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Surgical navigation for implant placement using transtomography

Identifieur interne : 001660 ( Istex/Corpus ); précédent : 001659; suivant : 001661

Surgical navigation for implant placement using transtomography

Auteurs : Frederic Bousquet ; Marion Joyard

Source :

RBID : ISTEX:2E2991CB35113E9C75C1A84A366C8EEEE1513EFF

English descriptors

Abstract

Objectives: To present a new guidance technique using transtomography in the operating room and to test the accuracy of this surgical protocol.

Url:
DOI: 10.1111/j.1600-0501.2008.01528.x-i2

Links to Exploration step

ISTEX:2E2991CB35113E9C75C1A84A366C8EEEE1513EFF

Le document en format XML

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To present a new guidance technique using transtomography in the operating room and to test the accuracy of this surgical protocol.</p>
<p>
<hi rend="bold">Material: </hi>
A new concept of operating room, integrating when necessary this imagery to secure flapless procedures by intraoperative control, is described. This operating room concept, including X ray protection of the operators, is explained in addition to the transport system of the panoramic machine for its transfer to the patient who remains seated on his surgical chair.</p>
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<hi rend="bold">Methods: </hi>
Twenty‐five single‐tooth edentulous patients were treated by implant placement with a flapless or a minimally invasive procedure using transtomographic navigation. The surgical protocol is explained: after the first limited drill through mucosa and bone, intraoperative transtomography is performed with a custom‐made titanium guide inserted into the bone. Images show the drilling axis in three dimensions. This form of navigation allows rectifying the drill axis. We explain how this protocol respects asepsis.</p>
<p>
<hi rend="bold">Results: </hi>
The mean angular deviation was 2.04° in the mesiodistal direction (range: 0°–4.8°, variance: 2.88) and 2.71° in the buccal or the palatolingual direction (range: 0°–5.4°; variance: 2.63). Implant tip deviation was calculated: the mean mesiodistal tip deviation was 0.42 mm, and the mean buccal or palatolingual tip deviation was 0.5 mm. The maximum tip mesiodistal deviation was 1.08 mm and the maximum vestibular or palatolingual tip deviation was 1.22 mm.</p>
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<hi rend="bold">Conclusion: </hi>
This protocol appears to be as accurate as other guided or navigation systems. The advantages and limitations of this technique are explained, followed by future prospects with the new 3D cone beam computed tomography developed with the same panoramic machine.</p>
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<i>Frederic Bousquet</i>

82 avenue d'Assas
Montpellier 34000
France
Tel.: +33 (0)467‐633‐999
e‐mail:
<email normalForm="bousquet.frederic@libertysurf.fr">bousquet.frederic@libertysurf.fr</email>
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Accepted 11 September 2007</unparsedEditorialHistory>
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<title type="main">Surgical navigation for implant placement using transtomography</title>
<title type="shortAuthors">Bousquet & Joyard.</title>
<title type="short">Surgical navigation for implant placement using transtomograhy</title>
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<p>
<b>Objectives: </b>
To present a new guidance technique using transtomography in the operating room and to test the accuracy of this surgical protocol.</p>
<p>
<b>Material: </b>
A new concept of operating room, integrating when necessary this imagery to secure flapless procedures by intraoperative control, is described. This operating room concept, including X ray protection of the operators, is explained in addition to the transport system of the panoramic machine for its transfer to the patient who remains seated on his surgical chair.</p>
<p>
<b>Methods: </b>
Twenty‐five single‐tooth edentulous patients were treated by implant placement with a flapless or a minimally invasive procedure using transtomographic navigation. The surgical protocol is explained: after the first limited drill through mucosa and bone, intraoperative transtomography is performed with a custom‐made titanium guide inserted into the bone. Images show the drilling axis in three dimensions. This form of navigation allows rectifying the drill axis. We explain how this protocol respects asepsis.</p>
<p>
<b>Results: </b>
The mean angular deviation was 2.04° in the mesiodistal direction (range: 0°–4.8°, variance: 2.88) and 2.71° in the buccal or the palatolingual direction (range: 0°–5.4°; variance: 2.63). Implant tip deviation was calculated: the mean mesiodistal tip deviation was 0.42 mm, and the mean buccal or palatolingual tip deviation was 0.5 mm. The maximum tip mesiodistal deviation was 1.08 mm and the maximum vestibular or palatolingual tip deviation was 1.22 mm.</p>
<p>
<b>Conclusion: </b>
This protocol appears to be as accurate as other guided or navigation systems. The advantages and limitations of this technique are explained, followed by future prospects with the new 3D cone beam computed tomography developed with the same panoramic machine.</p>
<!--

To cite this article:

Bousquet F, Joyard M. Surgical navigation for implant placement using transtomography. Clin. Oral Impl. Res.19, 2008; 724–730

10.1111/j.1600-0501.2008.01528.x

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<abstract>Methods: Twenty‐five single‐tooth edentulous patients were treated by implant placement with a flapless or a minimally invasive procedure using transtomographic navigation. The surgical protocol is explained: after the first limited drill through mucosa and bone, intraoperative transtomography is performed with a custom‐made titanium guide inserted into the bone. Images show the drilling axis in three dimensions. This form of navigation allows rectifying the drill axis. We explain how this protocol respects asepsis.</abstract>
<abstract>Results: The mean angular deviation was 2.04° in the mesiodistal direction (range: 0°–4.8°, variance: 2.88) and 2.71° in the buccal or the palatolingual direction (range: 0°–5.4°; variance: 2.63). Implant tip deviation was calculated: the mean mesiodistal tip deviation was 0.42 mm, and the mean buccal or palatolingual tip deviation was 0.5 mm. The maximum tip mesiodistal deviation was 1.08 mm and the maximum vestibular or palatolingual tip deviation was 1.22 mm.</abstract>
<abstract>Conclusion: This protocol appears to be as accurate as other guided or navigation systems. The advantages and limitations of this technique are explained, followed by future prospects with the new 3D cone beam computed tomography developed with the same panoramic machine.</abstract>
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