West China Journal of Stomatology ›› 2020, Vol. 38 ›› Issue (2): 170-176.doi: 10.7518/hxkq.2020.02.011

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Precise investigation of digital guide plates applied to implant surgery of anterior teeth

Lou Fangzhi1, Zhang Maorui1, Rao Pengcheng1, Luo Shihong1, Tang Mengying1, Xiao Jingang1,2()   

  1. 1. Dept. of Oral Implantology, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou 646000, China
    2. Dept. of Oral and Maxillofacial Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, China
  • Received:2019-05-11 Revised:2019-08-16 Online:2020-04-01 Published:2020-04-15
  • Contact: Jingang Xiao E-mail:drxiaojingang@163.com
  • Supported by:
    The National Natural Science Foundation of China(81870746);The Project of the Chinese Stomatological Association West China Clinical Research Fund(CSA-W2017-08);Digital Diagnosis and Treatment Technology Application and Platform Construction in Craniomaxillofacial Deformity (Sichuan University-Luzhou)(2013CDLZ-S19)

Abstract:

Objective To study the precision of digital guide plates applied to the implant surgery of anterior teeth. Methods Fifty patients scheduled to receive implant restoration treatment in anterior teeth were enrolled in this study and divided into two groups (n=25, each group): those who were given routine implant restoration treatment (control group, 45 implants) and those who received implant restoration treatment using a digital guide plate (test group, 51 implants). After implantation, planned and placed implants were superimposed using digital software, and deviations (corona, apex, depth, degree) were analyzed. Esthetic parameters were assessed at 1 week (baseline), 6 month, and 1 year post final restoration. Pink esthetic (PES) and white esthetic (WES) scores were respectively used to evaluate the soft tissue and restoration esthetic outcome. Results The deviation parameters in the test group were significantly lower than those in the control group (P<0.05). PES and WES values recorded for the control group at 1 week, 6 month, and 1 year post final restoration were significantly lower than those in the test group (P<0.05). Conclusion The digital guide plate can improve the accuracy of the three-dimensional position of implants in the maxillary esthetic zone. As such, this device may play an important role in obtaining the ideal aesthetic effects of maxillary anterior teeth.

Key words: digital guide plate, anterior teeth, implant restoration, precision, pink esthetic score, white esthetic score

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