10.59987/ads/2023.4.1-1
We live in the digital era. The digital devices have become part of our lives and we are using them every day.They involve dentistry too.A frequent mistake is to consider oral surgery and implantology as independent procedures not integrated with the comprehensive treatment plan and above all the prosthetic planning.Our patients ask us for teeth, not implants and that’s why we have to plan prosthet-ics first.The digital approach helps a lot in this field.When we start a surgical plane on e new patient data we need DICOM files from a CBCT and STL files from an intraoral scanner. We can acquire other digital data about occlusion to design the shape and position of new teeth. At this point, we have a digital project that the patient can approve. We can use programs that are also shared to match DICOM and STL files to create a digital patient. Only after that, we can design the artificial roots (dental implant) and if we need, a new bone volume to regenerate. To create this volume we can use free programs available on the net and export files to create devices like grids useful for the regeneration. Obviously, the implant insertion is made by 3D printed surgical stents or navigation to precisely replicate the planning.The whole process is exactly contrary to what we did in the past: the bone volume to regenerate is dictated by the implant position that is designed as a consequence of the prosthetic planning. Further developments will be due to the implementation of Artificial Intelligence (A. I.). Already programs exploit the AI for segmentation and basic diagnostic processes (like detectection of the inferior alveo-lar nerve).Shortly, the A.I. will substitute human judgment for more complex processes in medicine reducing mistakes.Also, medical journals are preparing to receive this revolution. The New English Journal of Medicine, the most important medical review in the world, will present in 2024 NEMJ AI for international researchers.Some are scared of this revolution, but I think that, under human control, this will be a great opportunity to improve the treatment of our patients
text/html
1971-1441
254
4
en
Luca  Signorini
https://creativecommons.org/licenses/by-nc-nd/4.0
Annali di stomatologia
Editorial
Text.Serial.Journal
https://www.annalidistomatologia.eu/ads
14
Editorial
2024-01-19
2024-01-15
2024-01-19
2024-04-17
1
Ann Stomatol (Roma)
Luca  Signorini
2023
10.59987/ads/2023.4.1-1
1
1971-1441
4
en
1
Editorial
https://www.annalidistomatologia.eu/ads/article/view/254/269
14
                              A   NNALI
                                  DI STOMATOLOGIA
www.annalidistomatologia.eu




                                                                             VOLUME 14 NUMERO 4 - 2023




                                  A Journal of Odontostomatologic Sciences



                                        PublyMed srls
     A                     NNALI
     Annali.............




