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Depth and lateral deviations in guided implant surgery: an RCT comparing guided surgery with mental navigation or the use of a pilot-drill template.

Identifieur interne : 000145 ( PubMed/Checkpoint ); précédent : 000144; suivant : 000146

Depth and lateral deviations in guided implant surgery: an RCT comparing guided surgery with mental navigation or the use of a pilot-drill template.

Auteurs : M. Vercruyssen [Belgique] ; W. Coucke [Belgique] ; I. Naert [Belgique] ; R. Jacobs [Belgique] ; W. Teughels [Belgique] ; M. Quirynen [Belgique]

Source :

RBID : pubmed:25179585

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English descriptors

Abstract

To assess the accuracy of guided surgery compared with mental navigation or the use of a pilot-drill template in fully edentulous patients.

DOI: 10.1111/clr.12460
PubMed: 25179585


Affiliations:


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pubmed:25179585

Le document en format XML

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<term>Dental Implantation (standards)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw (surgery)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chirurgie assistée par ordinateur ()</term>
<term>Chirurgie assistée par ordinateur (normes)</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire ()</term>
<term>Mâle</term>
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<term>Résultat thérapeutique</term>
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<term>Dental Implants</term>
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<term>Dental Implantation</term>
<term>Surgery, Computer-Assisted</term>
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<term>Chirurgie assistée par ordinateur</term>
<term>Pose d'implant dentaire</term>
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<term>Dental Implantation</term>
<term>Surgery, Computer-Assisted</term>
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<term>Aged</term>
<term>Dental Prosthesis Design</term>
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<term>Adulte d'âge moyen</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire</term>
<term>Mâle</term>
<term>Pose d'implant dentaire</term>
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<front>
<div type="abstract" xml:lang="en">To assess the accuracy of guided surgery compared with mental navigation or the use of a pilot-drill template in fully edentulous patients.</div>
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<Month>02</Month>
<Day>06</Day>
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<Month>Nov</Month>
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<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
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<ArticleTitle>Depth and lateral deviations in guided implant surgery: an RCT comparing guided surgery with mental navigation or the use of a pilot-drill template.</ArticleTitle>
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<AbstractText Label="AIM" NlmCategory="OBJECTIVE">To assess the accuracy of guided surgery compared with mental navigation or the use of a pilot-drill template in fully edentulous patients.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Sixty consecutive patients (72 jaws), requiring four to six implants (maxilla or mandible), were randomly assigned to one of the following treatment modalities: Materialise Universal(®) mucosa, Materialise Universal(®) bone, Facilitate(™) mucosa, Facilitate(™) bone, mental navigation, or a pilot-drill template. Accuracy was assessed by matching the planning CT with a postoperative CBCT. Deviations were registered in a vertical (depth) and horizontal (lateral) plane. The latter further subdivided into BL (bucco-lingual) and MD (mesio-distal) deviations.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The overall mean vertical deviation for the guided surgery groups was 0.9 mm ± 0.8 (range: 0.0-3.7) and 0.9 mm ± 0.6 (range: 0.0-2.9) in a horizontal direction. For the non-guided groups, this was 1.7 mm ± 1.3 (range: 0.0-6.4) and 2.1 mm ± 1.4 (range 0.0-8.5), respectively (P < 0.05). The overall mean deviation for the guided surgery groups in MD direction was 0.6 mm ± 0.5 (range: 0.0-2.5) and 0.5 mm ± 0.5 (range: 0.0-2.9) in BL direction. For the non-guided groups, this was 1.8 mm ± 1.4 (range: 0.0-8.3) and 0.7 mm ± 0.6 (range 0.0-2.9), respectively. The deviation in MD direction was significantly higher in the non-guided groups (P = 0.0002).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The most important inaccuracy with guided surgery is in vertical direction (depth). The inaccuracy in MD or BL direction is clearly less. For non-guided surgery, the inaccuracy is significantly higher.</AbstractText>
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