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.
Virtual Surgery in Implantology: A Systematic Review and State of the Art
Introduction: Dental implant procedures have increased worldwide, reaching approximately one million dental implants per year. The optimization of faster and more accurate techniques by dentists and postoperative surgeons with better results and quality of life stimulated the development of numerous software and hardware for performing computer-guided surgeries, so-called virtual surgeries (VS). Objective: to present, through a systematic review, the main considerations of virtual surgery in dentistry and their respective advantages, disadvantages, and limitations. Methods: The model used for the review was PRISMA. We used databases such as Scielo, Lilacs, Google Scholar, PubMed. Major findings: In the scenario of VS in dentistry, advances in technology have contributed to the improvement of the models, since there was only the direct molding technique to obtain patient models, with the positioning of implants not very favorable in terms aesthetics. The information that is acquired in the 3D reconstructions allows us to determine the quantity and quality of the available bone and also allows the simulation of the installation of the implants in a virtual environment. This provides predictability of techniques and difficulties that can be encountered during surgical intervention, reducing the time and the possibility of errors, allowing the overall reduction of oral rehabilitation costs. Conclusion: Preoperative virtual planning and reconstruction of the mandible guided by dental implants through preoperative designs provide high success rates for the implant and dental rehabilitation, benefiting also prosthetic restorations supported by fixed implants. Still, the concept of using personalized implants with the help of 3D virtual treatment planning, stereolithographic models, and computerassisted design greatly improves the mandibular restoration and helps to obtain a good facial profile, aesthetic and dental rehabilitation, avoiding complications with the grafts autologous.
Carbon Dioxide Elimination from Circle Systems
Ten various circle systems were studied in model experiments. All the experiments were performed using a Waters cannister containing 675–685 g of Durasorbr̀. 300 ml of carbon dioxide were supplied to the system per min. The efficacy of these systems was expressed as the time taken to demonstrate a concentration of 0.6% carbon dioxide in the gas mixture supplied to the patient connection during each respiratory cycle. The carbon dioxide elimination was studied at a gas flow of 2, 4 and 6 1 per min. All the systems showed an effective carbon dioxide elimination for 6 h or more at a flow of 2 1. An increasing efficacy was found with increasing flow, but to a varying extent.