Calibrated Implant Pin Control by Drs. Levente and Catherine Foley Bodak-Gyovai

An alternate approach to 3D imaging that still helps set the pilot drill in the right direction

by Drs. Levente Z. Bodak-Gyovai and Catherine F. Bodak-Gyovai

• Typical landmarks such as the size of the tuberosity, the presence of sinus septae, and the exact location of the antrum and nasal floor.
• Adequate space to consider the 2 mm safe space over the mandibular canal roof to the apical end of the implant as placing the implant shoulder 2 mm subcrestal.
• Critical structures including a safety zone at the mental foramen, the mental nerve loop and the true mandibular incisive canal.
• Quality or limitation of bone, such as at the tuberosity, poor bone quality, maxillary sinus extension and anatomical limits.
• Unexpected anatomical variants such as a retromolar branch of the inferior alveolar nerve.³
• Position and orientation of remaining natural teeth, roots and implants.

 
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References
1. Tullarico M, Esposito M, Xhanary E, Caneva M, Meloni SM. “Computer Guided Vs. Freehand Placement of Immediately Loaded Dental Implants: 5-Year Post Loading Results of Randomized Controlled Trial.” Eur J Oral Implantol. 2018; 11(2): 203–13.
2. Mandelaris GA, Stefanelli LV, and DeGroot, BS. “Dynamic Navigation for Surgical Implant Placement. Overview of Technology, Key Concepts and a Case Report.” Compendium. 2018; 3(9): 614–21.
3. Filo K, Schneider T, Kruse AL, Gratz Lochner, KW, Lubbers HT. “Frequency and Anatomy of the Retromolar Canal Implications for the Dental Practice.” Swiss Dent J SSO 2015; 125: 278–85.
4. Clark CA. “A Method of Ascertaining the Relative Position of Unerupted Teeth By Means of Film Radiography.” Odontol Soc. R. Soc. Med. Trens. 1909; 3: 87.
5. Richards AG. “Technique for Roentgenographic Examination of Impacted Mandibular Third Molars.” J Oral Surg (Chic).1952; 10(2):138–41.
6. Saltzburg N, Kang P. “Observed Healing of an Immediately Placed Implant in a Molar Site Without Bone Replacement Graft or Primary Closure.” Compendium. 2020; 41(6): 326–30.
7. Granlund C, Thilander-Klang A, Ylhan B, Lofthag-Hansen S, Ekestubbe A. “Absorbed Organ and Effective Doses From Digital Intra-Oral and Panoramic Radiography Applying the ICRP 103 Recommendations for Effective Dose Estimations.” Br J Radiol. 2016; 89(1066): 20151052.

Dr. Levente Z. Bodak-Gyovai obtained his dental education at Semmelweis University in Budapest, Hungary, where he became an assistant professor, and from McGill University in Montreal, where he earned a MSc degree. Bodak-Gyovai continued postgraduate training at the University of Pennsylvania, where he became an assistant professor in the dental school and published a textbook on oral medicine. He later earned certification in orthodontics/orthopedics from the United States Dental Institute and in Bicon implantology from the Bicon Institute. After 44 years in general dental practice in Media, Pennsylvania, he recently retired.

Dr. Catherine Foley Bodak-Gyovai is a neurologist and pediatrician who is the author or co-author of 70 peerreviewed medical research studies, reports and abstracts. A graduate of the University of Pennsylvania School of Medicine, Bodak-Gyovai taught at the Temple University School of Medicine, the University of Pittsburgh School of Medicine and Jefferson Medical College in Philadelphia. She recently retired from her specialty medical practice at Nemours Children’s Hospital in Wilmington, Delaware. After her marriage to Dr. Levente Bodak-Gyovai, she developed an interest in the medical aspects of oral health and restorative dentistry.