The DTR Technique-Drilling through the Roots of Posterior Teeth for Anatomically Guided Immediate Implant Placement: A Cohort Study.

Lanka Mahesh, Alberto Miselli, Meenu T Bhasin, Ana L Bernotti
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Abstract

Aim: The present study clinically analyzes implant survival of immediate implant placement cases using the drilling through roots (DTR) technique for anatomically-guided implant site preparation, as an aid to placing immediate dental implants in multi-radicular teeth.

Materials and methods: This clinical analysis utilized patients' electronic dental records who underwent immediate implant surgery using the DTR technique. All immediately placed implants were followed up regularly every year, after restoration. Implant survival was assessed with the Albrektsson et al. criteria. Inferential statistics was performed using SPSS v 21(IBM Corp., Armonk, NY) software. The Kaplan-Meier survival analysis was done to assess the implant survival probability.

Results: A total of 250 records of dental implants placed in 227 subjects using the DTR technique were considered. Results showed that the mean survival duration of implants was found 63.29 months and the median survival duration to be 55 months. A 100% success rate was seen in implant fixed bridge cases, and about 97.6% success was seen in single crown cases. No significant difference was seen in the survival rates during the follow-up period when compared according to the quadrants/site of implant placement.

Conclusion: The findings concluded that tooth-guided rapid implant placement is a unique strategy for convenient and safe insertion, providing accurate three-dimensional positioning.

Clinical significance: The DTR method is a novel approach that facilitates accurate positioning and angulation of the implant bed preparation by stabilizing and guiding the osteotomy drills using the retained root. As a result, it enables optimal implant positioning at multirooted extraction sites. How to cite this article: Mahesh L, Miselli A, Bhasin MT, et al. The DTR Technique-Drilling through the Roots of Posterior Teeth for Anatomically Guided Immediate Implant Placement: A Cohort Study. J Contemp Dent Pract 2024;25(5):432-439.

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DTR 技术--通过后牙根钻孔,在解剖学引导下即刻植入种植体:一项队列研究。
目的:本研究对使用穿根钻孔(DTR)技术在解剖学引导下进行种植体部位准备的即刻种植体植入病例的种植体存活率进行了临床分析,以此作为在多基牙中植入即刻种植体的辅助手段:这项临床分析利用了使用 DTR 技术进行即刻种植手术的患者的电子牙科记录。所有即刻植入的种植体在修复后每年都会进行定期随访。种植体存活率按照 Albrektsson 等人的标准进行评估。推理统计使用 SPSS v 21(IBM Corp., Armonk, NY)软件进行。采用 Kaplan-Meier 生存分析法评估种植体的存活概率:结果:共研究了 250 份使用 DTR 技术为 227 名受试者植入种植体的记录。结果显示,种植体的平均存活时间为 63.29 个月,中位存活时间为 55 个月。种植体固定桥的成功率为 100%,单冠种植体的成功率约为 97.6%。根据种植体植入的象限/部位进行比较,随访期间的存活率无明显差异:结论:研究结果表明,牙齿引导下的快速种植体植入是一种独特的策略,它能提供准确的三维定位,是一种方便、安全的植入方法:临床意义:DTR 方法是一种新颖的方法,通过使用保留的牙根稳定和引导截骨钻,有助于种植床制备的准确定位和角度调整。因此,它能在多根拔牙部位实现最佳的种植体定位。如何引用本文:Mahesh L, Miselli A, Bhasin MT, et al. DTR技术--通过后牙根钻孔进行解剖引导即刻种植体植入:一项队列研究。J Contemp Dent Pract 2024;25(5):432-439.
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来源期刊
Journal of Contemporary Dental Practice
Journal of Contemporary Dental Practice Dentistry-Dentistry (all)
CiteScore
1.80
自引率
0.00%
发文量
174
期刊介绍: The Journal of Contemporary Dental Practice (JCDP), is a peer-reviewed, open access MEDLINE indexed journal. The journal’s full text is available online at http://www.thejcdp.com. The journal allows free access (open access) to its contents. Articles with clinical relevance will be given preference for publication. The Journal publishes original research papers, review articles, rare and novel case reports, and clinical techniques. Manuscripts are invited from all specialties of dentistry i.e., conservative dentistry and endodontics, dentofacial orthopedics and orthodontics, oral medicine and radiology, oral pathology, oral surgery, orodental diseases, pediatric dentistry, implantology, periodontics, clinical aspects of public health dentistry, and prosthodontics.
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