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Biomedical subjects

Eric Blanchet

Publications and source records attributed to Eric Blanchet.

3 recordsLinked to original sources

An image-guided system based on custom templates: case reports.

BACKGROUND: With the use of computer-assisted surgery and other modern imaging technologies, the surgeon's procedures have been modified. PURPOSE: The purpose of these case reports is to show the clinical predictability of dental implant placement using an image-guided system. MATERIAL AND METHODS: An acrylic template is made on the patient model. After computed tomographic examination, a treatment plan is established with appropriate software. To fabricate the surgical template, it is necessary to use a dedicated drilling machine. The first osteotomy is achieved through the template with a 2 mm twist drill. The template is then removed, and the osteotomy is completed, followed by implant placement with standard clinical procedures. RESULTS: An excellent predictability was observed between the planned implants and those placed in the two maxillary cases presented: a full upper screw-retained bridge and two single units. CONCLUSIONS: This new technology improves the treatment outcome and optimizes the surgical procedure.

Adult↗

An image-guided system-drilled surgical template and trephine guide pin to make treatment of completely edentulous patients easier: a clinical report on immediate loading.

PURPOSE: An image-guided system has been developed to drill a conventional surgical guide following a preoperative three-dimensional plan for accurate placement of implant on bone. The aim of this study is to illustrate how this system facilitates treatment of completely edentulous patients by modifying both surgical and prosthetic protocols, thereby making flapless surgery possible as well as the preparation of the transitional prosthesis before surgery. MATERIALS AND METHODS: This system was tested on 10 consecutive patients, placing all planned implants without raising the mucoperiosteal flap and with the connection of all implants to pre-angulated abutments. RESULTS: A 1-year follow-up demonstrated stable and properly functioning prostheses in all cases. CONCLUSIONS: This technique can be expected to flourish because implantology makes the highest demands on comfort, precision, and safety.

Dental Abutments↗

Effect of flapless surgery on pain experienced in implant placement using an image-guided system.

PURPOSE: The aim of this study was to compare the pain experienced after implant placement with 2 different surgical procedures: a flapless surgical procedure using an image-guided system based on a template and an open-flap procedure. MATERIALS AND METHODS: The study population consisted of 60 patients who were referred for implant placement. One group consisted of 30 patients who were referred for the placement of 80 implants and treated with a flapless procedure. The other group consisted of 30 patients who were referred for the placement of 72 implants with a conventional procedure. Patients were selected randomly. They were requested to fill out a questionnaire using a visual analog scale (VAS) to assess the pain experienced and to indicate the number of analgesic tablets taken every postoperative day from the day of the surgery (DO) to 6 days after surgery (D6). RESULTS: The results showed a significant difference in pain measurements, with higher scores on the VAS with open-flap surgery (P < .01). Pain decreased faster with the flapless procedure (P = .05). The number of patients who felt no pain (VAS = 0) was higher with the flapless procedure (43% at DO versus 20%). With the flapless procedure, patients took fewer pain tablets (P = .03) and the number of tablets taken decreased faster (P = .04). DISCUSSION: Minimally invasive procedures may be requested by patients to reduce their anxiety and the pain experienced and thus increase the treatment acceptance rate. CONCLUSION: With the flapless procedure, patients experienced pain less intensely and for shorter periods of time.

Adult↗