Skip to main content
Top
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Bone Defect | Research

Application of computer-aided design and 3D-printed template for accurate bone augmentation in the aesthetic region of anterior teeth

Authors: Xin Liu, Zhou Fang, Jin Feng, Se-fei Yang, Yi-peng Ren

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Purpose

To explore the outcomes of bone augmentation in the aesthetic zone of the anterior teeth using computer-aided design and a 3D-printed template.

Methods

Ten patients with severe bone defects in the aesthetic zone of anterior teeth were included in the study; CT data were collected before surgery. The design of the osteotomy line in the bone defect area was determined under computer simulation. The position parameters and osteotomy line of the free bone were determined via virtual surgery. A 3D-printed template was prepared to guide the accurate placement of the bone graft. Reexamination was conducted to evaluate the position of the bone graft immediately after the operation and the resorbed capacity of the bone graft before implant restoration.

Results

The position of the bone graft was consistent with the preoperative design. The amount of bone graft resorbed was within the acceptable range three months after the operation, and the effect of implant restoration was satisfactory.

Clinical significance

Use of computer-aided design and a 3D-printed template can be an effective approach for accurate bone augmentation in the aesthetic zone of the anterior teeth.
Literature
1.
go back to reference Rupawat D, Maiti S, Nallaswamy D, Sivaswamy V. Aesthetic outcome of implants in the anterior zone after socket preservation and conventional implant placement: a retrospective study. J Long-term Effects Med Implants. 2020;30(4):233–9.CrossRef Rupawat D, Maiti S, Nallaswamy D, Sivaswamy V. Aesthetic outcome of implants in the anterior zone after socket preservation and conventional implant placement: a retrospective study. J Long-term Effects Med Implants. 2020;30(4):233–9.CrossRef
2.
go back to reference Kaddas C, Papamanoli E, Bobetsis YA. Etiology and treatment of peri-implant soft tissue dehiscences: a narrative review. Dentistry J. 2022;10(5):859.CrossRef Kaddas C, Papamanoli E, Bobetsis YA. Etiology and treatment of peri-implant soft tissue dehiscences: a narrative review. Dentistry J. 2022;10(5):859.CrossRef
3.
go back to reference Noelken R, Moergel M, Pausch T, Kunkel M, Wagner W. Clinical and esthetic outcome with immediate insertion and provisionalization with or without connective tissue grafting in presence of mucogingival recessions: a retrospective analysis with follow-up between 1 and 8 years. Clin Implant Dent Relat Res. 2018;20(3):285–93.CrossRef Noelken R, Moergel M, Pausch T, Kunkel M, Wagner W. Clinical and esthetic outcome with immediate insertion and provisionalization with or without connective tissue grafting in presence of mucogingival recessions: a retrospective analysis with follow-up between 1 and 8 years. Clin Implant Dent Relat Res. 2018;20(3):285–93.CrossRef
4.
go back to reference Wessels R, Vervaeke S, Seyssens L, Eghbali A, Cosyn J. A 5-year cohort study on early implant placement with guided bone regeneration or alveolar ridge preservation with connective tissue graft. Clin Implant Dent Relat Res. 2020;22(6):697–705.CrossRef Wessels R, Vervaeke S, Seyssens L, Eghbali A, Cosyn J. A 5-year cohort study on early implant placement with guided bone regeneration or alveolar ridge preservation with connective tissue graft. Clin Implant Dent Relat Res. 2020;22(6):697–705.CrossRef
5.
go back to reference Wong ME, Kau CH, Melville JC, Patel T, Spagnoli DB. Bone reconstruction planning using computer technology for surgical management of severe maxillomandibular atrophy. Oral Maxillofac Surg Clin N Am. 2019;31(3):457–72.CrossRef Wong ME, Kau CH, Melville JC, Patel T, Spagnoli DB. Bone reconstruction planning using computer technology for surgical management of severe maxillomandibular atrophy. Oral Maxillofac Surg Clin N Am. 2019;31(3):457–72.CrossRef
