Accuracy of intraoral real-time navigation versus static, CAD/CAM-manufactured pilot drilling guides in dental implant surgery: an in vitro study.

Computer-Aided Design Cone-Beam Computed Tomography Dental Implantation, Endosseous / methods Dental Implants Surgery, Computer-Assisted / methods
Dental implants Guided surgery Implant accuracy Intraoral real-time navigation Referencing Static templates Stereotactic surgery

Journal

International journal of implant dentistry
ISSN: 2198-4034
Titre abrégé: Int J Implant Dent
Pays: Germany
ID NLM: 101676532

Informations de publication

Date de publication:
06 Oct 2022
Historique:
received: 15 03 2022
accepted: 11 07 2022
entrez: 5 10 2022
pubmed: 6 10 2022
medline: 12 10 2022
Statut: epublish

Résumé

Nowadays, 3D planning and static for dynamic aids play an increasing role in oral rehabilitation of the masticatory apparatus with dental implants. The aim of this study is to compare the accuracy of implant placement using a 3D-printed drilling guide and an intraoral real-time dynamic navigation system. A total of 60 implants were placed on 12 partially edentulous lower jaw models. 30 were placed with pilot drilling guides, the other half with dynamic navigation (DENACAM Both systems achieved clinically acceptable results, yet more accurate results regarding the offset of implant base and tip in several spatial dimensions were achieved using drilling guides (each p < 0.05). With regard to angulation, real-time navigation was more precise (p = 0.0016). Its inaccuracy was 3°; the template-guided systems was 4.6°. Median horizontal deviation was 0.52 mm at base and 0.75 mm at tip using DENACAM Considering the limitations of an in vitro study, dynamic navigation can be used be a tool for reliable and accurate implantation. However, further clinical studies need to follow in order to provide an evidence-based recommendation for use in vivo.

Sections du résumé

BACKGROUND
Nowadays, 3D planning and static for dynamic aids play an increasing role in oral rehabilitation of the masticatory apparatus with dental implants. The aim of this study is to compare the accuracy of implant placement using a 3D-printed drilling guide and an intraoral real-time dynamic navigation system.
METHODS
A total of 60 implants were placed on 12 partially edentulous lower jaw models. 30 were placed with pilot drilling guides, the other half with dynamic navigation (DENACAM
RESULTS
Both systems achieved clinically acceptable results, yet more accurate results regarding the offset of implant base and tip in several spatial dimensions were achieved using drilling guides (each p < 0.05). With regard to angulation, real-time navigation was more precise (p = 0.0016). Its inaccuracy was 3°; the template-guided systems was 4.6°. Median horizontal deviation was 0.52 mm at base and 0.75 mm at tip using DENACAM
CONCLUSION
Considering the limitations of an in vitro study, dynamic navigation can be used be a tool for reliable and accurate implantation. However, further clinical studies need to follow in order to provide an evidence-based recommendation for use in vivo.

Identifiants

DOI: 10.1186/s40729-022-00430-6 PMID: 36198996 PMC: PMC9535055
pubmed: 36198996
doi: 10.1186/s40729-022-00430-6
pii: 10.1186/s40729-022-00430-6
pmc: PMC9535055
doi:

Substances chimiques

Dental Implants 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

41

Informations de copyright

© 2022. The Author(s).

