CAD / CAM dental systems in implant dentistry: Update

CAD/CAM systems (computer-aided design / computer aided manufacturing) used for decades in restorative dentistry have expanded its application to implant dentistry. This study aimed to look through CAD/CAM systems used in implant dentistry, especially emphasizing implant abutments and surgical templates manufacturing. A search of articles published in English at Medline and Scopus databases at present was conducted, introducing “dental CAD/CAM”, “implants abutments” and “surgical guide CAD/CAM” as key words. These systems consist of three components: 1) data capture using optical systems or laser scanning, 2) CAD for the design of the restoration, and 3) CAM to produce the restoration through the information generated by computer. CAD/CAM abutments present the advantages of being specific to each patient and providing a better fit than the rest of abutments, in addition to being much more tough as they employ materials such as titanium, alumina and zirconium. In order to improve accuracy during implant placement we use stereolithography to manufacture CAD/CAM surgical templates. Using this method, minimally invasive surgery is performed without a flap, and the prosthesis is delivered, achieving immediate functional loading to the implants (AU)

CAD / CAM dental systems in implant dentistry: update.

CAD/CAM systems (computer-aided design / computer aided manufacturing) used for decades in restorative dentistry have expanded its application to implant dentistry. This study aimed to look through CAD/CAM systems used in implant dentistry, especially emphasizing implant abutments and surgical templates manufacturing. A search of articles published in English at Medline and Scopus databases at present was conducted, introducing "dental CAD/CAM" , "implants abutments" and "surgical guide CAD/CAM" as key words. These systems consist of three components: 1) data capture using optical systems or laser scanning, 2) CAD for the design of the restoration, and 3) CAM to produce the restoration through the information generated by computer. CAD/CAM abutments present the advantages of being specific to each patient and providing a better fit than the rest of abutments, in addition to being much more tough as they employ materials such as titanium, alumina and zirconium. In order to improve accuracy during implant placement we use stereolithography to manufacture CAD/CAM surgical templates. Using this method, minimally invasive surgery is performed without a flap, and the prosthesis is delivered, achieving immediate functional loading to the implants.

Software applied to oral implantology: update.

Software in combination with imaging techniques is used increasingly for diagnosis, planning and treatment in oral implantology. Computer-aided surgery allows a great accuracy in implant positioning to be obtained, taking advantage of the amount of bone available and facilitating minimally invasive surgery. It is a significant aid in determining implant number, location, angle and characteristics. A CT with a radiographic template positioned in the mouth is made for the patient. Data are stored on a CD in DICOM 3 format and then introduced in the computer where implant treatment will be planned, using the chosen software. Navigation improves surgical accuracy through the aid of software based on the images captured from CT or MRI and a surgical instrument tracking system. Infrared light-emitting diodes are connected to rotatory instruments and to the patientvs template. Information is collected by special-purpose cameras, allowing the procedure to be viewed in real time on a monitor. It is useful in situations where an exact implantation is demanded, such as anatomical limitations, little space, atrophic maxillae, sinus lifts or zygomatic implants. Articles reviewed agree in emphasizing the reliability and accuracy of the planning and computer-assisted navigation systems available in the market. Nevertheless, many applications are still in the development phase.

Software applied to oral implantology: Update

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Software in combination with imaging techniques is used increasingly for diagnosis, planning and treatment in oral implantology.Computer-aided surgery allows a great accuracy in implant positioning to be obtained, taking advantage of the amount of bone available and facilitating minimally invasive surgery. It is a significant aid in determining implant number, location, angle and characteristics. A CT with a radiographic template positioned in the mouth is made for the patient. Data are stored on a CD in DICOM 3 format and then introduced in the computer where implant treatment will be planned, using the chosen software.Navigation improves surgical accuracy through the aid of software based on the images captured from CT or MRIand a surgical instrument tracking system. Infrared light-emitting diodes are connected to rotatory instruments and to the patient’s template. Information is collected by special-purpose cameras, allowing the procedure to be viewed in real time on a monitor. It is useful in situations where an exact implantation is demanded, such as anatomical limitations, little space, atrophic maxillae, sinus lifts or zygomatic implants.Articles reviewed agree in emphasizing the reliability and accuracy of the planning and computer-assisted navigation systems available in the market.Nevertheless, many applications are still in the development phase (AU)