How does an error in positioning the template affect the accuracy of implants inserted using a single fixed mucosa-supported stereolithographic surgical guide?
Identifieur interne : 000569 ( PubMed/Corpus ); précédent : 000568; suivant : 000570How does an error in positioning the template affect the accuracy of implants inserted using a single fixed mucosa-supported stereolithographic surgical guide?
Auteurs : M. Cassetta ; A. Di Mambro ; M. Giansanti ; L V Stefanelli ; E. BarbatoSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2014.
English descriptors
- KwdEn :
- Computer-Aided Design, Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Instruments, Dental Prosthesis Design, Dimensional Measurement Accuracy, Female, Humans, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (surgery), Male, Middle Aged, Mouth Mucosa (surgery), Retrospective Studies, Software, Surgery, Computer-Assisted (instrumentation), Surgery, Computer-Assisted (methods), Tomography, X-Ray Computed.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Jaw, Edentulous.
- instrumentation : Dental Implantation, Endosseous, Surgery, Computer-Assisted.
- methods : Dental Implantation, Endosseous, Surgery, Computer-Assisted.
- surgery : Jaw, Edentulous, Mouth Mucosa.
- Computer-Aided Design, Dental Instruments, Dental Prosthesis Design, Dimensional Measurement Accuracy, Female, Humans, Male, Middle Aged, Retrospective Studies, Software, Tomography, X-Ray Computed.
Abstract
Computer-aided implantology using a single fixed stereolithographic surgical guide involves a sequence of diagnostic and therapeutic events, and errors can creep in at different stages. Taken together, these can be termed the 'total error'. A positioning of the surgical guide on the support surface different to that of the diagnostic template may generate an error that reoccurs with all the implants inserted, and this error can be termed the 'guide positioning error'. The aim of the present study was to measure the deviation between the planned and inserted implants due to this guide positioning error, to evaluate if this error was statistically significant, and concurrently, to assess the influence of the type of arch (upper vs lower jaw) and mucosal thickness on the guide positioning error. Twenty-four subjects were treated and 172 implants inserted. Preoperative and postoperative computed tomography images were compared using Mimics software to determine the total error and guide positioning error. Quantitative data were described; the t-test and Pearson correlation coefficient were used. The guide positioning error was found to affect the accuracy, but was statistically significant only for global coronal deviation (P = 0.038). Arch of support and mucosa thickness did not affect the guide positioning error.
DOI: 10.1016/j.ijom.2013.06.012
PubMed: 23916310
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pubmed:23916310Le document en format XML
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Di Mambro</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Giansanti, M" sort="Giansanti, M" uniqKey="Giansanti M" first="M" last="Giansanti">M. Giansanti</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Stefanelli, L V" sort="Stefanelli, L V" uniqKey="Stefanelli L" first="L V" last="Stefanelli">L V Stefanelli</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Barbato, E" sort="Barbato, E" uniqKey="Barbato E" first="E" last="Barbato">E. Barbato</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:23916310</idno><idno type="pmid">23916310</idno><idno type="doi">10.1016/j.ijom.2013.06.012</idno><idno type="wicri:Area/PubMed/Corpus">000569</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000569</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">How does an error in positioning the template affect the accuracy of implants inserted using a single fixed mucosa-supported stereolithographic surgical guide?</title><author><name sortKey="Cassetta, M" sort="Cassetta, M" uniqKey="Cassetta M" first="M" last="Cassetta">M. Cassetta</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy. Electronic address: michele.cassetta@uniroma1.it.</nlm:affiliation></affiliation></author><author><name sortKey="Di Mambro, A" sort="Di Mambro, A" uniqKey="Di Mambro A" first="A" last="Di Mambro">A. Di Mambro</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Giansanti, M" sort="Giansanti, M" uniqKey="Giansanti M" first="M" last="Giansanti">M. Giansanti</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Stefanelli, L V" sort="Stefanelli, L V" uniqKey="Stefanelli L" first="L V" last="Stefanelli">L V Stefanelli</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Barbato, E" sort="Barbato, E" uniqKey="Barbato E" first="E" last="Barbato">E. Barbato</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</nlm:affiliation></affiliation></author></analytic><series><title level="j">International journal of oral and maxillofacial surgery</title><idno type="eISSN">1399-0020</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Computer-Aided Design</term><term>Dental Implantation, Endosseous (instrumentation)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Instruments</term><term>Dental Prosthesis Design</term><term>Dimensional Measurement Accuracy</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous (diagnostic imaging)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Middle Aged</term><term>Mouth Mucosa (surgery)</term><term>Retrospective Studies</term><term>Software</term><term>Surgery, Computer-Assisted (instrumentation)</term><term>Surgery, Computer-Assisted (methods)</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Surgery, Computer-Assisted</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>Mouth