Creation of Virtual Planner for Prosthetic-implantological Treatment in Total Edentulous

Objectives: To build a prototype of visualization and planning platform of interventions with dental implants using 3D technology, for prosthetic solutions in the total maxillary and mandibular edentulous.
Methods: Through computer software (Unity) an original tool was built, consisting of a 3D visualizer and specific planner, from a database of DICOM and STL files of 11 total edentulous patients (average age: 67 years, 7 women and 4 men), for our objective, which is the placement of dental implants based on a suitable prosthetic reference, by means of the construction of a strict surgical guide.
For this, this new software has the ability to visualize and merge OBJ and STL files. In addition, original tools for surgical-prosthetic planning were added through programming in C #, incorporating a library of surgical techniques for different cases of complexity.
Results: A prototype 3D viewer for OBJ and STL files was obtained.
In addition, a prototype 3D planner of prosthetic solutions with implants was created for: Overdentures of 2 jaw implants, "All in four" for mandible and edentulous maxilla.
Conclusions: This experimental model allows the generation of a new virtual planner for total maxillary and mandibular edentulous. The software allows us to visualize the images of the bony configuration and the mucosal border of the total edentulous patient. At the same time it allows us to incorporate virtually the implant placement of an original library created in this software. This is an initial design and planning tool for the placement of implants, in a prosthetic treatment, either with an overdenture with two implants or a fixed prosthesis screwed onto four implants. However, for the further development of the software, it is necessary to improve the fusion protocol, by using clinical markers incorporated in the CBCT and intraoral scanning.