Computer-guided implant surgery: clinical case report

Abstract

This study aims to describe the planning stages, the functionality of this technique, its clinical applications, as well as to report the first case of this type of procedure performed in a public service in Brazil. Patient F.D.C.O., male, melanoderma, 54 years old, attended the Dental Rehabilitation Sector of the Regional Dental Specialties Center (CEO-R) of Crato - CE, for rehabilitation. The upper and lower total prostheses were made. During the entire treatment in the Sector, it was observed the difficulty of making the lower part and alerted to the patient that due to reabsorption of the ridge in the arch, retention and stability would probably be compromised. In front of the table, the same was sent to an evaluation of the Oral Maxillofacial Surgery and Traumatology Sector aiming at the possibility of framing the dental implant program that began at the specialty center. Since the onset of osseointegration, dental implants have become a viable solution for the treatment of total or partial edentulous patients. In the last decades, the use of osseointegratable implants in edentulous patients has innovated the functional rehabilitation, since the treatment has a longevity and a clinical effectiveness proven by several studies. Guided virtual surgery is excellent when it comes to precision, since it provides us with a good anatomical knowledge of the area to be rehabilitated, thus improving the quality of the surgical technique, which, when included in the implant design, promotes an appropriate primary stability. Guided implant implant surgery is performed without incision, with perforations being made through the soft tissue, allowing the precise preparation of the artificial surgical alveoli and the installation of the implants. When it is possible to perform this procedure, the result is minimal surgical trauma and excellent postoperative for the patient.