6.
go back to reference Dawood A, Marti Marti B, Sauret-Jackson V, Darwood A. 3D printing in dentistry. Br Dent J. 2015;219(11):521–9.CrossRef Dawood A, Marti Marti B, Sauret-Jackson V, Darwood A. 3D printing in dentistry. Br Dent J. 2015;219(11):521–9.CrossRef
7.
go back to reference Khorsandi D, Fahimipour A, Abasian P, Saber SS, Seyedi M, Ghanavati S, Ahmad A, De Stephanis AA, Taghavinezhaddilami F, Leonova A, et al. 3D and 4D printing in dentistry and maxillofacial surgery: printing techniques, materials, and applications. Acta Biomater. 2021;122:26–49.CrossRef Khorsandi D, Fahimipour A, Abasian P, Saber SS, Seyedi M, Ghanavati S, Ahmad A, De Stephanis AA, Taghavinezhaddilami F, Leonova A, et al. 3D and 4D printing in dentistry and maxillofacial surgery: printing techniques, materials, and applications. Acta Biomater. 2021;122:26–49.CrossRef
8.
go back to reference Jiang Y, Zhang ZH, Liu HH, Zhou HT, Rui X, Zhang YY. [Comparative study of 3D printing implant guide in different implant surgeries in anterior tooth defect area]. Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West. China J Stomatol. 2019;37(4):403–7. Jiang Y, Zhang ZH, Liu HH, Zhou HT, Rui X, Zhang YY. [Comparative study of 3D printing implant guide in different implant surgeries in anterior tooth defect area]. Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West. China J Stomatol. 2019;37(4):403–7.
9.
go back to reference Slagter KW, Raghoebar GM, Hentenaar DFM, Vissink A, Meijer HJA. Immediate placement of single implants with or without immediate provisionalization in the maxillary aesthetic region: a 5-year comparative study. J Clin Periodontol. 2021;48(2):272–83.CrossRef Slagter KW, Raghoebar GM, Hentenaar DFM, Vissink A, Meijer HJA. Immediate placement of single implants with or without immediate provisionalization in the maxillary aesthetic region: a 5-year comparative study. J Clin Periodontol. 2021;48(2):272–83.CrossRef
10.
go back to reference Ahmed N, Halim MS, Aslam A, Ghani ZA, Safdar J, Alam MK. An analysis of maxillary anterior teeth crown width-height ratios: a photographic, three-dimensional, and standardized plaster model’s study. BioMed Res Int. 2022;2022:4695193.CrossRef Ahmed N, Halim MS, Aslam A, Ghani ZA, Safdar J, Alam MK. An analysis of maxillary anterior teeth crown width-height ratios: a photographic, three-dimensional, and standardized plaster model’s study. BioMed Res Int. 2022;2022:4695193.CrossRef
11.
go back to reference Omeish N, Nassif A, Feghali S, Vi-Fane B, Bosco J. Esthetic and functional rehabilitation of peg-shaped maxillary lateral incisors: practical recommendations. Clin case Rep. 2022;10(3):e05507.CrossRef Omeish N, Nassif A, Feghali S, Vi-Fane B, Bosco J. Esthetic and functional rehabilitation of peg-shaped maxillary lateral incisors: practical recommendations. Clin case Rep. 2022;10(3):e05507.CrossRef
12.
go back to reference Yang Y, Yu J, Gao J, Guo J, Li L, Zhao Y, Zhang S. Clinical outcomes of different types of tooth-supported bilayer lithium disilicate all-ceramic restorations after functioning up to 5 years: a retrospective study. J Dent. 2016;51:56–61.CrossRef Yang Y, Yu J, Gao J, Guo J, Li L, Zhao Y, Zhang S. Clinical outcomes of different types of tooth-supported bilayer lithium disilicate all-ceramic restorations after functioning up to 5 years: a retrospective study. J Dent. 2016;51:56–61.CrossRef
13.
go back to reference Pirih FQ, Casarin M, Perussolo J, Ozaki M, Carnio JG, Camargo PM, Galvan M. Rieger syndrome: rehabilitation with dental implants. Clin Adv Period. 2019;9(4):172–6.CrossRef Pirih FQ, Casarin M, Perussolo J, Ozaki M, Carnio JG, Camargo PM, Galvan M. Rieger syndrome: rehabilitation with dental implants. Clin Adv Period. 2019;9(4):172–6.CrossRef
14.
