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Table : Partially limiting design

Table : Partially limiting design

author: Kathleen Manuela DSouza, BDS Meena Ajay Aras, MDS | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

 

author (y) material used for fabrication of the template radiographic marker used imaging system used conversion process indication/ advantages
Engelman et al9 auto polymerizing acrylic resin metal bearings panoramic radiography remove lingual surface, leaving only facial surface of the teeth in the proposed implant site inexpensive, easy, improved visibility, external irrigation
Adrian et al10 auto polymerizing acrylic resin leaf foil over the maxillary and mandibular incisors, left mandibular occlusal plane, intaglio surface of mandibular trial denture lateral cephalography

determine implant trajectory and location using radiopaque images

use cephalometric tracing paper, protractor, and surveyor to reproduce these data in a resin plane joining maxilla and mandible;

Guides implant position and trajectory, serves as a bite-block, retracts the tongue and flap, lessens chance of titanium contamination
Tarlow11

acrylic resin duplicate denture

vacuum-formed thermoplastic matrix (0.02 inch) adapted over duplicate denture

   

remove anterior lingual portion of matrix;

remove anterior labial portion of duplicate denture;

indicated in anterior edentulous mandible;

matrix dictates implant location and angulation, with minimal interference to surgical access

Espinosa Marino et al

heat polymerizing acrylic resin dual-curing composite resin mixed with colored chalk CT trim buccal side of the template

indicated in partially edentulous patient

Stellino et al 13 acrylic resin provisional FPD gutta-percha CT remove gutta-percha from channels in the pontic

alternative for removable radiologic template where a provisional FPD bridges the implant site

Pesun and Gardner14

vacuum-formed thermoplastic matrix

adapt over diagnostic cast and on the duplicate cast of diagnostic wax-up

fill orthodontic resin in the space between these 2 matrices

gutta-percha CT  reduce vertical height of the guide; remove gutta-percha

indicated in severely worn dentition

Takeshita et al15 denture base: auto polymerizing acrylic resin; teeth; mix powder consisting of 4; 1 ratio of resin polymer and barium sulfate with monomer stainless steel tubes

panoramic radiography,

CT

remove tube sprues

barium sulfate depicts outline of the predesigned superstructure

stainless steel tubes represent location and inclination of the intended implant placement

Sicilia et al16 orthodontic wires and auto polymerizing acrylic resin contrast blocks, gutta percha blocks CT using wire, create 2 profiles of the missing teeth - occlusal and gingival. Join these to acrylic resin block to make template solid and add self-retaining feature

profiles mark the vestibular and mesiodistal limit of the teethl the profile replaces buccal surface of the template

Minoretti et al17 vacuum-formed thermoplastic matrix or auto polymerizing acrylic resin guide sleeve   insert Kirschner wires through mucosa/ bone using dental handpiece; fit guidance cylinders fitting trephine drill ( diameter = 3.5 mm, ITI Dental Implant system ) to the guide free

indicated in completely edentulous patient of in augmented alveolar ridges where template position after flap reflection is difficult. Improves precision of implant placement - improving guidance during drilling process

Ku and Shen18 vacuum-formed thermoplastic matrix filled with auto polymerizing resin acrylic resin gutta-percha CT remove marker with carbide bur

single implant therapy or short-span implant-supported prostheses

Becker and Kaiser19 (Figure 2) vacuum-formed thermoplastic matrix (0.020 inch) and orthodontic resin 5/32 and 3/16 inch brass tubes   attach 3/16 inch tube to the template 5/32 inch tube guides the pilot drill

precise surgical guide resulting in a functional and esthetically pleasing restoration

Cehreli et al20 (Figure 3) vacuum-formed thermoplastic matrix (2.0 x 125 mm) pins (1 mm diameter) CT fabricate 2 acrylic templates covering only residual ridges with guide channels of 2 diameters inner lamina: remove foil covering edentulous ridges, secure bur ends bilaterally - guides insertion of removable surgical acrylic resin template; outer lamina: remove palatal portion, prepare occlusal holes

posterior maxillary region with poor bone density; outer lamina contains radiopaque markers for radiographic evaluation and verify alignment of implants; inner lamina accepts 2 removable surgical guides bilaterally

Almog et al9.

