Navigated surgery in our practice - current digital dentistry
We recently contributed a chapter to the esteemed Czech dentistry journal "Implants." In this chapter, MDDr. Michal Repaši detailed a clinical case of navigated surgery from our practice. The case involved a 45-year-old female patient who presented to our clinic with pain in the area of her upper middle incisors. Upon thorough examination and CT diagnosis, a vertical fracture of the root was detected in tooth no. 11. while deep root caries was found palatally in tooth no. 21.
he only viable solution was the extraction of both teeth. The patient's primary concern was the prospect of losing both front teeth and facing difficulties in social interactions without them.
To address this, we opted for the replacement of the teeth with implants and the placement of crowns in a single session. On the day of the consultation, the patient underwent scanning by the 3Shape TRIOS intraoral scanner, which provides a detailed 3D simulation of the oral cavity. Using the 3Shape Implant Studio software, we combined the data from the intraoral scan and CBCT, STL and DICOM files.
Following this, we virtually inserted the implants in their optimal prosthetic positions, designed a template for their placement, and crafted individual abutments and crowns. We then transferred the complete data for milling and 3D printing. In our laboratory, a surgical template was printed using a 3D printer, facilitating the precise insertion of implants. For this procedure, we utilized the Dentium Super Line implant system. Following this, zirconia abutments and temporary plastic crowns were milled.
