This is a sample surgical report to test the Virtual Patient System.
Surgical Report 13-06-2023
Surgical Report
Patient ID: [TMJ] Date of Procedure: [13-06-2023] Surgeon: [Michael Truppe, MD] Assistant: [Dina, Katarina]
ImplantID: IMPL23ABC
Preoperative Diagnosis: Single missing tooth, #46 lower right first molar Postoperative Diagnosis: Single missing tooth, #46 lower right first molar Procedure Performed: Placement of dental implant using image-guided surgery
Indications: The patient presented with a missing lower right first molar (#46), with sufficient bone height and width. It was determined that the patient was an ideal candidate for a dental implant.
Procedure Details:
Preoperative Preparation: The patient was given oral hygiene instructions and premedication consisting of antibiotics (Amoxicillin 500mg) and anti-inflammatory medication (Ibuprofen 400mg). Written informed consent was obtained.
Anesthesia: Local anesthesia was administered with 2% lidocaine with 1:100,000 epinephrine. Profound anesthesia was achieved, and the surgical site was isolated with sterile drapes.
Incision and Flap Reflection: A crestal incision was made on the edentulous ridge at site #46. Full-thickness mucoperiosteal flap was reflected using a periosteal elevator to expose the underlying alveolar bone.
Image-Guided Surgery: Using CBCT images that were acquired prior to the surgery, the implant site was marked. The image guidance system, which was previously calibrated, was used to precisely place the pilot drill.
Osteotomy Preparation: Following the pre-planned path, sequential osteotomies were performed using increasing diameter drills as per the manufacturer’s guidelines. Irrigation with sterile saline was done throughout the process to prevent overheating. The final osteotomy matched the diameter and length of the chosen implant.
Implant Placement: A sterile packaged [ASTRA Prime Taper] implant of [4,2 mm] x [11 mm] was selected. The implant was placed into the osteotomy site using a torque wrench until the implant platform was flush with the alveolar bone crest. A torque of 35 Ncm was achieved indicating good primary stability.
Closure: A healing abutment was connected to the implant. The mucoperiosteal flap was repositioned and sutured using resorbable sutures. A sterile dressing was placed over the surgical site.
Postoperative Imaging: Postoperative radiographs were taken to confirm the correct placement of the implant in relation to neighboring structures and to serve as a baseline for future evaluations.
Postoperative Instructions and Follow-Up: The patient was given postoperative instructions, a prescription for antibiotics, and analgesics, and an appointment was set for suture removal and follow-up in one week.
Surgeon’s Comments: The patient tolerated the procedure well. The surgical site will be allowed to heal for 3-6 months before a final prosthetic restoration will be placed.
This report is a true and accurate record of the procedure performed.
Surgeon Signature: [Michael Truppe, MD] Date and Time: [13-06-2023 5 PM]
Virtual Patient System Sample Queries
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Karlheinz Janac inquired about a treatment plan for a dental bridge with two implants and possibly a bone graft. They expressed interest in the use of 3D implant navigation and ultrashort implants instead of bone grafting. They are also interested in participating in a scientific study for special conditions. Karlheinz provided their email address and phone number for further communication.
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The user, Almira Dolic, inquired about getting two individual dental implants. They expressed interest in the 3D implant navigation process and preferred ultrashort implants over bone augmentation. They were not interested in immediate loading (teeth in a day) or participating in a scientific study. Almira provided their email for further information.
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Notburga Scheffer inquired about a treatment plan for dental implants. They were interested in a single implant and crown, as well as a crown on an existing zircon implant. They expressed interest in the 3D implant navigation technique and preferred ultrashort implants over bone augmentation. Notburga was also interested in immediate loading and new teeth in one day, and they considered participating in a scientific study offering special conditions for immediate loading implants. They preferred to receive further information via email.