Deviations between Placed and Planned Implant Positions: An Accuracy Pilot Study of Skeletally Supported Stereolithographic Surgical Templates
Identifieur interne : 000C20 ( Istex/Corpus ); précédent : 000C19; suivant : 000C21Deviations between Placed and Planned Implant Positions: An Accuracy Pilot Study of Skeletally Supported Stereolithographic Surgical Templates
Auteurs : Stefan Stübinger ; Carlos Buitrago-Tellez ; Gianni CantelmiSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2014-08.
Abstract
The aim of the present study was to evaluate deviations between virtually planned and placed implants by the use of skeletally supported stereolithographic templates.
Url:
DOI: 10.1111/cid.12019
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ISTEX:18AF47EC2E4ECFC0D4C09D236A0412C38BE2D5D2Le document en format XML
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last="Buitrago-Tellez">Carlos Buitrago-Tellez</name><affiliation><mods:affiliation>Spital Zofingen AG, Institute of Radiology, Zofingen, Switzerland</mods:affiliation></affiliation></author><author><name sortKey="Cantelmi, Gianni" sort="Cantelmi, Gianni" uniqKey="Cantelmi G" first="Gianni" last="Cantelmi">Gianni Cantelmi</name><affiliation><mods:affiliation>Zofingen, Switzerland</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:18AF47EC2E4ECFC0D4C09D236A0412C38BE2D5D2</idno><date when="2014" year="2014">2014</date><idno type="doi">10.1111/cid.12019</idno><idno type="url">https://api.istex.fr/document/18AF47EC2E4ECFC0D4C09D236A0412C38BE2D5D2/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000C20</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000C20</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Deviations between Placed and Planned Implant Positions: An Accuracy Pilot Study of Skeletally Supported Stereolithographic Surgical Templates</title><author><name sortKey="Stubinger, Stefan" sort="Stubinger, Stefan" uniqKey="Stubinger S" first="Stefan" last="Stübinger">Stefan Stübinger</name><affiliation><mods:affiliation>Musculoskeletal Research Unit, Equine Hospital, Vetsuisse Faculty ZH, University of Zurich, Zurich, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>Center of Applied Biotechnology and Molecular Medicine (CABMM), Vetsuisse Faculty, University of Zurich, Zurich, Switzerland</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: stefan.stuebinger@cabmm.uzh.ch</mods:affiliation></affiliation></author><author><name sortKey="Buitrago Ellez, Carlos" sort="Buitrago Ellez, Carlos" uniqKey="Buitrago Ellez C" first="Carlos" last="Buitrago-Tellez">Carlos Buitrago-Tellez</name><affiliation><mods:affiliation>Spital Zofingen AG, Institute of Radiology, Zofingen, Switzerland</mods:affiliation></affiliation></author><author><name sortKey="Cantelmi, Gianni" sort="Cantelmi, Gianni" uniqKey="Cantelmi G" first="Gianni" last="Cantelmi">Gianni Cantelmi</name><affiliation><mods:affiliation>Zofingen, Switzerland</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><biblScope unit="vol">16</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="540">540</biblScope><biblScope unit="page" to="551">551</biblScope><biblScope unit="page-count">12</biblScope><date type="published" when="2014-08">2014-08</date></imprint><idno type="ISSN">1523-0899</idno></series></biblStruct></sourceDesc><seriesStmt><idno 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Study of Skeletally Supported Stereolithographic Surgical Templates</title><title level="a" type="short">Accuracy of Placed and Planned Implant Positions</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Stefan</forename><surname>Stübinger</surname><roleName type="degree">DDS</roleName></persName><affiliation><orgName>Musculoskeletal Research Unit</orgName><orgName>Equine Hospital</orgName><orgName>Vetsuisse Faculty ZH</orgName><orgName>University of Zurich</orgName><address><settlement type="city">Zurich</settlement><country key="CH">Switzerland</country></address></affiliation><affiliation><orgName>Center of Applied Biotechnology and Molecular Medicine (CABMM)</orgName><orgName>Vetsuisse Faculty</orgName><orgName>University of Zurich</orgName><address><settlement type="city">Zurich</settlement><country key="CH">Switzerland</country></address></affiliation><affiliation>Reprint requests: Dr. Stefan Stübinger, Center of Applied Biotechnology and Molecular Medicine (CABMM), Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 190, CH‐8057 Zurich, Switzerland; e‐mail: stefan.stuebinger@cabmm.uzh.ch</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Carlos</forename><surname>Buitrago‐Tellez</surname><roleName type="degree">MD</roleName></persName><affiliation><orgName>Spital Zofingen AG</orgName><orgName>Institute of Radiology</orgName><address><settlement type="city">Zofingen</settlement><country key="CH">Switzerland</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Gianni</forename><surname>Cantelmi</surname><roleName type="degree">DDS</roleName></persName><affiliation><address><settlement type="city">Zofingen</settlement><country key="CH">Switzerland</country></address></affiliation></author><idno type="istex">18AF47EC2E4ECFC0D4C09D236A0412C38BE2D5D2</idno><idno type="ark">ark:/67375/WNG-M2664F0C-5</idno><idno type="DOI">10.1111/cid.12019</idno><idno type="unit">CID12019</idno><idno type="toTypesetVersion">file://CID.CID12019.