go back to reference Baran I, Nalcaci R. Self-reported problems before and after prosthodontic treatments according to newly created turkish version of oral health impact profile. Arch Gerontol Geriatr. 2011;53(2):e99-105.CrossRef Baran I, Nalcaci R. Self-reported problems before and after prosthodontic treatments according to newly created turkish version of oral health impact profile. Arch Gerontol Geriatr. 2011;53(2):e99-105.CrossRef
15.
go back to reference Aarabi G, John MT, Schierz O, Heydecke G, Reissmann DR. The course of prosthodontic patients’ oral health-related quality of life over a period of 2 years. J Dent. 2015;43(2):261–8.CrossRef Aarabi G, John MT, Schierz O, Heydecke G, Reissmann DR. The course of prosthodontic patients’ oral health-related quality of life over a period of 2 years. J Dent. 2015;43(2):261–8.CrossRef
16.
go back to reference Moraschini V, Poubel LA, Ferreira VF, Barboza Edos S. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg. 2015;44(3):377–88.CrossRef Moraschini V, Poubel LA, Ferreira VF, Barboza Edos S. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg. 2015;44(3):377–88.CrossRef
17.
go back to reference Totou D, Naka O, Mehta SB, Banerji S. Esthetic, mechanical, and biological outcomes of various implant abutments for single-tooth replacement in the anterior region: a systematic review of the literature. Int J Implant Dentistry. 2021;7(1):85.CrossRef Totou D, Naka O, Mehta SB, Banerji S. Esthetic, mechanical, and biological outcomes of various implant abutments for single-tooth replacement in the anterior region: a systematic review of the literature. Int J Implant Dentistry. 2021;7(1):85.CrossRef
18.
go back to reference Gomez-Meda R, Esquivel J, Blatz MB. The esthetic biological contour concept for implant restoration emergence profile design. J Esthet Restor Dent. 2021;33(1):173–84.CrossRef Gomez-Meda R, Esquivel J, Blatz MB. The esthetic biological contour concept for implant restoration emergence profile design. J Esthet Restor Dent. 2021;33(1):173–84.CrossRef
19.
go back to reference Lou FZ, Zhang MR, Rao PC, Luo SH, Tang MY, Xiao JG. Precise investigation of digital guide plates applied to implant surgery of anterior teeth. Hua Xi Kou Qiang Yi Xue Za Zhi. 2020;38(2):170–6. Lou FZ, Zhang MR, Rao PC, Luo SH, Tang MY, Xiao JG. Precise investigation of digital guide plates applied to implant surgery of anterior teeth. Hua Xi Kou Qiang Yi Xue Za Zhi. 2020;38(2):170–6.
20.
go back to reference Tolstunov L, Hamrick JFE, Broumand V, Shilo D, Rachmiel A. Bone augmentation techniques for horizontal and vertical alveolar ridge deficiency in oral implantology. Oral Maxillofac Surg Clin N Am. 2019;31(2):163–91.CrossRef Tolstunov L, Hamrick JFE, Broumand V, Shilo D, Rachmiel A. Bone augmentation techniques for horizontal and vertical alveolar ridge deficiency in oral implantology. Oral Maxillofac Surg Clin N Am. 2019;31(2):163–91.CrossRef
21.
go back to reference Jin SH, Park JB, Kim N, Park S, Kim KJ, Kim Y, Kook YA, Ko Y. The thickness of alveolar bone at the maxillary canine and premolar teeth in normal occlusion. J Period Implant Sci. 2012;42(5):173–8.CrossRef Jin SH, Park JB, Kim N, Park S, Kim KJ, Kim Y, Kook YA, Ko Y. The thickness of alveolar bone at the maxillary canine and premolar teeth in normal occlusion. J Period Implant Sci. 2012;42(5):173–8.CrossRef
22.
go back to reference Lee JE, Jung CY, Kim Y, Kook YA, Ko Y, Park JB. Analysis of alveolar bone morphology of the maxillary central and lateral incisors with normal occlusion. Medicina (Kaunas, Lithuania). 2019;55(9):842. Lee JE, Jung CY, Kim Y, Kook YA, Ko Y, Park JB. Analysis of alveolar bone morphology of the maxillary central and lateral incisors with normal occlusion. Medicina (Kaunas, Lithuania). 2019;55(9):842.
Metadata
Title
Application of computer-aided design and 3D-printed template for accurate bone augmentation in the aesthetic region of anterior teeth
Authors
Xin Liu
Zhou Fang
Jin Feng
Se-fei Yang
Yi-peng Ren
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-02707-7

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue