Multidisciplinary Approach to Patient-Specific Implants (PSIs): A Case Report and Review of Literature

Orthodontic treatment often faces challenges in achieving proper anchorage. While orthodontic mini-implants have gained popularity, no universally accepted design and insertion protocol exists for these implants. However, their relatively modest failure rate indicates their clinical reliability. To...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-06, Vol.15 (6), p.e41238
Main Authors: Vivigdha, Vedha, Krishnan, Murugesan, Kumar M P, Santhosh, Murugan P, Senthil, Rajamanickam, Preethi
Format: Article
Language:English
Subjects:
Bone surgery
Case reports
Collaboration
Dental implants
Dentistry
Design
General Surgery
Manufacturing
Maxillofacial surgery
Oral Medicine
Orthodontics
Planning
Software
Surgeons
Teeth
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Orthodontic treatment often faces challenges in achieving proper anchorage. While orthodontic mini-implants have gained popularity, no universally accepted design and insertion protocol exists for these implants. However, their relatively modest failure rate indicates their clinical reliability. To address complex geometries in the maxilla and mandible, patient-specific implants (PSIs) have emerged as a solution. PSI is currently employed in various domains of oral and maxillofacial surgery like temporomandibular joint (TMJ), total joint replacement, reconstruction of the facial skeleton, and orthognathic surgery. PSI allows for the creation of customized implant fits, leading to shorter rehabilitation times. This case report presents a multidisciplinary approach involving oral surgery and orthodontics, specifically focusing on the design of PSI, surgical placement of PSI, and use of PSI in maxillary protraction in orthodontics. The report highlights the design process of designing PSI and emphasizes its role in orthodontic treatment. By incorporating PSI as a temporary anchorage device (TAD), enhanced stability, precise control over tooth movement, and accurate repositioning of jaws can be achieved. The collaborative effort between orthodontists and oral surgeons is crucial in integrating PSI into the overall treatment plan. Despite the higher costs associated with PSI, their numerous advantages outweigh these drawbacks. PSI plays a vital role in providing enhanced stability, appropriate treatment plan, and achieving desired treatment in orthodontic and oral surgery procedures.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.41238