Comparative evaluation of the virtual planned position and actual position of implant in mandibular posterior region using a DIOnavi system
An in-vivo study
Keywords:
dental implants, accuracy, computer-guided surgery, implant position, displacement measurementAbstract
Statement of problem: Implant placement in the mandibular posterior regions is often challenging because of limited space and insufficient accessibility. Purpose: The purpose of this clinical study was to investigate the accuracy of computer-guided surgery with a long drill key to place implants in the mandibular posterior regions. Material and methods: Computer-guided implant surgery was performed for 15 participants requiring implants in mandibular posterior region. This procedure involved using 6mm long drill key to guide the 2.0 mm diameter drill. The planned and placed implant position were scanned and superimposed to evaluate the accuracy of the guide. Results: A total of 15 implants were place where the mean linear deviation was 0.4 mm (range, 0.15 to 1.30 mm) for the implant shoulder and 0.45 mm (range, 0 to 1.48 mm) for the implant apex. The mean angular deviation was 1.4 degrees (0.38 to 4.89 degrees). The mean depth deviation was 0.61 mm (0.10 to 1.85 mm). The differences between virtually planned implants and actual positions of the implants were statistically significant for all variables (P<.05).
Downloads
References
Askary AS, Meffert RM, Griffin T. Why do dental implants fail? Part I. Implant Dent 1999; 8:173–185.
Askary AS, Meffert RM, Griffin T. Why do dental implants fail? Part II. Implant Dent 1999; 8:265–277.
Lal K, White GS, Morea DN, Wright RF. Use of stereolithographic templates for surgical and prosthodontic implant planning and placement. Part I. The concept. J Prosthodont 2006; 15:51–58.
Lal K, White GS, Morea DN, Wright RF. Use of stereolithographic templates for surgical and prosthodontic implant planning and placement. Part II. A clinical report. J Prosthodont 2006; 15:117–122
Colombo, M., Mangano, C., Mijiritsky, E. et al. Clinical applications and effectiveness of guided implant surgery: a critical review based on randomized controlled trials. BMC Oral Health 17, 150(2017)
Verstreken K, Van Cleynenbreugel J, Marchal G, Naert I, Suetens P, van Steenberghe D. Computer-assisted planning of oral implant surgery: a three-dimensional approach. Int J Oral Maxillofac Implants 1996; 11:806–810.
Arisan V, Karabuda CZ, Ozdemir T. Implant surgery using bone- and mucosa-supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques. Clin Oral Implants Res 2010; 21:980–988.
Vercruyssen, M., Jacobs, R., van Assche, N. & van Steenberghe, D. (2008) The use of CT scan based planning for oral rehabilitation by means of implants and its transfer to the surgical field: a critical review on accuracy. Journal of Oral Rehabilitation 35: 454–474.
Jung, R.E., Schneider, D., Ganeles, J., Wismeijer, D., Zwahlen, M., H€ammerle, C.H. &Tahmaseb, A. (2009) Computer technology applications in surgical implant dentistry: a systematic review. International Journal of Oral & Maxillofacial Implants 24: 92–109
Vercruyssen, M., Coucke, W., Naert, I., Jacobs, R. &Quirynen, M.. (2014a) Depth and lateral deviations in guided implant surgery: an RCT comparing guided surgery with mental navigation 1 or the use of a pilot-drill template. Clinical Oral Implants Research doi:10.1111/clr.12460. [Epub ahead of print]
Vercruyssen, M., Cox, C., Coucke, W., Naert, I., Jacobs, R. &Quirynen, M. (2014b) An RCT comparing guided implant surgery (bone or mucosa supported) with mental navigation or the use of a pilot-drill template. Journal of Clinical Periodontology 41: 717–723.
Vercruyssen, M., De Laat, A., Coucke, W. &Quirynen, M. (2014c) An RCT comparing patient-centred outcome variables of guided surgery (bone or mucosa supported) with conventional implant placement. Journal of Clinical Periodontology 41: 724–732.
Vercruyssen, M., Fortin, T., Widmann, G., Jacobs, R. &Quirynen, M. (2014d) Different techniques of static/dynamic guided implant surgery: modalities and indications. Periodontology 2000 66: 214–227
Abduo J, Lyons K, Bennamoun M. Trends in computer-aided manufacturing in prosthodontics: a review of the available streams. Int J Dent. 2014;2014: 783948.
Bover-Ramos F, Vina-Almunia J, Cervera-Ballester J, Penarrocha-Diago M, Garcia-Mira B. Accuracy of implant placement with computer-guided surgery: a systematic review and meta-analysis comparing cadaver, clinical, and in vitro studies. Int J Oral Maxillofac Implants. 2018;33:101–15.
Pozzi A, Polizzi G, Moy PK. Guided surgery with tooth-supported templates for single missing teeth: a critical review. Eur J Oral Implantol. 2016;9:135–53.
