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A clinically relevant accuracy study of computer-planned implant placement in the edentulous maxilla using mucosa-supported surgical templates.

Identifieur interne : 000104 ( PubMed/Corpus ); précédent : 000103; suivant : 000105

A clinically relevant accuracy study of computer-planned implant placement in the edentulous maxilla using mucosa-supported surgical templates.

Auteurs : Luc M. Verhamme ; Gert J. Meijer ; Tiny Boumans ; Anton F J. De Haan ; Stefaan J. Bergé ; Thomas J J. Maal

Source :

RBID : pubmed:23879524

English descriptors

Abstract

The purpose of the study is to determine the clinically relevant accuracy of implant placement in the edentulous maxilla using computer planning and a mucosa-supported surgical template.

DOI: 10.1111/cid.12112
PubMed: 23879524

Links to Exploration step

pubmed:23879524

Le document en format XML

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<title xml:lang="en">A clinically relevant accuracy study of computer-planned implant placement in the edentulous maxilla using mucosa-supported surgical templates.</title>
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<name sortKey="Verhamme, Luc M" sort="Verhamme, Luc M" uniqKey="Verhamme L" first="Luc M" last="Verhamme">Luc M. Verhamme</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</nlm:affiliation>
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<author>
<name sortKey="Meijer, Gert J" sort="Meijer, Gert J" uniqKey="Meijer G" first="Gert J" last="Meijer">Gert J. Meijer</name>
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<name sortKey="Boumans, Tiny" sort="Boumans, Tiny" uniqKey="Boumans T" first="Tiny" last="Boumans">Tiny Boumans</name>
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<name sortKey="De Haan, Anton F J" sort="De Haan, Anton F J" uniqKey="De Haan A" first="Anton F J" last="De Haan">Anton F J. De Haan</name>
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<author>
<name sortKey="Berge, Stefaan J" sort="Berge, Stefaan J" uniqKey="Berge S" first="Stefaan J" last="Bergé">Stefaan J. Bergé</name>
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<author>
<name sortKey="Maal, Thomas J J" sort="Maal, Thomas J J" uniqKey="Maal T" first="Thomas J J" last="Maal">Thomas J J. Maal</name>
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<title xml:lang="en">A clinically relevant accuracy study of computer-planned implant placement in the edentulous maxilla using mucosa-supported surgical templates.</title>
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<name sortKey="Verhamme, Luc M" sort="Verhamme, Luc M" uniqKey="Verhamme L" first="Luc M" last="Verhamme">Luc M. Verhamme</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</nlm:affiliation>
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<name sortKey="Meijer, Gert J" sort="Meijer, Gert J" uniqKey="Meijer G" first="Gert J" last="Meijer">Gert J. Meijer</name>
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<name sortKey="Boumans, Tiny" sort="Boumans, Tiny" uniqKey="Boumans T" first="Tiny" last="Boumans">Tiny Boumans</name>
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<author>
<name sortKey="De Haan, Anton F J" sort="De Haan, Anton F J" uniqKey="De Haan A" first="Anton F J" last="De Haan">Anton F J. De Haan</name>
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<author>
<name sortKey="Berge, Stefaan J" sort="Berge, Stefaan J" uniqKey="Berge S" first="Stefaan J" last="Bergé">Stefaan J. Bergé</name>
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<author>
<name sortKey="Maal, Thomas J J" sort="Maal, Thomas J J" uniqKey="Maal T" first="Thomas J J" last="Maal">Thomas J J. Maal</name>
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<series>
<title level="j">Clinical implant dentistry and related research</title>
<idno type="eISSN">1708-8208</idno>
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<date when="2015" type="published">2015</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Cone-Beam Computed Tomography</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Patient Care Planning</term>
<term>Prospective Studies</term>
<term>Prosthesis Fitting</term>
<term>Surgery, Computer-Assisted (methods)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Cone-Beam Computed Tomography</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Patient Care Planning</term>
<term>Prospective Studies</term>
<term>Prosthesis Fitting</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">The purpose of the study is to determine the clinically relevant accuracy of implant placement in the edentulous maxilla using computer planning and a mucosa-supported surgical template.</div>
</front>
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<PMID Version="1">23879524</PMID>
<DateCompleted>
<Year>2016</Year>
<Month>12</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>30</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1708-8208</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>17</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2015</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
</Journal>
<ArticleTitle>A clinically relevant accuracy study of computer-planned implant placement in the edentulous maxilla using mucosa-supported surgical templates.</ArticleTitle>