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2014.16.issue-4</idno><idno type="product">CID</idno><imprint><biblScope unit="vol">16</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="540">540</biblScope><biblScope unit="page" to="551">551</biblScope><biblScope unit="page-count">12</biblScope><date type="published" when="2014-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main"><head>Abstract</head>
Purpose
<p>The aim of the present study was to evaluate deviations between virtually planned and placed implants by the use of skeletally supported stereolithographic templates.</p>
Materials and Methods
<p>Ten consecutive patients were selected for virtual three‐dimensional implant planning using the <hi rend="fc">Facilitate<hi rend="superscript">TM</hi></hi> software (<hi rend="fc">A</hi>stra <hi rend="fc">T</hi>ech <hi rend="fc">AB</hi>, <hi rend="fc">M</hi>ölndal, <hi rend="fc">S</hi>weden). Computer tomography images were obtained in the pre‐ and postoperative phase. Four deviation parameters (i.e. global, angular, depth, and lateral deviation) were defined and calculated between the planned and the placed implants, using the coordinates of their respective apical and coronal points.</p>
Results
<p>Deviations at the coronal positions appeared to be smaller (95% confidence interval: 0.15–1.0) as compared with apical positions (95% confidence interval: 0.14–1.1). But only the difference with regard to lateral measurements appeared to be statistically significant (<hi rend="italic">p</hi> = .03). Except for depth (<hi rend="italic">p</hi> = .01), no significant association between mesial or more distal locations could be detected concerning global (<hi rend="italic">p</hi> = .07), lateral (<hi rend="italic">p</hi> = .87), and angular (<hi rend="italic">p</hi> = .56) values in mixed model analyses. Overall, there was a slight tendency for higher values for more distal locations.</p>
Conclusion
<p>As slight deviations between planned and placed implants especially may occur even with skeletal‐supported templates, the clinician should be aware not to overestimate advocated surgical safety by using static navigation tools.</p></abstract><textClass><keywords><term xml:id="cid12019-kwd-0001">computer tomography</term><term xml:id="cid12019-kwd-0002">computer‐guided implant dentistry</term><term xml:id="cid12019-kwd-0003">software planning</term><term xml:id="cid12019-kwd-0004">stereolithography</term><term xml:id="cid12019-kwd-0005">surgical guide</term></keywords><keywords rend="tocHeading1"><term>ARTICLES</term></keywords><keywords rend="articleCategory"><term>ARTICLE</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body" wicri:toSee="Element #text"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="cid12019" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley">10.1111/(ISSN)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id></idGroup><titleGroup><title sort="CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH" type="main">Clinical Implant Dentistry and Related Research</title><title type="short">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="08104"><doi>10.1111/cid.2014.16.issue-4</doi><copyright ownership="publisher">Copyright © 2014 Wiley Periodicals, Inc.</copyright><numberingGroup><numbering number="16" type="journalVolume">16</numbering><numbering type="journalIssue">4</numbering></numberingGroup><coverDate startDate="2014-08">August 2014</coverDate></publicationMeta><publicationMeta level="unit" status="forIssue" type="article" position="80"><doi>10.1111/cid.12019</doi><idGroup><id type="unit" value="CID12019"></id></idGroup><countGroup><count number="12" type="pageTotal"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLES</title><title type="articleCategory">ARTICLE</title></titleGroup><copyright ownership="publisher">© 2012 Wiley Periodicals, Inc.