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An advanced navigational surgery system for dental implants completed in a single visit: an in vitro study.

Identifieur interne : 001438 ( Ncbi/Merge ); précédent : 001437; suivant : 001439

An advanced navigational surgery system for dental implants completed in a single visit: an in vitro study.

Auteurs : Sung-Goo Kim [Corée du Sud] ; Woo-Jin Lee [Corée du Sud] ; Sam-Sun Lee [Corée du Sud] ; Min-Suk Heo [Corée du Sud] ; Kyung-Hoe Huh [Corée du Sud] ; Soon-Chul Choi [Corée du Sud] ; Tae-Il Kim [Corée du Sud] ; Won-Jin Yi [Corée du Sud]

Source :

RBID : pubmed:25434287

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English descriptors

Abstract

In this study, we have developed an advanced navigational implant surgery system to overcome some disadvantages of the conventional method and have evaluated the accuracy of the system under in vitro environment. The patient splint for registration and tracking was improvised using a bite splint without laboratory work and the offset of an exchanged drill was calibrated directly without pivoting during surgery. The mean target registration errors (TRE) were 0.35 ± 0.11 mm using the registration body, 0.34 ± 0.18 mm for the registration method with prerecorded fiducials, and 0.35 ± 0.16 mm for the direct calibration of a drill offset. The mean positional deviations between the planned and placed implants in 110 implant surgeries were 0.41 ± 0.12 mm at the center point of the platform and 0.56 ± 0.14 mm at the center point of the apex. The mean angular deviation was 2.64°± 1.31 for the long axis of the implant. In conclusion, the developed system exhibited high accuracy, and the improved tools and simplified procedures increased the convenience and availability. With this advanced approach, it will be possible to complete dental implant surgery during a single visit at local clinics using a navigational guidance involving cone-beam computed tomographic images.

