Digital protocol in implanto-prosthetic therapy

master's thesis

• Title (croatian): Digitalni protokol rada u implantoprotetici
• Author: Frano Tarle
• Mentor: Marko Jakovac (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2024-07-08, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Digital technologies have strongly impacted dental procedures, particularly in the field of implant prosthetics. Digital dentistry, including digital impressions, CAD/CAM, and 3D printing, has revolutionized traditional practices, streamlining workflows and enhancing treatment accuracy and efficiency. While these advancements are well-established in fixed prosthetics, their application in implant prosthetics remains limited. A comprehensive digital protocol is proposed to solve this issue. The historical development of digital dentistry is documented, starting with the introduction of CT scanners and CAD/CAM systems and ending with the adoption of 3D printing, highlighting significant technological milestones. The digital protocol includes thorough initial consultations using advanced 3D radiographic imaging for precise virtual implant planning, leading to the creation of detailed surgical guides through CAD/CAM and 3D printing. These guides ensure accurate implant placement, reduce surgical risks, and improve outcomes. The protocol also emphasizes the advantages of digital impression techniques over traditional methods, despite challenges in scanning long span or edentulous arches. Solutions such as intraoral scan bodies and photogrammetry are suggested to enhance accuracy. Prosthetic design and fitting are discussed, focusing on factors like crown geometry, abutment design, and material choice to ensure optimal occlusal force distribution and long-term success. The need to extend digital advancements to implant prosthetics is pointed out, providing a pathway to improved outcomes in this critical area of dentistry.

Abstract (croatian)

Digitalne tehnologije značajno su utjecale na stomatološke postupke, posebno u području implantoprotetike. Digitalna stomatologija, uključujući digitalne otiske, CAD/CAM i 3D ispis, revolucionirala je tradicionalnu praksu, pojednostavljujući rad i poboljšavajući točnost i učinkovitost tretmana. Iako su ova unapređenja dobro uspostavljena u fiksnoj protetici, njihova primjena u implantoprotetici još uvijek je ograničena. Predlaže se sveobuhvatan digitalni protokol kako bi se riješio ovaj problem. Povijesni razvoj digitalne stomatologije je dokumentiran od uvođenja CT skenera i CAD/CAM sustava do usvajanja 3D ispisa, ističući značajne tehnološke prekretnice. Navedeni digitalni protokol uključuje temeljite početne konzultacije korištenjem naprednog 3D radiografskog snimanja za precizno virtualno planiranje implantata, što vodi do izrade detaljnih kirurških vodilica putem CAD/CAM-a i 3D ispisa. Ove vodilice osiguravaju točno postavljanje implantata, smanjuju kirurške rizike i poboljšavaju rezultate. Protokol također naglašava prednosti digitalnih tehnika uzimanja otisaka u odnosu na tradicionalne metode, unatoč izazovima u skeniranju dugih lukova ili bezubih čeljusti. Predložena su rješenja poput intraoralnih nadogradnji za skeniranje i fotogrametrije za poboljšanje točnosti. Raspravlja se o dizajnu i postavljanju protetike, fokusirajući se na čimbenike kao što su geometrija krunice, dizajn bataljka i izbor materijala kako bi se osigurala optimalna raspodjela okluzalnih sila i dugoročni uspjeh. Naglašava se potreba za proširenjem digitalnih napredaka na implantoprotetiku, pružajući put do poboljšanih rezultata u ovom kritičnom području stomatologije.

• Keywords: Digital dentistry; Implant Prosthetics; CAD/CAM; Three-Dimensional Printing; Digital impressions
• Keywords (croatian): digitalna stomatologija; implantoprotetika; računalom vođeno oblikovanje; trodimenzionalni ispis; digitalni otisak
• Language: english
• URN:NBN: urn:nbn:hr:127:196345
• Study programme: Title: Dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor dentalne medicine (doktor dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-07-03 15:53:52