The Fabrication of a Customized Surgical Template for a Miniscrew Placement Using a Fully Digitized Process
Li Su, Chen Luo, Hui Song, Yan P Wang, Norma Ab Rahman

TL;DR
A customized digital guide improves the accuracy and safety of placing mini-implants in orthodontic treatment.
Contribution
A fully digitized CAD-CAM process is used to fabricate a surgical template for precise miniscrew placement.
Findings
Using a guide improves mini-implant positioning accuracy in the infrazygomatic crest zone.
The guide reduces the risk of damaging tooth roots during implant placement.
Mini-implant stability is enhanced with the use of a customized surgical template.
Abstract
This report presents a clinical case involving the application of a computer-aided design and manufacturing (CAD-CAM) guide to insert miniscrew anchorage at the zygomatic alveolar ridge. A 24-year-old male adult came in with overcrowded teeth and a protruding facial profile, particularly severe overcrowding in the upper teeth and moderate overcrowding in the lower teeth. The orthodontic treatment plan involved extracting four first premolars and adding a mini-implant in the upper jaw to enhance anchorage. A miniscrew was placed in the patient's left zygomatic alveolar ridge using a guide and in the right zygomatic alveolar ridge based on experience. The use of a mini-implant guide improves the accuracy of mini-implant positioning and angulation in the infrazygomatic crest zone, reduces the risk of tooth root damage, and enhances mini-implant stability.
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Taxonomy
TopicsOrthodontics and Dentofacial Orthopedics · Dental Implant Techniques and Outcomes · Dental Radiography and Imaging
