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Accuracy of computer‐aided implant placement

Identifieur interne : 003563 ( Istex/Corpus ); précédent : 003562; suivant : 003564

Accuracy of computer‐aided implant placement

Auteurs : N. Van Assche ; M. Vercruyssen ; W. Coucke ; W. Teughels ; R. Jacobs ; M. Quirynen

Source :

RBID : ISTEX:6C94DFF5BAC55CCA00AEEFB62497C2284F6A4122

English descriptors

Abstract

To assess the accuracy of static computer‐guided implant placement.

Url:
DOI: 10.1111/j.1600-0501.2012.02552.x

Links to Exploration step

ISTEX:6C94DFF5BAC55CCA00AEEFB62497C2284F6A4122

Le document en format XML

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<p>To assess the accuracy of static computer‐guided implant placement.</p>
Material and methods
<p>Electronic and manual literature searches were conducted to collect information on the accuracy of static computer‐guided implant placement and meta‐regression analyses were performed to summarize and analyse the overall accuracy. The latter included a search for correlations between factors such as: support (teeth/mucosa/bone), number of templates, use of fixation pins, jaw, template production, guiding system, guided implant placement.</p>
Results
<p>Nineteen accuracy studies met the inclusion criteria. Meta analysis revealed a mean error of 0.99 mm (ranging from 0 to 6.5 mm) at the entry point and of 1.24 mm (ranging from 0 to 6.9 mm) at the apex. The mean angular deviation was 3.81° (ranging from 0 to 24.9°). Significant differences for all deviation parameters was found for implant‐guided placement compared to placement without guidance. Number of templates used was significant, influencing the apical and angular deviation in favour for the single template. Study design and jaw location had no significant effect. Less deviation was found when more fixation pins were used (significant for entry).</p>
Conclusion
<p>Computer‐guided implant placement can be accurate, but significant deviations have to be taken into account. Randomized studies are needed to analyse the impact of individual parameters in order to allow optimization of this technique. Moreover, a clear overview on indications and benefits would help the clinicians to find the right candidates.</p>
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<p>Electronic and manual literature searches were conducted to collect information on the accuracy of static computer‐guided implant placement and meta‐regression analyses were performed to summarize and analyse the overall accuracy. The latter included a search for correlations between factors such as: support (teeth/mucosa/bone), number of templates, use of fixation pins, jaw, template production, guiding system, guided implant placement.</p>
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<p>Nineteen accuracy studies met the inclusion criteria. Meta analysis revealed a mean error of 0.99 mm (ranging from 0 to 6.5 mm) at the entry point and of 1.24 mm (ranging from 0 to 6.9 mm) at the apex. The mean angular deviation was 3.81° (ranging from 0 to 24.9°). Significant differences for all deviation parameters was found for implant‐guided placement compared to placement without guidance. Number of templates used was significant, influencing the apical and angular deviation in favour for the single template. Study design and jaw location had no significant effect. Less deviation was found when more fixation pins were used (significant for entry).</p>
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<p>Computer‐guided implant placement can be accurate, but significant deviations have to be taken into account. Randomized studies are needed to analyse the impact of individual parameters in order to allow optimization of this technique. Moreover, a clear overview on indications and benefits would help the clinicians to find the right candidates.</p>
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<namePart type="family">Coucke</namePart>
<affiliation>Department of Quality of Medical Laboratories, Scientific Institute of Public Health, J. Wytsmanstraat 14, 1050, Brussel, Belgium</affiliation>
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<name type="personal">
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<namePart type="family">Teughels</namePart>
<affiliation>Department of Periodontology, Catholic University Leuven, Leuven, 33, 3000, Kapucijnenvoer, Belgium</affiliation>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">R.</namePart>
<namePart type="family">Jacobs</namePart>
<affiliation>Oral Imaging Center, Catholic University Leuven, Leuven, 33, 3000, Kapucijnenvoer, Belgium</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M.</namePart>
<namePart type="family">Quirynen</namePart>
<affiliation>Department of Periodontology, Catholic University Leuven, Leuven, 33, 3000, Kapucijnenvoer, Belgium</affiliation>
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<publisher>Blackwell Publishing Ltd</publisher>
<dateIssued encoding="w3cdtf">2012-10</dateIssued>
<dateCreated encoding="w3cdtf">2012-06-21</dateCreated>
<dateValid encoding="w3cdtf">2012-06-09</dateValid>
<edition>Van Assche N, Vercruyssen M, Coucke W, Teughels W, Jacobs R, Quirynen M . Accuracy of computer‐aided implant placement. Clin. Oral Impl. Res.23(Suppl. 6), 2012;112–123.10.1111/j.1600‐0501.2012.02552.x</edition>
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<abstract>To assess the accuracy of static computer‐guided implant placement.</abstract>
<abstract>Electronic and manual literature searches were conducted to collect information on the accuracy of static computer‐guided implant placement and meta‐regression analyses were performed to summarize and analyse the overall accuracy. The latter included a search for correlations between factors such as: support (teeth/mucosa/bone), number of templates, use of fixation pins, jaw, template production, guiding system, guided implant placement.</abstract>
<abstract>Nineteen accuracy studies met the inclusion criteria. Meta analysis revealed a mean error of 0.99 mm (ranging from 0 to 6.5 mm) at the entry point and of 1.24 mm (ranging from 0 to 6.9 mm) at the apex. The mean angular deviation was 3.81° (ranging from 0 to 24.9°). Significant differences for all deviation parameters was found for implant‐guided placement compared to placement without guidance. Number of templates used was significant, influencing the apical and angular deviation in favour for the single template. Study design and jaw location had no significant effect. Less deviation was found when more fixation pins were used (significant for entry).</abstract>
<abstract>Computer‐guided implant placement can be accurate, but significant deviations have to be taken into account. Randomized studies are needed to analyse the impact of individual parameters in order to allow optimization of this technique. Moreover, a clear overview on indications and benefits would help the clinicians to find the right candidates.</abstract>
<subject>
<genre>keywords</genre>
<topic>accuracy implant placement</topic>
<topic>computer‐assisted implant dentistry</topic>
<topic>dental implants</topic>
<topic>guided surgery</topic>
<topic>navigation</topic>
<topic>stereolithography</topic>
</subject>
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<titleInfo>
<title>Clinical Oral Implants Research</title>
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<titleInfo type="abbreviated">
<title>Clin. Oral Implants Res.</title>
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<subject>
<genre>article-category</genre>
<topic>Working Group 3: Computer aided implant therapy</topic>
</subject>
<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part>
<date>2012</date>
<detail type="title">
<title>Proceedings of the 3rd EAO Consensus Conference, 15–18 February 2012, Pfäffikon, Schwyz, Switzerland</title>
</detail>
<detail type="volume">
<caption>vol.</caption>
<number>23</number>
</detail>
<detail type="supplement">
<caption>Suppl. no.</caption>
<number>s6</number>
</detail>
<extent unit="pages">
<start>112</start>
<end>123</end>
<total>12</total>
</extent>
</part>
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<identifier type="ark">ark:/67375/WNG-3B84RSXC-B</identifier>
<identifier type="DOI">10.1111/j.1600-0501.2012.02552.x</identifier>
<identifier type="ArticleID">CLR2552</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2012 John Wiley & Sons A/S© 2012 John Wiley & Sons A/S</accessCondition>
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