<Pagination>
<MedlinePgn>343-52</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/cid.12112</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of the study is to determine the clinically relevant accuracy of implant placement in the edentulous maxilla using computer planning and a mucosa-supported surgical template.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">In each of in total 30 consecutive edentulous patients suffering from retention problems of their upper denture, two or four Brånemark MkIII Groovy (Nobel Biocare®, Zürich, Switzerland) implants in the maxilla were installed. Preoperatively, first, a cone-beam computer tomography (cone beam computer tomography) scan was acquired, followed by virtual implant planning. Hereafter, a surgical template was designed to allow flapless implant placement using the template as a guide. To inventory the accuracy of implant placement, a postoperative CBCT scan was obtained and matched to the preoperative scan. The accuracy of implant placement was validated three-dimensionally. The Implant Position Orthogonal Projection validation method was applied to measure the clinically relevant implant deviations (i.e., in both the bucco-lingual and mesio-distal plane). Also, the influence of type of surgery, use of fixation pins, and position on the dental arch were investigated with regard to implant deviations.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In total, 104 implants were installed. In bucco-lingual direction, a mean implant deviation of 0.67 mm was scored at the implant tip, of 0.51 mm at the shoulder, of -0.83 mm in depth, as also a mean deviation of angulation of 1.74°. In mesio-distal direction, a mean implant deviation of 0.75 mm was found at the implant tip, of 0.60 mm at the implant shoulder, of -0.75 mm in depth, and a deviation of angulation of 1.94°. Of all implants, 74% was placed not deep enough compared with the planning. Implant position on the dental arch, the use of fixation pins, and type of surgery showed no significant effect on implant deviations. However, a significant difference for implant deviations in both buccal and mesial direction was observed, explained by a nonoptimal positioning of the surgical template.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Computer-aided implant planning showed to be a clinically relevant tool for the placement of two or four implants in the maxilla of fully edentulous patients. Exact positioning of the surgical template in anterior/posterior direction is crucial in reducing implant deviations both in buccal and mesial direction.</AbstractText>
<CopyrightInformation>© 2013 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Verhamme</LastName>
<ForeName>Luc M</ForeName>
<Initials>LM</Initials>
<AffiliationInfo>
<Affiliation>Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</Affiliation>
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<LastName>Meijer</LastName>
<ForeName>Gert J</ForeName>
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<LastName>Maal</LastName>
<ForeName>Thomas J J</ForeName>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2013</Year>
<Month>07</Month>
<Day>24</Day>
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<Country>United States</Country>
<MedlineTA>Clin Implant Dent Relat Res</MedlineTA>
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<ISSNLinking>1523-0899</ISSNLinking>
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<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
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<DescriptorName UI="D054893" MajorTopicYN="N">Cone-Beam Computed Tomography</DescriptorName>
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<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName>
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<DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
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<DescriptorName UI="D003824" MajorTopicYN="N">Denture, Complete</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010347" MajorTopicYN="N">Patient Care Planning</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D017755" MajorTopicYN="N">Prosthesis Fitting</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D025321" MajorTopicYN="N">Surgery, Computer-Assisted</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">cone-beam CT</Keyword>
<Keyword MajorTopicYN="N">implant placement</Keyword>
<Keyword MajorTopicYN="N">implantology</Keyword>
<Keyword MajorTopicYN="N">oral and maxillofacial surgery</Keyword>
<Keyword MajorTopicYN="N">validation</Keyword>
<Keyword MajorTopicYN="N">validation method</Keyword>
<Keyword MajorTopicYN="N">virtual implant planning</Keyword>
</KeywordList>
</MedlineCitation>
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<Year>2013</Year>
<Month>7</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline">
<Year>2016</Year>
<Month>12</Month>
<Day>29</Day>
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<Minute>0</Minute>
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</History>
<PublicationStatus>ppublish</PublicationStatus>
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