Vertical lead strip guide; custom tray material/ auto polymerizing resin with vacuum-formed thermoplastic matrix (0.02 inch); lead strip (2 mm) vertically on the lingual/ palatal wall of the buccal access groove; CT remove lead strip

surgical osteotomy but more error in the buccolingual placement

Almog et al9. Gutta-percha guide (figure 4); 

custom tray material/ auto polymerizing resin with vacuum-formed thermoplastic matrix (0.02 inch);  gutta-percha CT remove gutta-percha

surgical osteotomy allowing for some surgical latitude in preparation of the osteotomy sites

Almog et al9

Metal sleeve guide (figure 5);

custom tray material or auto polymerizing resin metal guide sleeves CT  

precise surgical osteotomy guide

Cehreli et al21

auto polymerizing acrylic resin pins (1 mm diameter) CT attach internally stacked stainless steel guides

place implants in low-density bone; dual-purpose guide incorporating 3 drill guides

Alsa et al22

auto polymerizing acrylic resin - used when CT is not required for evaluation of buccolingual angulation of available bone; construct 4-mm thick flat horizontal plane construct perpendicular resin plane on lingual side of the flat plane; prepare guide channels; transfer mesiodistal reference axis to the perpendicular partially

indicated in posterior edentulous mandible; reference axis on the perpendicular plane guides mesiodistal implant angulation; retracts the mucoperiosteal flap lingually improves site visualization

McArdle23

vacuum-formed thermoplastic matrix, light cured restorative material     restorative material forms guide core; prepare center guide channels

single tooth implant-supported restorations; flexible material

Koyanagi24 (Figure 6)

auto polymerizing acrylic resin Orthodontic wire, stainless steel ball, gutta-percha point conventional tomography | Laser weld orthodontic round tube to the front cap of a latch type contra-angle handpiece

template guides the head of the contra-angle handpiece, preventing the drill from contacting the template; allows objective assessment and determination of implant location, inclination, and depth for individual treatment cases

Kopp et al25 (Figure 7)

auto polymerizing acrylic resin barium sulfate liquid coat, thin orthodontic wire (0.014-0.016 mm) glued to the buccal aspect CT modify surveyor table using a protractor secure 22-mm diameter milled cylinders in the template

cylinders guide pilot drill Buccal guide wire guides all future drills in the buccolingual and mesiodistal direction

Tsuchida et al26 (Figure 8)

auto polymerizing acrylic resin

silicone impression material

CT

remove silicone markers; remove buccal/ lingual portion of the surgical template

silicone markers: clear radiopaque markers that do not create artifacts in CT scanning

Windhorn27 (Figure 9)

light polymerizing custom tray material

 

 

use wooden stick as reference for molding resin around handpiece head

wooden stick simulate implant location and angulation 2-piece implant placement guide

Al-Harbi and Verrett28 (Figure 10)

auto polymerizing acrylic resin

 

CT of arch prior to extraction treatment planning using SimPlant software

; transfer planning data to surgical guide using milling machine; trim occlusal surgace and buccal flanges; maintain 5-mm coronal-apical thickness of resin;

for immediate implant placement following complete arch odontectomy; stable guide following staged tooth extraction

Arfai and Kiat-Amnuary29 (Figure 11)

auto polymerizing acrylic resin

brass rod (3/52 inch);

periapical radiography

remove the rods

placement of multiple implants in adequate osseous structure; dental surveyor improves accuracy

Wat et al30 (Figure 12)

auto polymerizing acrylic resin mixed with barium sulfate (ratio of 4:1)

barium sulfate cylindrical channels drilled at proposed implant sites in radiographic template

CT

remove non-salvageable teeth to modify guide; place guide on the mounted cast; connect to the record base fabricated on the opposing arch, using embedded stainless rods and tubes

 

convenient, economical, less traumatic, stable for edentulous arch opposing a partially edentulous arch, compatible with all implant systems

Oh and Saglik33

auto polymerizing acrylic resin (DPRD); attach vacuum-forming thermoplastic matrix (1 mm) to the DPRD using acrylic resin

 

 

trim buccal and lingual denture base extensions; prepare guide channels in the middle of acrylic resin teeth with buccal windows

thermoplastic sheet engages the remaining dentition, assists in an accurate orientation, and maintains the DPRD to serve as a surgical template; permits stable intraoral placement of denture for successful implant placement

Annibali et al32

auto polymerizing acrylic resin

stainless steel or titanium cylindrical

panoramic and periapical radiography, lateral cephalography, CT

cylindrical marker guides the pilot drill

uses silicone matrix that depicts the emergence profile and the ideal loading center of the proposed restoration

 

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