Use of precise implantological surgical guides in reconstructions adjacent to teeth with unusual anatomy – use of Dentistry 4.0 technology
This study aims to present the practical application of the Dentistry 4.0 concept based on obtaining data on the patient’s intraoral situation and bone base using CBCT, processing them into a digital model, creating a digital twin, and then developing an intraprocedural navigation procedure through a dedicated surgical guide and then designing and manufacturing, using 3D printing, implantprosthetic restorations. The study describes the results of the author’s work, indicating the engineering aspects of implant prosthetic treatment based on the description of cases related to the reconstruction of single missing teeth using dental implants implanted in the case of difficult anatomical conditions of the bone base and/or adjacent teeth, with a discussion of the material selection methodology, technological and structural design, using additive manufacturing.
The technology for the design, manufacture and application of implant-prosthetic restorations developed by the author, preceded by a fully navigated implantation procedure of dental screw implants, illustrates in practice the full application of the Dentistry 4.0 concept, where the latest technologies, including primarily computer-aided design and computer-aided CAD/CAM manufacturing, the use of a digital twin, supporting surgical procedures through the use of templates navigating the operator’s actions and additive manufacturing allow for a radical increase in the availability of implant-prosthetic solutions for patients with difficult anatomical conditions, both due to a limited bone base and anomalies of the anatomy of adjacent teeth. Thanks to the latest technology, not only is it possible to perform this type of procedure, but it is also possible to perform the procedure in a short time, with minimal interference in the patient’s tissues and ensuring the optimal shape of the prosthetic restoration itself.