Références

J Craniomaxillofac Surg. 2009 Apr;37(3):167-73
pubmed: 19056288
Implant Dent. 2017 Apr;26(2):256-262
pubmed: 28125518
J Oral Implantol. 2016 Oct;42(5):399-405
pubmed: 27267658
Int J Oral Maxillofac Implants. 2018 Dec 5;34(1):205–213
pubmed: 30521660
Compend Contin Educ Dent. 2018 Oct;39(9):614-621; quiz 622
pubmed: 30299111
J Craniomaxillofac Surg. 2013 Oct;41(7):603-9
pubmed: 23333490
Int J Oral Maxillofac Implants. 2013 Mar-Apr;28(2):563-72
pubmed: 23527361
J Dent Res. 2012 Mar;91(3):242-8
pubmed: 22157097
Int J Oral Maxillofac Implants. 2016 Sep 19;32(1):92-99
pubmed: 27643585
Int J Oral Maxillofac Implants. 2018 May/Jun;33(3):679-692
pubmed: 29763504
Dent Clin North Am. 2015 Apr;59(2):357-73
pubmed: 25835799
Clin Oral Implants Res. 2013 Dec;24(12):1339-46
pubmed: 22924875
Clin Oral Implants Res. 2018 Oct;29 Suppl 16:416-435
pubmed: 30328191
Int J Implant Dent. 2020 Nov 24;6(1):78
pubmed: 33230662
Int J Implant Dent. 2021 May 27;7(1):52
pubmed: 34041613
Med Biol Eng Comput. 2019 Jan;57(1):47-57
pubmed: 29967935
Clin Oral Implants Res. 2012 Apr;23(4):416-23
pubmed: 22092586
Clin Oral Implants Res. 2003 Jun;14(3):340-8
pubmed: 12755784
Oral Maxillofac Surg Clin North Am. 2019 Nov;31(4):539-547
pubmed: 31563194
Oral Maxillofac Surg Clin North Am. 2011 May;23(2):239-56, v-vi
pubmed: 21492799
Int J Oral Maxillofac Implants. 2018 Mar/Apr;33(2):383-388
pubmed: 29534126
J Clin Periodontol. 2014 Jul;41(7):717-23
pubmed: 24460748
J Clin Med. 2020 Feb 04;9(2):
pubmed: 32033089
Clin Oral Implants Res. 2018 Oct;29 Suppl 16:224-240
pubmed: 30328183
Periodontol 2000. 2014 Oct;66(1):214-27
pubmed: 25123770
Int J Oral Maxillofac Implants. 2014;29 Suppl:186-215
pubmed: 24660198
Clin Oral Implants Res. 2015 Aug;26(8):882-890
pubmed: 24837492
Int J Oral Maxillofac Implants. 2014;29 Suppl:25-42
pubmed: 24660188
J Craniomaxillofac Surg. 2001 Oct;29(5):276-81
pubmed: 11673922
Clin Oral Implants Res. 2005 Aug;16(4):495-501
pubmed: 16117776
Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Apr;121(4):425-33
pubmed: 26972541
Int J Oral Maxillofac Implants. 2018 Nov/Dec;33(6):1213-1218
pubmed: 30427951
J Oral Maxillofac Surg. 2017 Jul;75(7):1377-1386
pubmed: 28384461
J Oral Maxillofac Surg. 2004 Sep;62(9 Suppl 2):116-9
pubmed: 15332188
J Craniofac Surg. 2015 Sep;26(6):e549-50
pubmed: 26352363
J Periodontol. 2006 Dec;77(12):1933-43
pubmed: 17209776
Oral Maxillofac Surg Clin North Am. 2019 Aug;31(3):513-518
pubmed: 31103316
Br J Oral Maxillofac Surg. 2005 Aug;43(4):294-302
pubmed: 15993282
Implant Dent. 2006 Jun;15(2):135-42
pubmed: 16766895
Clin Implant Dent Relat Res. 2012 Jun;14(3):321-35
pubmed: 20491822
Int J Implant Dent. 2021 Apr 30;7(1):45
pubmed: 33928447
Angle Orthod. 2017 Sep;87(5):782-787
pubmed: 28459285
IEEE Trans Biomed Eng. 2014 Apr;61(4):1295-304
pubmed: 24658253
Int J Comput Dent. 2021 Feb 26;24(1):9-17
pubmed: 34006059
Clin Oral Implants Res. 2020 Jul;31(7):595-606
pubmed: 32147872
Implant Dent. 2006 Mar;15(1):41-7
pubmed: 16569960
Periodontol 2000. 2017 Feb;73(1):121-133
pubmed: 28000275
Int J Oral Maxillofac Implants. 2018 Nov/Dec;33(6):1219-1228
pubmed: 30427952
Periodontol 2000. 2017 Feb;73(1):7-21
pubmed: 28000280
Int J Med Phys Clin Eng Radiat Oncol. 2018 May;7(2):173-183
pubmed: 29951344
Int J Oral Maxillofac Implants. 2007 Sep-Oct;22(5):785-90
pubmed: 17974114
J Oral Maxillofac Surg. 2016 Feb;74(2):269-77
pubmed: 26452429
Ann Anat. 2019 Sep;225:1-10
pubmed: 31063802
Med Oral Patol Oral Cir Bucal. 2019 Jan 1;24(1):e76-e83
pubmed: 30573712
IEEE Trans Med Imaging. 1998 Oct;17(5):842-52
pubmed: 9874310
Br Dent J. 2019 Jan 25;226(2):101-108
pubmed: 30679852
Clin Oral Implants Res. 2005 Feb;16(1):60-8
pubmed: 15642032
Clin Oral Implants Res. 2012 Oct;23 Suppl 6:112-23
pubmed: 23062136
Int J Oral Maxillofac Implants. 2006 May-Jun;21(3):465-70
pubmed: 16796293