Schulz MC, Hofmann F, Range U, Lauer G, Haim D. Pilot-drill guided vs fullguided implant insertion in artificial mandibles-a prospective laboratory study in fifth-year dental students. Int J Implant Dent. 2019;5:23.
Maintz JB, Viergever MA. A survey of medical image registration. Med Image Anal. 1998;2(1):1–36.
Flügge T, Derksen W, Te Poel J, Hassan B, Nelson K, Wismeijer D. Registration of cone beam computed tomography data and intraoral surface scans - a prerequisite for guided implant surgery with CAD/CAM drilling guides. Clin Oral Implants Res. 2017;28(9):1113–8
Widmann G, Berggren JP, Fischer B, Pichler-Dennhardt AR, Schullian P, Bale R, Puelacher W. Accuracy of image-fusion Stereolithographic guides: mapping CT data with three-dimensional optical surface scanning. Clin Implant Dent Relat Res. 2015;17(Suppl 2):e736–44
Hassan B, Couto Souza P, Jacobs R, de AzambujaBerti S, van der Stelt P. Influence of scanning and reconstruction parameters on quality of three-dimensional surface models of the dental arches from cone beam computed tomography. Clin Oral Investig 2010; 14: 303–310.
Spin-Neto R, Gotfredsen E, Wenzel A. Impact of voxel size variation on CBCT-based diagnostic outcome in dentistry: a systematic review. J Digit Imaging 2013; 26: 813–820.
Widmann G, Bale R J. Accuracy in computer-aided implant surgerya review. Int J Oral Maxillofac Implants 2006; 21: 305–313.
Pettersson A, Komiyama A, Hultin M, Nasstrom K, Klinge B. Accuracy of virtually planned and template guided implant surgery on edentate patients. Clin Implant Dent Relat Res 2012; 14: 527–537.
Van Assche N, Vercruyssen M, Coucke W, Teughels W, Jacobs R, Quirynen M. Accuracy of computer-aided implant placement. Clin Oral Implants Res 2012; 23 Suppl 6: 112–123.
Valente F, Schiroli G, Sbrenna A. Accuracy of computer-aided oral implant surgery: a clinical and radiographic study. Int J Oral Maxillofac Implants 2009; 24: 234–242.
Schneider D, Schober F, Grohmann P, Hammerle C H, Jung R E. In-vitro evaluation of the tolerance of surgical instruments in templates for computer-assisted guided implantology produced by 3D printing. Clin Oral Implants Res 2015; 26: 320–325.
Bencharit S, Staffen A, Yeung M, Whitley D, 3rd, Laskin D M, Deeb G R. In Vivo Tooth-Supported Implant Surgical Guides Fabricated With Desktop Stereolithographic Printers: Fully Guided Surgery Is More Accurate Than Partially Guided Surgery. J Oral MaxillofacSurg 2018; 76: 1431–1439.
Younes F, Cosyn J, De Bruyckere T, Cleymaet R, Bouckaert E, Eghbali A. A randomized controlled study on the accuracy of free-handed, pilot-drill guided and fully guided implant surgery in partially edentulous patients. J Clin Periodontol 2018; 45: 721–732.
Ozan O, Turkyilmaz I, Yilmaz B. A preliminary report of patients treated with early loaded implants using computerized tomography-guided surgical stents: flapless versus conventional flapped surgery. J Oral Rehabil 2007; 34: 835–840.
Ozan O, Turkyilmaz I, Ersoy A E, McGlumphy E A, Rosenstiel S F. Clinical accuracy of 3 different types of computed tomography-derived stereolithographic surgical guides in implant placement. J Oral MaxillofacSurg 2009; 67: 394–401.
Kauffmann P, Rau A, Engelke W et al. Accuracy of Navigation-Guided Dental Implant Placement with Screw Versus Hand Template Fixation in the Edentulous Mandible. Int J Oral Maxillofac Implants 2018; 33: 383–388
Tahmaseb A, Wismeijer D, Coucke W, Derksen W. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants 2014; 29 Suppl: 25–42.
Vermeulen J. The Accuracy of Implant Placement by Experienced Surgeons: Guided vs Freehand Approach in a Simulated Plastic Model. Int J Oral Maxillofac Implants 2017; 32: 617–624.
Hultin M, Svensson K G, Trulsson M. Clinical advantages of computer-guided implant placement: a systematic review. Clin Oral Implants Res 2012; 23 Suppl 6: 124–135
Cristache CM, Gurbanescu S. Accuracy evaluation of a stereolithographic surgical template for dental implant insertion using 3D superimposition protocol. Int J Dent 2017;2017:4292081.
Shen P, Zhao J, Fan L, Qiu H, Xu W, Wang Y, et al. Accuracy evaluation of computer-designed surgical guide template in oral implantology. J CraniomaxillofacSurg2015;43:2189-94.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2022). Post-pandemic health and its sustainability: Educational situation. International Journal of Health Sciences, 6(1), i-v. https://doi.org/10.53730/ijhs.v6n1.5949
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
