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VOLUME 21 , ISSUE 11 ( November, 2020 ) > List of Articles

CASE REPORT

Management of a Complex Case during COVID-19 Time Using One-day Digital Dentistry: A Case Report

Luigi V Stefanelli, Alessio Franchina, Michele Pagliarulo, David Burgess, Stefano Di Carlo

Citation Information : Stefanelli LV, Franchina A, Pagliarulo M, Burgess D, Di Carlo S. Management of a Complex Case during COVID-19 Time Using One-day Digital Dentistry: A Case Report. J Contemp Dent Pract 2020; 21 (11):1284-1292.

DOI: 10.5005/jp-journals-10024-2913

License: CC BY-NC 4.0

Published Online: 01-05-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Aim and objective: The aim of the present case report is to describe the digital management of an implant prosthetic rehabilitation performed by the use of different digital technologies, which allowed to successfully perform in 1 day both the surgical and the prosthetical stages with a minimally invasive approach and a high standard of care. Background: Coronavirus disease-2019 (COVID-19) pandemic is affecting dental everyday practice. Clinicians have to reduce the number of patients per day and the time they spend in the dental office. Minimally invasive and digital approaches, with less possible exposure and interaction, are suggested to reduce the risk of infection. Case description: The failure of a short-span implant prosthetic rehabilitation combined with pain and mobility of the involved teeth was the main complaint reported by a 78-year-old male patient, who asked an urgent appointment to solve the problem. An intraoral scanner allowed the clinician to immediately take a preliminary digital impression of the arch to be treated. The resulting 3D files were sent by e-mail to the dental technician who provided a digital wax-up for the computerized workflow. Computer-aided implantology (CAI) performed using an in-office cone-beam computed tomography (CBCT) allowed clinician to guide the surgical approach in a prosthetic manner. Such an integration inside a well-defined workflow was the key for a successful and rapid treatment. Conclusion: By using new innovative digital technology, the treatment was completed in 1 day, reducing the risk of COVID-19 by limiting the number of appointments and reducing contacts in confined environments like the dental office and public transportations. It also helped to reduce materials production and people movement in the treatment of dental emergency. Clinical significance: The possibility of performing an effective treatment saving time by using efficient technology and a minimally invasive procedure highlights the importance of digital planning in order to optimize every single step of the treatment. Digital workflow reduces also the movement of potentially infected materials from the office to the dental laboratory.