DOI: 10.1016/j.jcms.2014.10.022
PubMed: 25434287

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<term>Surgery, Computer-Assisted</term>
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<term>Surgery, Computer-Assisted</term>
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<term>Algorithms</term>
<term>Calibration</term>
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<term>Enregistrement des rapports intermaxillaires</term>
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<div type="abstract" xml:lang="en">In this study, we have developed an advanced navigational implant surgery system to overcome some disadvantages of the conventional method and have evaluated the accuracy of the system under in vitro environment. The patient splint for registration and tracking was improvised using a bite splint without laboratory work and the offset of an exchanged drill was calibrated directly without pivoting during surgery. The mean target registration errors (TRE) were 0.35 ± 0.11 mm using the registration body, 0.34 ± 0.18 mm for the registration method with prerecorded fiducials, and 0.35 ± 0.16 mm for the direct calibration of a drill offset. The mean positional deviations between the planned and placed implants in 110 implant surgeries were 0.41 ± 0.12 mm at the center point of the platform and 0.56 ± 0.14 mm at the center point of the apex. The mean angular deviation was 2.64°± 1.31 for the long axis of the implant. In conclusion, the developed system exhibited high accuracy, and the improved tools and simplified procedures increased the convenience and availability. With this advanced approach, it will be possible to complete dental implant surgery during a single visit at local clinics using a navigational guidance involving cone-beam computed tomographic images.</div>
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<AbstractText>In this study, we have developed an advanced navigational implant surgery system to overcome some disadvantages of the conventional method and have evaluated the accuracy of the system under in vitro environment. The patient splint for registration and tracking was improvised using a bite splint without laboratory work and the offset of an exchanged drill was calibrated directly without pivoting during surgery. The mean target registration errors (TRE) were 0.35 ± 0.11 mm using the registration body, 0.34 ± 0.18 mm for the registration method with prerecorded fiducials, and 0.35 ± 0.16 mm for the direct calibration of a drill offset. The mean positional deviations between the planned and placed implants in 110 implant surgeries were 0.41 ± 0.12 mm at the center point of the platform and 0.56 ± 0.14 mm at the center point of the apex. The mean angular deviation was 2.64°± 1.31 for the long axis of the implant. In conclusion, the developed system exhibited high accuracy, and the improved tools and simplified procedures increased the convenience and availability. With this advanced approach, it will be possible to complete dental implant surgery during a single visit at local clinics using a navigational guidance involving cone-beam computed tomographic images.</AbstractText>
<CopyrightInformation>Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
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<Affiliation>Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Huh</LastName>
<ForeName>Kyung-Hoe</ForeName>
<Initials>KH</Initials>
<AffiliationInfo>
<Affiliation>Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Choi</LastName>
<ForeName>Soon-Chul</ForeName>
<Initials>SC</Initials>
<AffiliationInfo>
<Affiliation>Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kim</LastName>
<ForeName>Tae-Il</ForeName>
<Initials>TI</Initials>
<AffiliationInfo>
<Affiliation>Department of Periodontology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea. Electronic address: periopf@snu.ac.kr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Yi</LastName>
<ForeName>Won-Jin</ForeName>
<Initials>WJ</Initials>
<AffiliationInfo>
<Affiliation>Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea. Electronic address: wjyi@snu.ac.kr.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>11</Month>
<Day>05</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>Scotland</Country>
<MedlineTA>J Craniomaxillofac Surg</MedlineTA>
<NlmUniqueID>8704309</NlmUniqueID>
<ISSNLinking>1010-5182</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>D</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000465" MajorTopicYN="N">Algorithms</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D059925" MajorTopicYN="N">Anatomic Landmarks</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002138" MajorTopicYN="N">Calibration</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D054893" MajorTopicYN="N">Cone-Beam Computed Tomography</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004867" MajorTopicYN="N">Equipment Design</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D057918" MajorTopicYN="N">Fiducial Markers</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D021621" MajorTopicYN="N">Imaging, Three-Dimensional</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007574" MajorTopicYN="N">Jaw Relation Record</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008348" MajorTopicYN="N">Manikins</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008953" MajorTopicYN="N">Models, Anatomic</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D017090" MajorTopicYN="N">Occlusal Splints</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D025321" MajorTopicYN="N">Surgery, Computer-Assisted</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">All-in-one visit surgery</Keyword>
<Keyword MajorTopicYN="N">Cone-beam computed tomography</Keyword>
<Keyword MajorTopicYN="N">Image-guided surgery</Keyword>
<Keyword MajorTopicYN="N">Improvised splint</Keyword>
<Keyword MajorTopicYN="N">Navigational implant surgery</Keyword>
<Keyword MajorTopicYN="N">Reusable registration body</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2014</Year>
<Month>05</Month>
<Day>02</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2014</Year>
<Month>07</Month>
<Day>31</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2014</Year>
<Month>10</Month>
<Day>22</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2014</Year>
<Month>12</Month>
<Day>2</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2014</Year>
<Month>12</Month>
<Day>2</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2016</Year>
<Month>3</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">25434287</ArticleId>
<ArticleId IdType="pii">S1010-5182(14)00299-6</ArticleId>
<ArticleId IdType="doi">10.1016/j.jcms.2014.10.022</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Corée du Sud</li>
</country>
<region>
<li>Région capitale de Séoul</li>
</region>
<settlement>
<li>Séoul</li>
</settlement>
<orgName>
<li>Université nationale de Séoul</li>
</orgName>
</list>
<tree>
<country name="Corée du Sud">
<noRegion>
<name sortKey="Kim, Sung Goo" sort="Kim, Sung Goo" uniqKey="Kim S" first="Sung-Goo" last="Kim">Sung-Goo Kim</name>
</noRegion>
<name sortKey="Choi, Soon Chul" sort="Choi, Soon Chul" uniqKey="Choi S" first="Soon-Chul" last="Choi">Soon-Chul Choi</name>
<name sortKey="Heo, Min Suk" sort="Heo, Min Suk" uniqKey="Heo M" first="Min-Suk" last="Heo">Min-Suk Heo</name>
<name sortKey="Huh, Kyung Hoe" sort="Huh, Kyung Hoe" uniqKey="Huh K" first="Kyung-Hoe" last="Huh">Kyung-Hoe Huh</name>
<name sortKey="Kim, Tae Il" sort="Kim, Tae Il" uniqKey="Kim T" first="Tae-Il" last="Kim">Tae-Il Kim</name>
<name sortKey="Lee, Sam Sun" sort="Lee, Sam Sun" uniqKey="Lee S" first="Sam-Sun" last="Lee">Sam-Sun Lee</name>
<name sortKey="Lee, Woo Jin" sort="Lee, Woo Jin" uniqKey="Lee W" first="Woo-Jin" last="Lee">Woo-Jin Lee</name>
<name sortKey="Yi, Won Jin" sort="Yi, Won Jin" uniqKey="Yi W" first="Won-Jin" last="Yi">Won-Jin Yi</name>
</country>
</tree>
</affiliations>
</record>

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