"...when technology helps both the patient and the operator, then it is a beautiful technology..."
Designed for predictable results through backward planning based on prosthetic criteria
3D implantology allows for identifying the optimal position of the dental implant both from a surgical and prosthetic standpoint. Involving the entire team from the beginning, the dentist will achieve more predictable results in terms of aesthetics and functionality.
Greater precision in surgical applications
Three-dimensional radiological data contain more information compared to traditional two-dimensional radiographs. This additional information for implant placement ensures reliability and safety during the surgical procedure. Furthermore, guided surgery supports minimally invasive interventions, contributing to reduced pain for the patient.
Better communication with the patient builds trust in implant treatment
Sophisticated visualization functions allow explaining the benefits of treatment choices to the patient. Some software even allows showing the patient the three-dimensional view of the mandibular arches through special 3D glasses.
Also known as “guided surgery,” it is the latest frontier in dental implantology. Through a computerized program and in well-selected cases, it allows virtually performing the implant placement in the bone, adjusting all variables and making modifications before the actual surgery. Subsequently, the procedure is replicated concretely in the patient’s mouth identically to what was previously planned virtually. Dr. Pier Carlo Frabboni is an Opinion Leader for one of the leading companies producing software and implants for 3D implantology.
What is the main difference between standard implantology and 3D implantology?
Standard implantology is performed freehand and is still considered the reference in dental implantology. However, today, in carefully studied cases, this surgical approach can be modified, making the insertion of the artificial root a replica of the intervention already carried out on the computer virtually, thus eliminating all the variables inherent in each intervention.
3D Implant Plan
3D Prosthesis Plan
3D Mask Plan
What are the steps to perform guided implant insertion?
1. Creation of the model
The master model represents the patient’s situation and is the basis for the realization of the scanning and surgical mask.
2. Construction of a radiological mask that is the exact copy of the wax teeth
The scanning mask contains information on the desired prosthetic result in the form of radiopaque teeth (visible in the CT/CBCT scan).
3. Execution of a three-dimensional digital radiography (CT/CBCT)
The patient undergoes scanning while wearing the scanning mask using a normal 3D scanner for CT/CBCT. The scanning process is performed with devices for computed tomography (CT) and digital volumetric tomography (CBCT).
4. Planning of the dental implant insertion based on the acquired digital images
The user can import the 3D data directly into the planning software. The implant is positioned in relation to the patient’s anatomy and the desired prosthetic result. At the end of the implant planning, the software generates the plan for the creation of the surgical mask and the steps for the surgical phase.
5. Transformation of the radiological mask into a surgical mask
The surgical mask is made with a device according to the plan generated by the program for each implant. The surgical mask contains the surgical sleeves that guide the instruments and the implant.
6. Insertion of the dental implant through the guides of the mask
After fixing the surgical mask in the patient’s mouth, it is possible to prepare the implant bed using the guided instruments, and then proceed with the guided insertion of the implant. The surgical protocol generated by the planning software indicates the instruments to be used for the preparation of each implant site.
FINAL RESULTS OF IMPLANTOLOGY
What other advantages can 3D implantology offer?
In some cases, if the amount of gum is sufficient, it is possible to insert the dental implant without incising the gum (flapless surgery), greatly reducing post-operative discomfort for the patient and speeding up healing.
Make an appointment with Dr. Pier Carlo Frabboni, his experience in the field of implantology will help you understand which technique is suitable for you!
How long does an implant last?
Well-placed and properly cared for dental implants can last for many years and even a lifetime. Implants are made of titanium, a biocompatible material that fuses with the jawbone during the osteointegration process, or zirconia, an equally biocompatible ceramic. This creates a solid and stable base for the dental prosthesis.