Guided-welded approach planning using a computer-aided designed prosthetic shell for immediately loaded complete-arch rehabilitations supported by conometric abutments.
In guided surgery, implants can be planned from radiographic guide information according to a restoratively driven treatment plan. Unfortunately, the palatal or lingual surface of teeth cannot be easily identified. The present article describes the use of a digitally designed prosthetic shell to improve the accuracy of guided-welded approach planning for immediate restorations supported by conometric abutments. Importing the virtual shell into the planning software provides an effective protocol for using the definitive prosthetic space information to plan the framework shape and position predictably. This method increases the accuracy of virtual planning and reduces the time needed to reline the prosthetic shell.
Computer‐assisted surgery and intraoral welding technique for immediate implant‐supported rehabilitation of the edentulous maxilla: case report and technical description
Complications are frequently reported when combining computer assisted flapless surgery with an immediate loaded prefabricated prosthesis. The authors have combined computer‐assisted surgery with the intraoral welding technique to obtain a precise passive fit of the immediate loading prosthesis.
Role of the coronoid process in varus osteoarticular stability of the elbow.
The role of the coronoid process in varus osteoarticular stability of the elbow was investigated in 10 cadaveric elbows. Testing was performed at multiple flexion angles after incremental removal of the coronoid. At each flexion angle, removal of more than 50% of the coronoid produced a statistically significant decrease in the load resisting varus displacement compared with all lesser resection levels (P < .003). There was a trend for decreasing load after removal of 50% of the coronoid. The mean decrease in load across all flexion angles was 10.1%, 50.4%, and 75.4% after removal of 50%, 75%, and 100% of the coronoid, respectively. Resistance to varus displacement tended to decrease more as a percent of control at lower flexion angles than at higher flexion angles after removal of more than 50% of the coronoid. The coronoid process was found to be a key varus stabilizer in the elbow and may contribute more to elbow stability in extension than in flexion.