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Precision of transfer of preoperative planning for oral implants based on cone‐beam CT‐scan images through a robotic drilling machine

Identifieur interne : 000296 ( France/Analysis ); précédent : 000295; suivant : 000297

Precision of transfer of preoperative planning for oral implants based on cone‐beam CT‐scan images through a robotic drilling machine

Auteurs : Thomas Fortin [France] ; Guillaume Champleboux [France] ; Silvio Bianchi [France] ; Hervé Buatois [France] ; Jean-Loup Coudert [France]

Source :

RBID : ISTEX:E7C27EFB1E5B96FF7E7E303EB28A0BD9A2E4B1E2

Descripteurs français

English descriptors

Abstract

Abstract: In this study, an image‐guided system for oral implant placement was assessed. A specially designed mechanical tool has been elaborated to transfer the preoperative implant axis planned on 3‐dimensional imagery into a surgical template by a numerically controlled drilling machine. The main drawback of image‐guiding systems is the use of preoperative computed tomography, which is expensive and delivers high radiation doses. Therefore, in this study the image‐guiding system was coupled with a cone‐beam tomograph that significantly decreased both cost and radiation doses. Three edentulous models were used. To determine the accuracy of the system, the ability of a 1.8‐mm diameter drill to enter a 2.0‐mm diameter, 10‐mm‐long titanium tube inserted on the model with no contact was verified. Because the drill entered the tubes with no contact and went beyond the end of the tube, the transfer error was less than 0.2 mm for translation and less than 1.1° for rotation. The method presented here is low cost and high precision compared to other technological solutions such as tracking. Further assessment in the surgical field should lead to daily use of this system for flapless surgery, to prepare a prosthesis prior to surgery for immediate loading, to reduce risk of injuring critical anatomical structures and to eliminate manual placement error.

Url:
DOI: 10.1034/j.1600-0501.2002.130612.x


Affiliations:


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ISTEX:E7C27EFB1E5B96FF7E7E303EB28A0BD9A2E4B1E2