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  1. China coronavirus: WHO declares international emergency as death toll exceeds 200. BMJ 2020;368:m408. DOI: 10.1136/bmj.m408.
  2. The novel coronavirus originating in Wuhan, China: challenges for global health governance. JAMA 2020;323(8):709–710.
  3. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet 2020;395(10223):514–523. DOI: 10.1016/S0140-6736(20)30154-9.
  4. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Res 2020;99(5):481–487. DOI: 10.1177/0022034520914246.
  5. Cross-infection and infection control in dentistry: knowledge, attitude and practice of patients attended dental clinics in King Abdulaziz University Hospital, Jeddah, Saudi Arabia. J Infect Public Health 2017;10(4):438–445. DOI: 10.1016/j.jiph.2016.06.002.
  6. A scoping review on bio-aerosols in healthcare and the dental environment. PLoS ONE 2017;12(5):e0178007. DOI: 10.1371/journal.pone.0178007.
  7. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020;382(13):1199–1207. DOI: 10.1056/NEJMoa2001316.
  8. An update on the epidemiological characteristics of novel coronavirus pneumonia (COVID-19). Zhonghua Liu Xing Bing Xue Za Zhi 2020;41:139–144.
  9. Guidelines for dental care provision during the COVID-19 pandemic. Saudi Dent J 2020;32(4):181–186. DOI: 10.1016/j.sdentj.2020.04.001.
  10. Coronavirus disease (COVID-19): characteristics in children and considerations for dentists providing their care. Int J Paediatr Dent 2020;30(3):245–250. DOI: 10.1111/ipd.12653.
  11. Efficacy of preprocedural mouthrinses in the reduction of microorganisms in aerosol: a systematic review. J Am Dent Assoc 2019;150(12):1015–1026. DOI: 10.1016/j.adaj.2019.06.024.
  12. Dealing with psychological distress by healthcare professionals during the COVID-19 pandemia. Nervenarzt 2020;91(417):421. DOI: 10.1007/s00115-020-00905-0.
  13. Dentists’ awareness, perception, and attitude regarding COVID-19 and infection control: cross-sectional study among Jordanian dentists. JMIR Public Health Surveill 2020;6(2):e18798. DOI: 10.2196/18798.
  14. COVID-19: its impact on dental schools in Italy, clinical problems in endodontic therapy and general considerations. Int Endod J 2020;53(5):723–725. DOI: 10.1111/iej.13291.
  15. Coronavirus disease 19 (COVID-19): implications for clinical dental care. J Endod 2020;46(5):584–595. DOI: 10.1016/j.joen.2020.03.008.
  16. International association of dental traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol 2012;28(1):2–12. DOI: 10.1111/j.1600-9657.2011.01103.x.
  17. Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected: interim guidance [accessed 2020 Feb 17].
  18. Coronavirus disease 2019 (COVID-19): situation report-36 [accessed 2020 Feb 26].
  19. Questions and answers on coronaviruses [accessed 2020 Feb 26].
  20. Digital versus analog procedures for the prosthetic restoration of single implants: a randomized controlled trial with 1 year of follow-up. Biomed Res Int 2018;2018:5325032. DOI: 10.1155/2018/5325032.
  21. Full in-office guided surgery with open selective tooth-supported templates: a prospective clinical study on 20 patients. Int J Environ Res Public Health 2018;25(11):2361. DOI: 10.3390/ijerph15112361.
  22. Modern dental imaging: a review of the current technology and clinical applications in dental practice. Eur Radiol 2010;20(11):2637–2655. DOI: 10.1007/s00330-010-1836-1.
  23. Implant placement is more accurate using dynamic navigation. J Oral Maxillofac Surg 2017;75(7):1377–1386. DOI: 10.1016/j.joms.2017.02.026.
  24. Dynamic navigation for surgical implant placement: overview of technology, key concepts, and a case report. Compend Contin Educ Dent 2018;39(9):614–621.
  25. Accuracy of a dynamic dental implant navigation system in a private practice. Int J Oral Maxillofac Impl 2019;34(1):205–213. DOI: 10.11607/jomi.6966.
  26. Accuracy of a novel trace registration method for dynamic navigation surgery. Int J Perio Rest Dent 2020;40(3):427–435. DOI: 10.11607/prd.4420.
  27. Dynamic navigation: a prospective clinical trial to evaluate the accuracy of implant placement. Int J Comput Dent 2019;22(2):139–147.
  28. American Academy of Periodontology best evidence consensus statement on selected oral applications for cone-beam computed tomography. J Periodontol 2017;88(10):939–945. DOI: 10.1902/jop.2017.170234.
  29. Cone-beam computed tomography and interdisciplinary dentofacial therapy: an american academy of periodontology best evidence review focusing on risk assessment of the dentoalveolar bone changes influenced by tooth movement. J Periodontol 2017;88(10):960–977. DOI: 10.1902/jop.2017.160781.
  30. Three-dimensional imaging and guided surgery for dental implants. Dent Clin North Am 2015;59(2):265–290. DOI: 10.1016/j.cden.2014.11.001.
  31. Influence of the digital mock-up and experience on the ability to determine the prosthetically correct dental implant position during digital planning: an in vitro study. J Clin Med 2019;9(1):48. DOI: 10.3390/jcm9010048.
  32. Advanced smile diagnostics using CAD/CAM mock-ups. Int J Esthet Dent 2015;10(3):374–391.
  33. Digital workflow: helping clinicians make smart decisions, achieve better outcomes. Compend Contin Educ Dent 2018;39(7):490–492.
  34. Accuracy and practicality of intraoral scanner in dentistry: a literature review. J Prosthodont Res 2020;64(2):109–113. DOI: 10.1016/j.jpor.2019.07.010.
  35. Accuracy of complete-arch dental impressions: a new method of measuring trueness and precision. J Prosthet Dent 2013;109(2):121–128. DOI: 10.1016/S0022-3913(13)60028-1.
  36. Accuracy of intraoral data acquisition in comparison to the conventional impression. Int J Comput Dent 2005;8(4):283–294.
  37. Marginal and internal fit of four-unit zirconia fixed dental prostheses based on digital and conventional impression techniques. Clin Oral Investig 2014;18:515–523.
  38. Immediate or delayed retrieval of the displaced third molar: a review. J Clin Exp Dent 2019;11(1):55–61. DOI: 10.4317/jced.55379.
  39. The sutures in dentistry. Eur Rev Med Pharmacol Sci 2009;13(3):217–226.
  40. Microbiological and FE-SEM assessment of d-PTFE membrane exposed to oral environment after alveolar socket preservation managed with granular nc-HA. J Contemp Dent Pract 2020;21(4):404–409. DOI: 10.5005/jp-journals-10024-2805.
  41. Digital design of minimally invasive endodontic access cavity. Appl Sci 2020;10(10):3513. DOI: 10.3390/app10103513.
  42. Postextractive alveolar ridge preservation using L-PRF: Clinical and Histological evaluation. Case Rep Dent 2020;2020:5073519. DOI: 10.1155/2020/5073519.
  43. Inferior alveolar nerve laceration after implant site preparation: a case report. Eur J Oral Implantol 2015;8(3):293–296.
  44. The prevention of implant surface alterations in the treatment of peri-implantitis: comparison of three different mechanical and physical treatments. Int J Environ Res Public Health 2020;17(8):2624. DOI: 10.3390/ijerph17082624.
  45. Endodontic microsurgery using dynamic navigation system: a case report. J Endod 2019;45(11):1397–1402. DOI: 10.1016/j.joen.2019.07.010.
  46. Short vs. standard laser-microgrooved implants supporting single and splinted crowns: a prospective study with 3 years follow-up. J Prosthodont 2019;28(2):771–779. DOI: 10.1111/jopr.12959.
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