Auteurs

Robert Stünkel (R)

Department of Maxillofacial Surgery, Georg August University, Göttingen, Germany.

Alexander-Nicolai Zeller (AN)

Department of Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany. Zeller.Alexander@mh-hannover.de.
ORCID: 0000-0002-9963-1114

Thomas Bohne (T)

Dental Practice, Northeim, Germany.

Florian Böhrnsen (F)

Department of Maxillofacial Surgery, Georg August University, Göttingen, Germany.

Edris Wedi (E)

Department of Gastroenterology and Gastrointestinal Oncology, Interdisciplinary Endoscopy, University Medical Center, Georg August University, Göttingen, Germany.

David Raschke (D)

Department of Maxillofacial Surgery, Georg August University, Göttingen, Germany.

Philipp Kauffmann (P)

Department of Maxillofacial Surgery, Georg August University, Göttingen, Germany.

Articles similaires

Correction of a Golf Club Deformity of the Femur Using a Computer-Assisted Circular Ring Fixator: A Case Report.

Margaret A Goodwin, Brady P Moore, John C Hagedorn
1.00
Humans Male Femoral Fractures Surgery, Computer-Assisted Osteotomy

Effect of soft tissue thickness on accuracy of conventional and digital implant impression techniques.

Eman Mostafa Awad, Mohamed Maamoun ElSheikh, Azza Abd El Moneim El-Segai
1.00
Dental Impression Technique Humans Dental Implants Computer-Aided Design Dental Impression Materials

Advances in the development and application of non-contact intraoperative image access systems.

Zhengnan Liu, Chengrun Li, Jixing Lin et al.
1.00
Humans Surgery, Computer-Assisted Operating Rooms Image Processing, Computer-Assisted Intraoperative Period

Feasibility of augmented reality using dental arch-based registration applied to navigation in mandibular distraction osteogenesis: a phantom experiment.

Shi-Xi He, Cheng Ma, Zong-Yi Yuan et al.
1.00
Osteogenesis, Distraction Humans Feasibility Studies Augmented Reality Mandible

Classifications MeSH

questionsmedicales.fr › Sciences de l'information › Affichage de données › Infographie › Conception assistée par ordinateur › Accuracy of intraoral real-time navigation...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Tomographie › Tomographie à rayons X › Tomodensitométrie › Tomodensitométrie à faisceau conique › Accuracy of intraoral real-time navigation...
questionsmedicales.fr › Pose d'implant dentaire › Pose d'implant dentaire endo-osseux › Accuracy of intraoral real-time navigation...
questionsmedicales.fr › Technologie, industrie et agriculture › Produits manufacturés › Matériaux biomédicaux et dentaires › Matériaux dentaires › Implants dentaires › Accuracy of intraoral real-time navigation...
questionsmedicales.fr › Procédures de chirurgie opératoire › Chirurgie assistée par ordinateur › Accuracy of intraoral real-time navigation...