the ideal implant position in depth, inclination and mesio-distal distance between natural teeth and or other implants enabling a very safe and predictable rehabilitation compared with conventional surgery. It represents a good tool for the best compromise between anatomy, function and aesthetic, able to guarantee better results in all clinical situations. The introduction of digital systems into the diagnostic routine, and their application together with 3D data of the bone topography, have made it possible to reconcile the two central aspects of oral implant surgery: planning an ideal prosthetic solution first with the given anatomic situation second Figure 1.
He lectures extensively on multi-disciplinary approaches to optimizing esthetics.
The programs integrate restorative dentistry and periodontics for development of total dental-facial harmony. Dr James B. Mallory, Jr. He is currently a multi-practice owner in Arizona and has been selected by his peers to sit on the Dental Advisory Board for Pacific Dental Services. Dr Mallory is a proud father of 2 amazing teenagers and a bulldog named Zeus.
He enjoys boating, golfing, fast cars, spending time with his kids and donating time in third world countries.
Pros Cert. He remained in Iowa to finish a post-graduate residency program in Prosthodontics. His year clinical focus and experience has been limited to cosmetic makeovers, dentures, and dental implants.
His clinical expertise specifically lies with all aspects of the full arch fixed-implant-bridge FIB procedure. He lectures nationally on the topic and has completed over arches to date.
Two months after an impression was taken with an intraoral digital scanner 3Shape Trios3, Copenhagen, Denmark. The provisional restoration optical scanning was used to transfer the functionalized prosthetic contour to be duplicated into the definitive porcelain fused to zirconia restoration cemented on customized titanium abutments.
Results A satisfying esthetic and functional result has been achieved. No biological and mechanical complications were recorded.
Conclusions The investigated fully digital implant-prosthetic protocol provided a smooth, complication free and time effective treatment alternative to the conventional workflow. Besides the fully digital workflow allowed the surgical and prosthetic decision making and the communication within the dental team and with the patient.
Further improvements heading to a direct match between the intraoral scan and the CBCT are strongly advised in order to create the so-called virtual patient. Keywords: computer-guided implant surgery, smart fusion, dental implant, digital impression, intraoral scanner Introduction Nowadays the use of digital technologies into the daily practice is growing rapidly despite poor scientific and clinical evidence. Efforts to incorporate innovative technological advances into daily clinical practice are resulting in optimized and personalized oral health care delivery 2 , 3.
Computer guided surgery has been validated since its introduction in the early s as an efficient and reliable procedure for obtaining functional and aesthetic outcome 4 — 8. With increasing availability, reduced radiation and lower costs of three-dimensional imaging because of cone beam computer tomography, pre-operative three-dimensional implant planning is becoming more popular in dentistry and cranio-maxillofacial surgery 7 — Navigated implant surgery provides for improved implant positioning at anatomically sensitive structures such as the maxillary sinus, the mandibular canal, and the mental foramen.