Accuracy of implant site preparation in robotic navigated dental implant surgery.


Journal

Clinical implant dentistry and related research
ISSN: 1708-8208
Titre abrégé: Clin Implant Dent Relat Res
Pays: United States
ID NLM: 100888977

Informations de publication

Date de publication:
Oct 2023
Historique:
revised: 05 05 2023
received: 29 12 2022
accepted: 09 05 2023
medline: 5 10 2023
pubmed: 18 5 2023
entrez: 18 5 2023
Statut: ppublish

Résumé

Modern technological advancements have led to increase in the development of surgical robots in dentistry, resulting in excellent clinical treatment outcomes. This study aimed to determine the accuracy of automatic robotic implant site preparation for different implant sizes by correlating planned and posttreatment positions, and to compare the performance of robotic and human freehand drilling. Seventy-six drilling sites on partially edentulous models were used, with three different implant sizes (Ø = 3.5 × 10 mm, 4.0 × 10 mm, 5.0 × 10 mm). The robotic procedure was performed using software for calibration and step-by-step drilling processes. After robotic drilling, deviations in the implant position from the planned position were determined. The angulation, depth, and coronal and apical diameters on the sagittal plane of sockets created by human and robotic drilling were measured. The deviation of the robotic system was 3.78° ± 1.97° (angulation), 0.58 ± 0.36 mm (entry point), and 0.99 ± 0.56 mm (apical point). Comparison of implant groups showed the largest deviation from the planned position for 5 mm implants. On the sagittal plane, there were no significant differences between robotic and human surgery except for the 5-mm implant angulation, indicating similar quality between human and robotic drilling. Based on standard implant measurements, robotic drilling exhibited comparable performance to freehand human drilling. A robotic surgical system can provide the greatest accuracy and reliability regarding the preoperative plan for small implant diameters. In addition, the accuracy of robotic drilling for anterior implant surgery can also be comparable to that of human drilling.

Sections du résumé

BACKGROUND BACKGROUND
Modern technological advancements have led to increase in the development of surgical robots in dentistry, resulting in excellent clinical treatment outcomes.
PURPOSE OBJECTIVE
This study aimed to determine the accuracy of automatic robotic implant site preparation for different implant sizes by correlating planned and posttreatment positions, and to compare the performance of robotic and human freehand drilling.
METHOD METHODS
Seventy-six drilling sites on partially edentulous models were used, with three different implant sizes (Ø = 3.5 × 10 mm, 4.0 × 10 mm, 5.0 × 10 mm). The robotic procedure was performed using software for calibration and step-by-step drilling processes. After robotic drilling, deviations in the implant position from the planned position were determined. The angulation, depth, and coronal and apical diameters on the sagittal plane of sockets created by human and robotic drilling were measured.
RESULTS RESULTS
The deviation of the robotic system was 3.78° ± 1.97° (angulation), 0.58 ± 0.36 mm (entry point), and 0.99 ± 0.56 mm (apical point). Comparison of implant groups showed the largest deviation from the planned position for 5 mm implants. On the sagittal plane, there were no significant differences between robotic and human surgery except for the 5-mm implant angulation, indicating similar quality between human and robotic drilling. Based on standard implant measurements, robotic drilling exhibited comparable performance to freehand human drilling.
CONCLUSIONS CONCLUSIONS
A robotic surgical system can provide the greatest accuracy and reliability regarding the preoperative plan for small implant diameters. In addition, the accuracy of robotic drilling for anterior implant surgery can also be comparable to that of human drilling.

Identifiants

pubmed: 37199055
doi: 10.1111/cid.13224
doi:

Substances chimiques

Dental Implants 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

881-891

Subventions

Organisme : Southern Taiwan Science Park Bureau, Ministry of Science and Technology (MOST)
ID : EX-03-06-08-111

Informations de copyright

© 2023 Wiley Periodicals LLC.

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Auteurs

Thu Ya Linn (TY)

School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan.

Eisner Salamanca (E)

School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan.

Lwin Moe Aung (LM)

School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan.

Ta-Ko Huang (TK)

School of Dentistry, Kaohsiung Medical University, Kaohsiung, Taiwan.
EPED Incorporation, Kaohsiung, Taiwan.

Yi-Fan Wu (YF)

School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan.

Wei-Jen Chang (WJ)

School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan.
Dental Department, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.

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