                           DI STOMATOLOGIA
     EDITOR IN CHIEF                               D’Antò Vincenzo                                Ciulli Emanuele, Italy
                                                   University of Naples, Italy                    emanueleciulli@hotmail.com
     Gatto Roberto                                 vincenzo.danto@unina.it
     University of L’Aquila, Italy                                                                Di Carlo Gabriele
     roberto.gatto@univaq.it                       Basilicata Michele                             University of Rome “La Sapienza”, Italy
                                                   University of Tor Vergata Italy                gabriele.dicarlo@uniroma1.it
     CONSULTANT EDITORS                            michele.basilicata@ptvonline.it
                                                                                                  Falisi Giovanni
                                                                                                  University of L’Aquila, Italy
     Allaf Ferdi                                   De Angelis Francesca                           giovanni.falisi@univaq.it
     Turkish Aligner Society,Turchia               University of Rome “La Sapienza”, Italy
     ferdiallaf@gmail.com                          francesca.deangelis@uniroma1.it                Marsili Domenico, Italy
                                                                                                  do.marsili63@gmail.com
     Caruso Silvia                                 De Nuccio Claudio
     University of L’Aquila, Italy                 University Cattolica del Sacro Cuore, Italy    Nagni Matteo, Italy
     silvia.caruso@univaq.it                       cdenuccio@libero.it                            nagnimatteo@hotmail.it
     Docimo Raffaella                              Yisrael Kornblit                               Jamal Sied
     University of Tor Vergata , Italy             Roly Doctor, Italy                             aasayyed@kau.edu.sa
     raffaelladocimo@tiscali.it
                                                   rolykornblit@gmail.com
                                                                                                  J.L. Parra Garcia
     Giancotti Aldo                                                                               Doctor, Mexico
     Department of Clinical Sciences and           Laganà Giuseppina                              drparrasdentalimplantclinic@gmail.com
     Translational medicine University Tor         University of Tor Vergata , Italy
     Vergata, Italy                                giuseppinalagana@libero.it                     Pietropaoli Davide
     giancotti@uniroma2.it                                                                        University of L’Aquila, Italy
                                                   Mohamed R.Islam                                davide.pietropaoli@univaq.it
     Marchetti Enrico                              University of Dundee, Scotland
     University of L’Aquila, Italy                 m.r.y.islam@dundeeac.uk                        Pistilli Roberto, Italy
     enrico.marchetti@univaq.it                                                                   r_pistilli@libero.it
                                                   Manzo Paolo
     Mummolo Stefano                               Member of EBO-IBO, Italy                       Pedro Vittorini Velasquez
     University of L’Aquila, Italy                 paolo.manzo@gmail.com                          Universidad Autonoma Gabriel Rene
     stefano.mummolo@univaq.it                                                                    Moreno
                                                                                                  pedro.vittorini@gmail.com
                                                   Nota Alessandro
     Severino Marco                                University of Milan, Italy
     University of L’Aquila, Italy                                                                CONTACTS
                                                   nota.alessandro@hsr.it
     marcoseverino1@gmail.com
                                                                                                  Do you need further information? Get in
     Tatullo Marco                                 Pagano Stefano                                 touch with Annali di Stomatologia for any
     University of Bari, Italy                     University of Perugia, Italy                   question!
     marco.tatullo@uniba.it                        stefano.pagano@unipg.it
                                                                                                  Annali di Stomatologia – Editor in Chief
                                                   Scopelliti Domenico                            Roberto Gatto
     ASSISTANT EDITORS                             Director of the UOC Maxillofacial Surgery      presidenza@annalidistomatologia.eu
                                                   ASL Roma 1                                     Annali di Stomatologia – Managing Editor
     Berdouses Elias                               scopelliti61@gmail.com
     University of Athens, Greece                                                                 Alessandro Zurli Varesi
     elias@paedoclinic.gr                                                                         info@annalidistomatologia.eu
                                                   Valentini Valentino
                                                   University of Rome “La Sapienza”, Italy        Annali di Stomatologia – Managing Office
     Nunzio Cirulli                                                                               Donatella Alonzi
     University of Bari                            valentino.valentinini@uniroma1.it
                                                                                                  info@annalidistomatologia.eu
     dottore@studiocirulli.it
                                                   ASSOCIATE EDITORS                              Annali di Stomatologia – Sponsor &
     D’Addona Antonio                                                                             Marketing
     University Cattolica del Sacro Cuore, Italy   Antonangelo Carmine                            Claudio de Nuccio
     antonio.daddona@gmail.com                     carmanton@virgilio.it                          info@annalidistomatologia.eu




 ANNALI DI STOMATOLOGIA
II                                                                                               Annali di Stomatologia 2018; IX (4): 141
 Trimestrale edito da PublyMed srls, Via Treviso, 17/A - 00161 Roma - P.I. 16532301005
 +39 06 44.24.99.41 - info@annalidistomatologia.ue - www.annalidistomatologia.eu
 Reg. Trib. Roma n. 421 18/12/2009
Editorial

                                        Oral surgery and Implantology in the digital era
                                        We live in the digital era. The digital devices have become part of our lives and we
                                        are using them every day.
                                        They involve dentistry too.
                                        A frequent mistake is to consider oral surgery and implantology as independent
                                        procedures not integrated with the comprehensive treatment plan and above all
                                        the prosthetic planning.
                                        Our patients ask us for teeth, not implants and that’s why we have to plan prosthet-
                                        ics first.
                                        The digital approach helps a lot in this field.
                                        When we start a surgical plane on e new patient data we need DICOM files from
                                        a CBCT and STL files from an intraoral scanner. We can acquire other digital data
                                        about occlusion to design the shape and position of new teeth. At this point, we
have a digital project that the patient can approve.
We can use programs that are also shared to match DICOM and STL files to create a digital patient. Only after that, we
can design the artificial roots (dental implant) and if we need, a new bone volume to regenerate. To create this volume
we can use free programs available on the net and export files to create devices like grids useful for the regeneration.
Obviously, the implant insertion is made by 3D printed surgical stents or navigation to precisely replicate the planning.
The whole process is exactly contrary to what we did in the past: the bone volume to regenerate is dictated by the
implant position that is designed as a consequence of the prosthetic planning. Further developments will be due to the
implementation of Artificial Intelligence (A. I.).
Already programs exploit the AI for segmentation and basic diagnostic processes (like detectection of the inferior alveo-
lar nerve).
Shortly, the A.I. will substitute human judgment for more complex processes in medicine reducing mistakes.
Also, medical journals are preparing to receive this revolution. The New English Journal of Medicine, the most important
medical review in the world, will present in 2024 NEMJ AI for international researchers.
Some are scared of this revolution, but I think that, under human control, this will be a great opportunity to improve the
treatment of our patients

                                                                                                           Luca Signorini




10.59987/ads/2023.4.1-1                                                                                                        1
