Brain-guided implant reconstruction: Who makes the decisions?

Fig. 1: Three-dimensional volumetric rendering of the maxilla-mandibular relationship (r), and a sagittal section (l) of this region of interest.

Fig. 2: Frontal view of reconstructed volume from CBCT dataset allows for total inspection of the patient’s anatomy.

Fig. 3: Cross-sectional slice revealing the trajectory of the maxillary alveolus vs the trajectory of the root when planning for an implant.

Fig. 4: Edentulous resorbed mandibular ridge.

Fig. 5: Panoramic reconstruction from CBCT dataset.

Fig. 6: Reveals the broken pilot drill ‘in the bone’.

Fig. 7: 3-D volumetric reconstruction from CBCT data.

Fig. 8: The need for bone reduction to flatten the ridge for implant placement (red arrows).

Fig. 9: The axial and 3-D reconstructed views revealing the IAN’s, and four proposed implants in the symphysis.

Fig. 10: The cross-sectional slices revealing ‘hollow’ areas in the symphysis.

Fig. 11a: The ‘clipping’ view with simulated implants reveals ‘hollow’ areas in the symphysis.

Fig. 11b: The ‘clipping’ view with simulated implants reveals ‘hollow’ areas in the symphysis.

Fig. 12: The mandibular 3-D reconstructed volumes illustrating the hollow areas and potential implant receptor sites.

Fig. 13: A full thickness mucoperiosteal flap exposed the knifeedged ridge of the mandibular symphysis.

Fig. 14: The broken drill was located lingual to the bony crest of the mandible.

Fig. 15: The anterior symphysis revealing the anterior ‘hollow’ symphysis.

Fig. 16a: The thread design of the AnyRidge implant (a), four implants well-fixated in the mandibular symphysis (b).

Fig. 16b: The thread design of the AnyRidge implant (a), four implants well-fixated in the mandibular symphysis (b).

Fig. 17: Each of the four implants was measured for implant stability with the implant specific SmartPeg.

Fig. 18a: A resorbable calcium apatite bone grafting material was used to fill voids and cover the implant—followed by applications of platelet-rich fibrin (PRF).

Fig. 18b: A resorbable calcium apatite bone grafting material was used to fill voids and cover the implant—followed by applications of platelet-rich fibrin (PRF).

Fig. 19a: Healed site at three months (a). Uncovering of the integrated implants, healing collars and SmartPeg to measure ISQ values postoperatively (b). SmartPeg measuring ISQ values at uncovering (c).

Fig. 19b: Healed site at three months (a). Uncovering of the integrated implants, healing collars and SmartPeg to measure ISQ values postoperatively (b). SmartPeg measuring ISQ values at uncovering (c).

Fig. 19c: Healed site at three months (a). Uncovering of the integrated implants, healing collars and SmartPeg to measure ISQ values postoperatively (b). SmartPeg measuring ISQ values at uncovering (c).