The Fabrication of a Customized Surgical Template for a Miniscrew Placement Using a Fully Digitized Process

Cureus. 2024 Apr 12;16(4):e58119. doi: 10.7759/cureus.58119. eCollection 2024 Apr.

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.

Keywords: cad; cam; digital; miniscrew; template.

Publication types

  • Case Reports