We are immersed in a new era, the era of communication, the era of new technologies. The technology offers immediate access to updated information and audiovisual communication in real time; also allows us to handle the“& rdquo virtual reality; and“& rdquo augmented reality;and this is just the beginning. Specializing in dental implants using guided surgery, minimally invasive computer-assisted Dr. Mario Rigal Mengibar explains this technique.
Currently we are also in the era of dental implants, the era of“the third dentition”. For about 15 years I use in our clinic the“virtual reality&rdquo ;, explained to me:
When a patient needs to rehabilitate his mouth by a fixed prosthesis on implants, the key is to create a conventional removable prosthesis determining an ideal position of the teeth that are going to return, taking into account the anatomy of each patient. After that duplicate this device manufacturing it with a material that incorporates barium sulfate and call“ radiologica ferula”.
Ferula radiological and virtual surgery in implantology
The radiologica ferula in mouth conducted a computerized axial tomography ( CAT), download files obtained and our computer programs work on three-dimensional digital images of the patient's bone-scale. These programs allow us to rotate, cut in different planes, augment, add elements such as implants, abutments prosthesis, teeth, text, measurements, evaluate osseous density by zones and do what we call a“ virtual surgery”.
After this“& rdquo virtual surgery;Digitally designed a“& rdquo surgical splint ;, a kind of template to use in the mouth when the actual intervention. In addition, if we consider indicated digitally also will design a fixed provisional prosthesis that can be positioned immediately after performing surgical intervention. All this information is transferred to the laboratory, in my case in Belgium, to manufacture the“& rdquo surgical splint;and fixed provisional prosthesis.
Surgery in advanced implantology
In a few days physically receive all these elements in the clinic and we joined the“& rdquo actual world ;. The same day of the intervention the surgical splint allows me to insert the implants just where and how we decided, hence it an“surgery guided&rdquo ;, also without incisions in the gingiva and no stitches“& rdquo minimally invasive surgery ;. All with the help of computer programs,“Computer assisted surgery&rdquo ;, and in the same surgical act we are able to place a fixed provisional prosthesis,“teeth in the day”.
Benefits featuring this technique is that it is more accurate, fast and safe;much less aggressive, with a less annoying and with less postoperative complications, which means that is the technique of choice provided that specified in an individual patient. Logically, and I must say, the process is more expensive.
Finally, I would like to mention that for us this technique is already routinely. In the near future our interventions were developed assisted by“& rdquo ;; augmented reality a“simple” glasses overlap in our visual field three-dimensional radiological images of the bone structure underlying our operating field and all that we require additional information... and this is just the beginning.