</copyright><eventGroup><event agent="bestset" date="2012-10-23" type="xmlCreated"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-11-21"></event><event type="firstOnline" date="2012-11-21"></event><event type="publishedOnlineFinalForm" date="2014-08-23"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-06"></event></eventGroup><numberingGroup><numbering type="pageFirst">540</numbering><numbering type="pageLast">551</numbering></numberingGroup><correspondenceTo>Reprint requests: Dr. Stefan Stübinger, Center of Applied Biotechnology and Molecular Medicine (CABMM), Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 190, CH‐8057 Zurich, Switzerland; e‐mail: <email>stefan.stuebinger@cabmm.uzh.ch</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file://CID.CID12019.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="short">Accuracy of Placed and Planned Implant Positions</title><title type="main">Deviations between Placed and Planned Implant Positions: An Accuracy Pilot Study of Skeletally Supported Stereolithographic Surgical Templates</title></titleGroup><creators><creator affiliationRef="#cid12019-aff-0001 #cid12019-aff-0002" corresponding="yes" creatorRole="author" xml:id="cid12019-cr-0001"><personName><givenNames>Stefan</givenNames><familyName>Stübinger</familyName><degrees>DDS</degrees></personName><jobTitle>Privatdozent</jobTitle></creator><creator affiliationRef="#cid12019-aff-0003" creatorRole="author" xml:id="cid12019-cr-0002"><personName><givenNames>Carlos</givenNames><familyName>Buitrago‐Tellez</familyName><degrees>MD</degrees></personName><jobTitle>professor</jobTitle></creator><creator affiliationRef="#cid12019-aff-0004" creatorRole="author" xml:id="cid12019-cr-0003"><personName><givenNames>Gianni</givenNames><familyName>Cantelmi</familyName><degrees>DDS</degrees></personName><jobTitle>private practice</jobTitle></creator></creators><affiliationGroup><affiliation countryCode="CH" xml:id="cid12019-aff-0001"><orgDiv>Musculoskeletal Research Unit</orgDiv><orgDiv>Equine Hospital</orgDiv><orgDiv>Vetsuisse Faculty ZH</orgDiv><orgName>University of Zurich</orgName><address><city>Zurich</city><country>Switzerland</country></address></affiliation><affiliation countryCode="CH" xml:id="cid12019-aff-0002"><orgDiv>Center of Applied Biotechnology and Molecular Medicine (CABMM)</orgDiv><orgDiv>Vetsuisse Faculty</orgDiv><orgName>University of Zurich</orgName><address><city>Zurich</city><country>Switzerland</country></address></affiliation><affiliation countryCode="CH" xml:id="cid12019-aff-0003"><orgDiv>Spital Zofingen AG</orgDiv><orgName>Institute of Radiology</orgName><address><city>Zofingen</city><country>Switzerland</country></address></affiliation><affiliation countryCode="CH" xml:id="cid12019-aff-0004"><address><city>Zofingen</city><country>Switzerland</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="cid12019-kwd-0001">computer tomography</keyword><keyword xml:id="cid12019-kwd-0002">computer‐guided implant dentistry</keyword><keyword xml:id="cid12019-kwd-0003">software planning</keyword><keyword xml:id="cid12019-kwd-0004">stereolithography</keyword><keyword xml:id="cid12019-kwd-0005">surgical guide</keyword></keywordGroup><abstractGroup><abstract type="main"><title type="main">Abstract</title><section xml:id="cid12019-sec-0001"><title type="main">Purpose</title><p>The aim of the present study was to evaluate deviations between virtually planned and placed implants by the use of skeletally supported stereolithographic templates.</p></section><section xml:id="cid12019-sec-0002"><title type="main">Materials and Methods</title><p>Ten consecutive patients were selected for virtual three‐dimensional implant planning using the <fc>Facilitate<sup>TM</sup></fc> software (<fc>A</fc>stra <fc>T</fc>ech <fc>AB</fc>, <fc>M</fc>ölndal, <fc>S</fc>weden). Computer tomography images were obtained in the pre‐ and postoperative phase. Four deviation parameters (i.e. global, angular, depth, and lateral deviation) were defined and calculated between the planned and the placed implants, using the coordinates of their respective apical and coronal points.</p></section><section xml:id="cid12019-sec-0003"><title type="main">Results</title><p>Deviations at the coronal positions appeared to be smaller (95% confidence interval: 0.15–1.0) as compared with apical positions (95% confidence interval: 0.14–1.1). But only the difference with regard to lateral measurements appeared to be statistically significant (<i>p</i> = .03). Except for depth (<i>p</i> = .01), no significant association between mesial or more distal locations could be detected concerning global (<i>p</i> = .07), lateral (<i>p</i> = .87), and angular (<i>p</i> = .56) values in mixed model analyses. Overall, there was a slight tendency for higher values for more distal locations.</p></section><section xml:id="cid12019-sec-0004"><title type="main">Conclusion</title><p>As slight deviations between planned and placed implants especially may occur even with skeletal‐supported templates, the clinician should be aware not to overestimate advocated surgical safety by using static navigation tools.