{"id":425367,"date":"2023-07-25T08:06:19","date_gmt":"2023-07-25T11:06:19","guid":{"rendered":"https:\/\/fgmdentalgroup.com\/?p=425367"},"modified":"2023-07-25T11:53:03","modified_gmt":"2023-07-25T14:53:03","slug":"tissue-regeneration-and-arcsys-guided-surgery","status":"publish","type":"post","link":"https:\/\/fgmdentalgroup.com\/intl\/blog\/posts\/tissue-regeneration-and-arcsys-guided-surgery\/","title":{"rendered":"Tissue regeneration and Arcsys Guided Surgery"},"content":{"rendered":"

Author: Dr. Jeferson Jos\u00e9 Fagundes<\/em><\/p>\n

67-YEAR-OLD FEMALE PATIENT<\/p>\n

Chief Complaint:<\/strong> Fracture of tooth 36, with advanced loss of bone tissue.<\/p>\n

Initial evaluation:<\/h1>\n

Bone and gingival tissue regeneration, virtual planning, implant placement via guided surgery and prosthetic rehabilitation with ceramic crown on Arcsys abutment.<\/p>\n

Treatment performed:<\/h1>\n

The patient was diagnosed with a root fracture in element 36. Tomography revealed an advanced bone lesion resulting from the root fracture, with loss of the buccal and distal walls.<\/p>\n

Treatment was divided into stages: extraction of tooth 36 was performed plus curettage of the granulation tissues and synthetic bone graft with Nanosynt<\/a> bone substitute, granulation 500-1000 \u00b5m. A collagen membrane and a PTFE barrier were also used.<\/p>\n

After 6 months, a new tomography and intraoral scanning were requested to assess bone regeneration and carry out virtual planning in order to produce a prototyped guide for the surgical installation of the implant.<\/p>\n

An Arcsys Implant<\/a> 4.3 x 13 mm was placed using Arcsys Guided Surgery<\/a>, which showed excellent primary stability (torque of 60 N.cm). Clinically, bone regeneration was completely successful. A 2 mm Arcsys Abutment was installed, and a personalized healing abutment was made with flow composite on a Multifunctional PEEK Transfer.<\/p>\n

After 90 days, the transfer\/molding procedures were initiated. The case was completed with the placement of a zirconia crown over a metallic link on the Abutment.<\/p>\n

Reconstruction of hard and soft tissues is essential to obtain ideal conditions to place dental implants and prosthetic rehabilitation. The regeneration techniques guided bone grafting and the use of synthetic bone substitutes have shown excellent results in the treatment of maxillary bone defects. Reconstruction of the soft tissues and formation of an appropriate range of peri-implant keratinized tissue are essential to obtain an adequate emergence profile and essential for the health of the gingiva\/bone\/implant set.<\/p>\n

Virtual planning and 3D printing of a prototyped guide have enabled greater precision and agility in the guided surgical installation of dental implants. It is concluded that the association of regenerative techniques of bone and gingival tissues with the technique of installing implants via guided surgery, presents an excellent alternative in rehabilitative dental treatment.<\/p>\n

Step by step:<\/h1>\n
\"1
1 | Intraoral scan image (preoperative).<\/figcaption><\/figure>\n

 <\/p>\n

\"2.1
2 | Tomographic sections of tooth 36 and 3D reconstruction.<\/figcaption><\/figure>\n

 <\/p>\n

\"3
3 | Result of bone regeneration with Nanosynt granulation 500-1000 \u00b5m. Result after 6 months.<\/figcaption><\/figure>\n

 <\/p>\n

\"4
4 | Virtual planning in software for Arcsys implant placements.<\/figcaption><\/figure>\n

 <\/p>\n

\"5
5 | Preoperative clinical image.<\/figcaption><\/figure>\n

 <\/p>\n

\"6
6 | Clinical trial of the prototyped guide, buccal view.<\/figcaption><\/figure>\n

 <\/p>\n

\"7
7 | Prototyped guide in occlusal view.<\/figcaption><\/figure>\n

 <\/p>\n

\"8
8 | Torque achieved at the end of implant installation 60 N.cm.<\/figcaption><\/figure>\n

 <\/p>\n

\"9
9 | Clinical image of the implant installed in regenerated bone, via guided surgery.<\/figcaption><\/figure>\n

 <\/p>\n

\"10
10 | Installation of the Arcsys Abutment with the aid of the long screw for open molding.<\/figcaption><\/figure>\n

 <\/p>\n

\"11
11 | Arcsys 2 mm abutment properly installed and activated.<\/figcaption><\/figure>\n

 <\/p>\n

\"12
12 | Multifunctional transfer installed on Arcsys Abutment.<\/figcaption><\/figure>\n

 <\/p>\n

\"13
13 | Installation of the customized Multifunctional Transfer with flow-type composite.<\/figcaption><\/figure>\n

 <\/p>\n

\"14
14 | Autogenous connective tissue.<\/figcaption><\/figure>\n

 <\/p>\n

\"15
15 | Autogenous connective tissue graft and final sutures.<\/figcaption><\/figure>\n

 <\/p>\n

\"16
16 | Surgical result after 90 days.<\/figcaption><\/figure>\n

 <\/p>\n

\"17
17 | Peri-implant emergence profile.<\/figcaption><\/figure>\n

 <\/p>\n

\"18
18 | Ceramic zirconia crown installed, occlusal view.<\/figcaption><\/figure>\n

 <\/p>\n

\"19
19 | Ceramic zirconia crown installed, buccal view.<\/figcaption><\/figure>\n

 <\/p>\n

\"20.1
20.1 | Initial image. Advanced bone lesion. 20.2 | Bone regeneration with Nanosynt and Arcsys Implant. 20.3 | Final image. Completed rehabilitation.<\/figcaption><\/figure>\n

 <\/p>\n

\"21.1
21.1 | Advanced bone injury. Tooth fracture. 21.2 | Bone regeneration with Nanosynt. 21.3 | Completed rehabilitation. Arcsys implant and ceramic crown.<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"

Author: Dr. Jeferson Jos\u00e9 Fagundes 67-YEAR-OLD FEMALE PATIENT Chief Complaint: Fracture of tooth 36, with advanced loss of bone tissue. Initial evaluation: Bone and gingival tissue regeneration, virtual planning, implant placement via guided surgery and prosthetic rehabilitation with ceramic crown on Arcsys abutment. Treatment performed: The patient was diagnosed with a root fracture in element […]<\/p>\n","protected":false},"author":18,"featured_media":425593,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"produto-relacionado":[],"categoria-post":[1024],"linha-de-atuacao":[483],"class_list":["post-425367","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","categoria-post-clinical-case","linha-de-atuacao-product-implants"],"_links":{"self":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts\/425367"}],"collection":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/users\/18"}],"replies":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/comments?post=425367"}],"version-history":[{"count":0,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts\/425367\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/media\/425593"}],"wp:attachment":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/media?parent=425367"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/categories?post=425367"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/tags?post=425367"},{"taxonomy":"produto-relacionado","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/produto-relacionado?post=425367"},{"taxonomy":"categoria-post","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/categoria-post?post=425367"},{"taxonomy":"linha-de-atuacao","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/linha-de-atuacao?post=425367"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}