Feasibility of augmented reality using dental arch-based registration applied to navigation in mandibular distraction osteogenesis: a phantom experiment.
Augmented reality
Distraction osteogenesis
Mixed reality
Surgical navigation
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
30 Oct 2024
30 Oct 2024
Historique:
received:
21
06
2024
accepted:
23
10
2024
medline:
31
10
2024
pubmed:
31
10
2024
entrez:
31
10
2024
Statut:
epublish
Résumé
Distraction osteogenesis is a primary treatment for severe mandibular hypoplasia. Achieving the ideal mandible movement direction through precise distraction vector control is still a challenge in this surgery. Therefore, the aim of this study was to apply Optical See-Through (OST) Augmented Reality (AR) technology for intraoperative navigation during mandibular distractor installation and analyze the feasibility to evaluate the effectiveness of AR in a phantom experiment. Phantom was made of 3D-printed mandibular models based on preoperative CT scans and dental arch scans of real patients. Ten sets of 3D-printed mandible models were included in this study, with each set consisting of two identical mandible models assigned to the AR group and free-hand group. 10 sets of mandibular distraction osteogenesis surgical plans were designed using software, and the same set of plans was shared between the AR and free-hand groups. Surgeons performed bilateral mandibular distraction osteogenesis tasks under the guidance of AR navigation, or the reference of the preoperative surgical plan displayed on the computer screen. The differences in angular errors of distraction vectors and the distance errors of distractor positions under the guidance of the two methods were analyzed and compared. 40 distractors were implanted in both groups, with 20 cases in each. In intra-group comparisons between the left and right sides, the AR group exhibited a three-dimensional spatial angle error of 1.88 (0.59, 2.48) on the left and 2.71 (1.33, 3.55) on the right, with P = 0.085, indicating no significant bias in guiding surgery on both sides of the mandible. In comparisons between the AR group and the traditional free-hand (FH) group, the average angle error was 1.94 (1.30, 2.93) in the AR group and 5.06 (3.61, 9.22) in the free-hand group, with P < 0.0001, resulting in a 61.6% improvement in accuracy. The average displacement error was 1.53 ± 0.54 mm in the AR group and 3.56 ± 1.89 mm in the free-hand group, with P < 0.0001, indicating a 57% improvement in accuracy. Augmented Reality technology for intraoperative navigation in mandibular distraction osteogenesis is accurate and feasible. A large randomized controlled trial with long-term follow-up is needed to confirm these findings. The project has been registered with the Chinese Clinical Trial Registry, with registration number ChiCTR2300068417. Date of Registration: 17 February 2023.
Identifiants
pubmed: 39478554
doi: 10.1186/s12903-024-05105-9
pii: 10.1186/s12903-024-05105-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1321Subventions
Organisme : Guangxi Science and Technology Base and Talents Special Project
ID : 2021AC18031
Organisme : Guangxi Science and Technology Base and Talents Special Project
ID : 2021AC18031
Organisme : Guangxi Science and Technology Base and Talents Special Project
ID : 2021AC18031
Organisme : Guangxi Science and Technology Base and Talents Special Project
ID : 2021AC18031
Organisme : Guangxi Science and Technology Base and Talents Special Project
ID : 2021AC18031
Organisme : Guangxi Science and Technology Base and Talents Special Project
ID : 2021AC18031
Organisme : Guangxi Science and Technology Base and Talents Special Project
ID : 2021AC18031
Organisme : National Natural Science Foundation of China under Grant
ID : 82360187
Organisme : National Natural Science Foundation of China under Grant
ID : 82360187
Organisme : National Natural Science Foundation of China under Grant
ID : 82360187
Organisme : National Natural Science Foundation of China under Grant
ID : 82360187
Organisme : National Natural Science Foundation of China under Grant
ID : 82360187
Organisme : National Natural Science Foundation of China under Grant
ID : 82360187
Organisme : National Natural Science Foundation of China under Grant
ID : 82360187
Organisme : Guangxi Medical and health suitable technology development and popularization applications project
ID : S2021085
Organisme : Guangxi Medical and health suitable technology development and popularization applications project
ID : S2021085
Organisme : Guangxi Medical and health suitable technology development and popularization applications project
ID : S2021085
Organisme : Guangxi Medical and health suitable technology development and popularization applications project
ID : S2021085
Organisme : Guangxi Medical and health suitable technology development and popularization applications project
ID : S2021085
Organisme : Guangxi Medical and health suitable technology development and popularization applications project
ID : S2021085
Organisme : Guangxi Medical and health suitable technology development and popularization applications project
ID : S2021085
Organisme : Nanning Qingxiu District Science and Technology Plan
ID : 2021004
Organisme : Nanning Qingxiu District Science and Technology Plan
ID : 2021004
Organisme : Nanning Qingxiu District Science and Technology Plan
ID : 2021004
Organisme : Nanning Qingxiu District Science and Technology Plan
ID : 2021004
Organisme : Nanning Qingxiu District Science and Technology Plan
ID : 2021004
Organisme : Nanning Qingxiu District Science and Technology Plan
ID : 2021004
Organisme : Nanning Qingxiu District Science and Technology Plan
ID : 2021004
Informations de copyright
© 2024. The Author(s).
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