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<name sortKey="Bianchi, Silvio" sort="Bianchi, Silvio" uniqKey="Bianchi S" first="Silvio" last="Bianchi">Silvio Bianchi</name>
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<name sortKey="Buatois, Herve" sort="Buatois, Herve" uniqKey="Buatois H" first="Hervé" last="Buatois">Hervé Buatois</name>
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<title level="j" type="main">Clinical Oral Implants Research</title>
<title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title>
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<term>Apless surgery</term>
<term>Calibration cube</term>
<term>Computer-Aided Design (instrumentation)</term>
<term>Conventional spiral tomography</term>
<term>Costs and Cost Analysis</term>
<term>Cube</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implants</term>
<term>Dental imaging</term>
<term>Dentomaxillofacial radiology</term>
<term>Diameter drill</term>
<term>Dos</term>
<term>Drilling machine</term>
<term>Einem durchmesser</term>
<term>Elsevier science</term>
<term>Endosseous implants</term>
<term>Este estudio</term>
<term>Exact positions</term>
<term>Exam</term>
<term>Fortin</term>
<term>Higher costs</term>
<term>Higher doses</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Image software</term>
<term>Imaging</term>
<term>Imaging, Three-Dimensional</term>
<term>Implant</term>
<term>Implant dentistry</term>
<term>Implant placement</term>
<term>Implants research</term>
<term>Internal diameter</term>
<term>International journal</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Link tubes</term>
<term>Local anesthesia</term>
<term>Main advantages</term>
<term>Main drawbacks</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (surgery)</term>
<term>Master model</term>
<term>Master models</term>
<term>Maxilla</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Maxillofacial implants</term>
<term>Mechanical device</term>
<term>Medical imaging technology</term>
<term>Metallic shafts</term>
<term>Occlusal plane</term>
<term>Optical sensor</term>
<term>Oral impl</term>
<term>Oral implant</term>
<term>Oral implant placement</term>
<term>Oral implant surgery</term>
<term>Oral implants</term>
<term>Oral surgery</term>
<term>Overall system</term>
<term>Para</term>
<term>Passive system</term>
<term>Passive systems</term>
<term>Patient Care Planning</term>
<term>Pixel size</term>
<term>Planning software</term>
<term>Plaster cast</term>
<term>Position measurement system</term>
<term>Posterior regions</term>
<term>Precise implant placement</term>
<term>Preoperative</term>
<term>Preoperative images</term>
<term>Preoperative planning</term>
<term>Primary reconstruction</term>
<term>Prosthetic</term>
<term>Prosthetic requirements</term>
<term>Radiation Dosage</term>
<term>Radiation doses</term>
<term>Radiological</term>
<term>Radiological exam</term>
<term>Radiology</term>
<term>Real time</term>
<term>Robotics (instrumentation)</term>
<term>Scanning procedure</term>
<term>Scanning template</term>
<term>Semiactive</term>
<term>Semiactive systems</term>
<term>Software</term>
<term>Software program</term>
<term>Spatial resolution</term>
<term>Study denture</term>
<term>Surgery, Computer-Assisted (instrumentation)</term>
<term>Surgical</term>
<term>Surgical phase</term>
<term>Surgical template</term>
<term>Surgical tool</term>
<term>Target tube</term>
<term>Technical note</term>
<term>Technology, Dental</term>
<term>Template</term>
<term>Thomas fortin</term>
<term>Titanium tube</term>
<term>Tomograph</term>
<term>Tomography</term>
<term>Tomography, X-Ray Computed (economics)</term>
<term>Tyndall brooks</term>
<term>Virtual implant placement</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Chirurgie assistée par ordinateur (instrumentation)</term>
<term>Conception assistée par ordinateur (instrumentation)</term>
<term>Coûts et analyse des coûts</term>
<term>Dose de radiation</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Robotique (instrumentation)</term>
<term>Technologie dentaire</term>
<term>Tomodensitométrie (économie)</term>
<term>Traitement d'image par ordinateur</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>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en">
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Computer-Aided Design</term>
<term>Dental Implantation, Endosseous</term>
<term>Robotics</term>
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="économie" xml:lang="fr">
<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Robotique</term>
<term>Tomodensitométrie</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Apless surgery</term>
<term>Calibration cube</term>
<term>Conventional spiral tomography</term>
<term>Costs and Cost Analysis</term>
<term>Cube</term>
<term>Dental imaging</term>
<term>Dentomaxillofacial radiology</term>
<term>Diameter drill</term>
<term>Dos</term>
<term>Drilling machine</term>
<term>Einem durchmesser</term>
<term>Elsevier science</term>
<term>Endosseous implants</term>
<term>Este estudio</term>
<term>Exact positions</term>
<term>Exam</term>
<term>Fortin</term>
<term>Higher costs</term>
<term>Higher doses</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Image software</term>
<term>Imaging</term>
<term>Imaging, Three-Dimensional</term>
<term>Implant</term>
<term>Implant dentistry</term>
<term>Implant placement</term>
<term>Implants research</term>
<term>Internal diameter</term>
<term>International journal</term>
<term>Link tubes</term>
<term>Local anesthesia</term>
<term>Main advantages</term>
<term>Main drawbacks</term>
<term>Master model</term>
<term>Master models</term>
<term>Maxilla</term>
<term>Maxillofacial implants</term>
<term>Mechanical device</term>
<term>Medical imaging technology</term>
<term>Metallic shafts</term>
<term>Occlusal plane</term>
<term>Optical sensor</term>
<term>Oral impl</term>
<term>Oral implant</term>
<term>Oral implant placement</term>
<term>Oral implant surgery</term>
<term>Oral implants</term>
<term>Oral surgery</term>
<term>Overall system</term>
<term>Para</term>
<term>Passive system</term>
<term>Passive systems</term>
<term>Patient Care Planning</term>
<term>Pixel size</term>
<term>Planning software</term>
<term>Plaster cast</term>
<term>Position measurement system</term>
<term>Posterior regions</term>
<term>Precise implant placement</term>
<term>Preoperative</term>
<term>Preoperative images</term>
<term>Preoperative planning</term>
<term>Primary reconstruction</term>
<term>Prosthetic</term>
<term>Prosthetic requirements</term>
<term>Radiation Dosage</term>
<term>Radiation doses</term>
<term>Radiological</term>
<term>Radiological exam</term>
<term>Radiology</term>
<term>Real time</term>
<term>Scanning procedure</term>
<term>Scanning template</term>
<term>Semiactive</term>
<term>Semiactive systems</term>
<term>Software</term>
<term>Software program</term>
<term>Spatial resolution</term>
<term>Study denture</term>
<term>Surgical</term>
<term>Surgical phase</term>
<term>Surgical template</term>
<term>Surgical tool</term>
<term>Target tube</term>
<term>Technical note</term>
<term>Technology, Dental</term>
<term>Template</term>
<term>Thomas fortin</term>
<term>Titanium tube</term>
<term>Tomograph</term>
<term>Tomography</term>
<term>Tyndall brooks</term>
<term>Virtual implant placement</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Coûts et analyse des coûts</term>
<term>Dose de radiation</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Logiciel</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Planification des soins du patient</term>
<term>Technologie dentaire</term>
<term>Traitement d'image par ordinateur</term>
</keywords>
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<front>
<div type="abstract">Abstract: In this study, an image‐guided system for oral implant placement was assessed. A specially designed mechanical tool has been elaborated to transfer the preoperative implant axis planned on 3‐dimensional imagery into a surgical template by a numerically controlled drilling machine. The main drawback of image‐guiding systems is the use of preoperative computed tomography, which is expensive and delivers high radiation doses. Therefore, in this study the image‐guiding system was coupled with a cone‐beam tomograph that significantly decreased both cost and radiation doses. Three edentulous models were used. To determine the accuracy of the system, the ability of a 1.8‐mm diameter drill to enter a 2.0‐mm diameter, 10‐mm‐long titanium tube inserted on the model with no contact was verified. Because the drill entered the tubes with no contact and went beyond the end of the tube, the transfer error was less than 0.2 mm for translation and less than 1.1° for rotation. The method presented here is low cost and high precision compared to other technological solutions such as tracking. Further assessment in the surgical field should lead to daily use of this system for flapless surgery, to prepare a prosthesis prior to surgery for immediate loading, to reduce risk of injuring critical anatomical structures and to eliminate manual placement error.</div>
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<li>France</li>
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<li>Rhône-Alpes</li>
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<name sortKey="Fortin, Thomas" sort="Fortin, Thomas" uniqKey="Fortin T" first="Thomas" last="Fortin">Thomas Fortin</name>
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<name sortKey="Bianchi, Silvio" sort="Bianchi, Silvio" uniqKey="Bianchi S" first="Silvio" last="Bianchi">Silvio Bianchi</name>
<name sortKey="Buatois, Herve" sort="Buatois, Herve" uniqKey="Buatois H" first="Hervé" last="Buatois">Hervé Buatois</name>
<name sortKey="Champleboux, Guillaume" sort="Champleboux, Guillaume" uniqKey="Champleboux G" first="Guillaume" last="Champleboux">Guillaume Champleboux</name>
<name sortKey="Coudert, Jean Oup" sort="Coudert, Jean Oup" uniqKey="Coudert J" first="Jean-Loup" last="Coudert">Jean-Loup Coudert</name>
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