Leaderguide システムにより全顎インプラント治療の応用
Leaderguide system for full mouth implantation
Leaderderguide 植牙定位系統於全口植牙治療的應用
Abstract:
Position is a key factor for successful implant restoration.
Leaderguide implant surgical guide system is a semi-tubular, continuous contact guide system
that can provide accurate,convenient,and efficient guide for implantation to the correct position.
林協興 (臺灣)
中華民國顎咬合學會監事
臺灣植牙醫學會監事
日本審美牙醫學會會員
國際植體專科醫師學會法老
品雅牙醫診所醫師
Fig1. Patient:
Name: Mr. Liu
Sex: male
Age: 58
C.C: can not eat well, want to
implant and fix restoration.
General condition:
hepatitis B, mild
hypertension undercontrol
Habits: smoking , chewing
betel nut
Fig 2~Fig 5:
Oral condition and Panoramic X-ray
Upper arch : only 11, 12 C/B remains
Lower arch : only 25, 26, 27, 28 C/B remains
Fig 6.
extraction
Fig 7. immediate
Complete denture
Fig 9. clear resin
denture in mouth
Fig 10. clear resin
denture on cast
Fig 8. wound healed;
before implantation
Fig 11. mark teeth
positions on cast
Treatment planning:
1. O.H.I., Scaling
2. Study model mounting
3. Ext., Immediate denture
4. Implant
5. Fix restoration
6. maintenance
Fig 12.
implant positions
on maxillary cast
Fig 13. implant
positions on
mandibular cast
Fig 14. lateral
view of implant
positions for the
upper arch
Fig 15. lateral
view of implant
positions for
the lower arch
Fig 25 (1)~(4)
Leaderguide
surgical guide
construction for
lower arch
Fig 16~24.
transfer implant positions to surgical stent and insert Index rods for checking X-ray
Fig 24-1.
PANO; with index rods
Fig 27 (1)~(5)
Leaderguide
surgical guide
construction for
upper arch
Fig 26 (1)~(9) using Leaderguide for lower arch implantation and immediate loading with provisional C/B relined with tissue conditioner
Fig 28.
panoramic view
after full mouth
implantation
Fig 28 (1)~(6) using Leaderguide for upper arch implantation and immediate loading with provisional C/B relined with tissue conditioner
Fig 29 (1)~(6) soft tissue healed and construct new provisional C/B
Fig 30 (1)~(7) final prosthesis, anterior segment, canine to canine; check occlusion; M.I., protrusion, lateral excursion (movement)
final prosthesis,
posterior segment
final prosthesis,
posterior segment
parts of Leaderguide implant
surgical guide system
Fig 32 (6)~(17)
complete full mouth final
restorations; profile,
smile, protrusion, lateral
movement and M.I.
Fig 32.
panoramic x-ray after final
restorations completed
33(1)
Fig 33 (1)(2)
occlusal splint
diagram of guiders
for Leaderguide
Fig 34 (1)~(9)
1 year follow up
Fig 34. 1 year panoramic x-ray follow up