Mucosa</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Computer-Aided Design</term><term>Dental Instruments</term><term>Dental Prosthesis Design</term><term>Dimensional Measurement Accuracy</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Software</term><term>Tomography, X-Ray Computed</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Computer-aided implantology using a single fixed stereolithographic surgical guide involves a sequence of diagnostic and therapeutic events, and errors can creep in at different stages. Taken together, these can be termed the 'total error'. A positioning of the surgical guide on the support surface different to that of the diagnostic template may generate an error that reoccurs with all the implants inserted, and this error can be termed the 'guide positioning error'. The aim of the present study was to measure the deviation between the planned and inserted implants due to this guide positioning error, to evaluate if this error was statistically significant, and concurrently, to assess the influence of the type of arch (upper vs lower jaw) and mucosal thickness on the guide positioning error. Twenty-four subjects were treated and 172 implants inserted. Preoperative and postoperative computed tomography images were compared using Mimics software to determine the total error and guide positioning error. Quantitative data were described; the t-test and Pearson correlation coefficient were used. The guide positioning error was found to affect the accuracy, but was statistically significant only for global coronal deviation (P = 0.038). Arch of support and mucosa thickness did not affect the guide positioning error.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23916310</PMID><DateCompleted><Year>2014</Year><Month>11</Month><Day>04</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1399-0020</ISSN><JournalIssue CitedMedium="Internet"><Volume>43</Volume><Issue>1</Issue><PubDate><Year>2014</Year><Month>Jan</Month></PubDate></JournalIssue><Title>International journal of oral and maxillofacial surgery</Title><ISOAbbreviation>Int J Oral Maxillofac Surg</ISOAbbreviation></Journal><ArticleTitle>How does an error in positioning the template affect the accuracy of implants inserted using a single fixed mucosa-supported stereolithographic surgical guide?</ArticleTitle><Pagination><MedlinePgn>85-92</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijom.2013.06.012</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0901-5027(13)00290-7</ELocationID><Abstract><AbstractText>Computer-aided implantology using a single fixed stereolithographic surgical guide involves a sequence of diagnostic and therapeutic events, and errors can creep in at different stages. Taken together, these can be termed the 'total error'. A positioning of the surgical guide on the support surface different to that of the diagnostic template may generate an error that reoccurs with all the implants inserted, and this error can be termed the 'guide positioning error'. The aim of the present study was to measure the deviation between the planned and inserted implants due to this guide positioning error, to evaluate if this error was statistically significant, and concurrently, to assess the influence of the type of arch (upper vs lower jaw) and mucosal thickness on the guide positioning error. Twenty-four subjects were treated and 172 implants inserted. Preoperative and postoperative computed tomography images were compared using Mimics software to determine the total error and guide positioning error. Quantitative data were described; the t-test and Pearson correlation coefficient were used. The guide positioning error was found to affect the accuracy, but was statistically significant only for global coronal deviation (P = 0.038). Arch of support and mucosa thickness did not affect the guide positioning error.</AbstractText><CopyrightInformation>Copyright © 2013 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cassetta</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy. Electronic address: michele.cassetta@uniroma1.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Di Mambro</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Giansanti</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stefanelli</LastName><ForeName>L V</ForeName><Initials>LV</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barbato</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>08</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>Denmark</Country><MedlineTA>Int J Oral Maxillofac Surg</MedlineTA><NlmUniqueID>8605826</NlmUniqueID><ISSNLinking>0901-5027</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="D017076" MajorTopicYN="N">Computer-Aided Design</DescriptorName></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="D003762" MajorTopicYN="N">Dental Instruments</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017267" MajorTopicYN="N">Dental Prosthesis Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D061827" MajorTopicYN="N">Dimensional Measurement Accuracy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009061" MajorTopicYN="N">Mouth Mucosa</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012984" MajorTopicYN="N">Software</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D025321" MajorTopicYN="N">Surgery, Computer-Assisted</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">computer-aided implantology</Keyword><Keyword MajorTopicYN="N">implants</Keyword><Keyword MajorTopicYN="N">position</Keyword><Keyword MajorTopicYN="N">stereolithographic surgical guide</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>03</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>06</Month><Day>24</Day></PubMedPubDate><PubMedPubDate 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