</p></section></abstract></abstractGroup></contentMeta></header> </component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Deviations between Placed and Planned Implant Positions: An Accuracy Pilot Study of Skeletally Supported Stereolithographic Surgical Templates</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Accuracy of Placed and Planned Implant Positions</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Deviations between Placed and Planned Implant Positions: An Accuracy Pilot Study of Skeletally Supported Stereolithographic Surgical Templates</title></titleInfo><name type="personal"><namePart type="given">Stefan</namePart><namePart type="family">Stübinger</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Musculoskeletal Research Unit, Equine Hospital, Vetsuisse Faculty ZH, University of Zurich, Zurich, Switzerland</affiliation><affiliation>Center of Applied Biotechnology and Molecular Medicine (CABMM), Vetsuisse Faculty, University of Zurich, Zurich, Switzerland</affiliation><affiliation>E-mail: stefan.stuebinger@cabmm.uzh.ch</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Privatdozent</description></name><name type="personal"><namePart type="given">Carlos</namePart><namePart type="family">Buitrago‐Tellez</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Spital Zofingen AG, Institute of Radiology, Zofingen, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role><description>professor</description></name><name type="personal"><namePart type="given">Gianni</namePart><namePart type="family">Cantelmi</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Zofingen, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role><description>private practice</description></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-08</dateIssued><dateCreated encoding="w3cdtf">2012-10-23</dateCreated><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>The aim of the present study was to evaluate deviations between virtually planned and placed implants by the use of skeletally supported stereolithographic templates.</abstract><abstract>Ten consecutive patients were selected for virtual three‐dimensional implant planning using the FacilitateTM software (Astra Tech AB, Mölndal, Sweden). Computer tomography images were obtained in the pre‐ and postoperative phase. Four deviation parameters (i.e. global, angular, depth, and lateral deviation) were defined and calculated between the planned and the placed implants, using the coordinates of their respective apical and coronal points.</abstract><abstract>Deviations at the coronal positions appeared to be smaller (95% confidence interval: 0.15–1.0) as compared with apical positions (95% confidence interval: 0.14–1.1). But only the difference with regard to lateral measurements appeared to be statistically significant (p = .03). Except for depth (p = .01), no significant association between mesial or more distal locations could be detected concerning global (p = .07), lateral (p = .87), and angular (p = .56) values in mixed model analyses. Overall, there was a slight tendency for higher values for more distal locations.</abstract><abstract>As slight deviations between planned and placed implants especially may occur even with skeletal‐supported templates, the clinician should be aware not to overestimate advocated surgical safety by using static navigation tools.</abstract><subject><genre>keywords</genre><topic>computer tomography</topic><topic>computer‐guided implant dentistry</topic><topic>software planning</topic><topic>stereolithography</topic><topic>surgical guide</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Implant Dentistry and Related Research</title></titleInfo><titleInfo type="abbreviated"><title>Clinical Implant Dentistry and Related Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>ARTICLE</topic></subject><identifier type="ISSN">1523-0899</identifier><identifier type="eISSN">1708-8208</identifier><identifier type="DOI">10.1111/(ISSN)1708-8208</identifier><identifier type="PublisherID">CID</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>16</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>540</start><end>551</end><total>12</total></extent></part></relatedItem><identifier type="istex">18AF47EC2E4ECFC0D4C09D236A0412C38BE2D5D2</identifier><identifier type="ark">ark:/67375/WNG-M2664F0C-5</identifier><identifier type="DOI">10.1111/cid.12019</identifier><identifier type="ArticleID">CID12019</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2014 Wiley Periodicals, Inc.© 2012 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/18AF47EC2E4ECFC0D4C09D236A0412C38BE2D5D2/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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