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Accuracy of a newly developed integrated system for dental implant planning

Identifieur interne : 003B61 ( Istex/Corpus ); précédent : 003B60; suivant : 003B62

Accuracy of a newly developed integrated system for dental implant planning

Auteurs : Timo Dreiseidler ; Jörg Neugebauer ; Lutz Ritter ; Thea Lingohr ; Daniel Rothamel ; Robert A. Mischkowski ; Joachim E. Zöller

Source :

RBID : ISTEX:78AD1CEBAA2427F65820BAB5639ECB8A5DD94417

English descriptors

Abstract

Objectives: To evaluate the accuracy of the first integrated system for cone‐beam CT (CBCT) imaging, dental implant planning and surgical template‐aided implant placement.

Url:
DOI: 10.1111/j.1600-0501.2009.01764.x

Links to Exploration step

ISTEX:78AD1CEBAA2427F65820BAB5639ECB8A5DD94417

Le document en format XML

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<term>International journal</term>
<term>John wiley sons</term>
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<term>Ludlow ivanovic</term>
<term>Maxilla model</term>
<term>Maxillofacial</term>
<term>Maxillofacial imaging</term>
<term>Maxillofacial radiology</term>
<term>Maxillofacial surgery</term>
<term>Maximal deviation direction</term>
<term>Measurement accuracy</term>
<term>Measurement strategies</term>
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<term>Milling machines</term>
<term>Mischkowski</term>
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<term>Neugebauer</term>
<term>Nobel biocare</term>
<term>Nobelguide</term>
<term>Nobelguide sleeves</term>
<term>Nobelguide system</term>
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<div type="abstract">Objectives: To evaluate the accuracy of the first integrated system for cone‐beam CT (CBCT) imaging, dental implant planning and surgical template‐aided implant placement.</div>
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To evaluate the accuracy of the first integrated system for cone‐beam CT (CBCT) imaging, dental implant planning and surgical template‐aided implant placement.</p>
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<hi rend="bold">Materials and methods: </hi>
On the basis of CBCT scans, a total of 54 implant positions were planned for 10 partially edentulous anatomical patient‐equivalent models. Surgical guides were ordered from the manufacturer (SICAT). Two different types of guidance were assessed: for assessment of the SICAT system inherent accuracy vendor's titanium sleeves of 2 mm internal diameter and 5 mm length were utilized for pilot drills. The guide sleeves of the NobelGuide system were implemented for fully guided surgery and implant insertion. Deviations perpendicular to the implant axes at the crestal and apical end, as well as the angle deviations between the virtual planning data and the surgical results, were measured utilizing a follow‐up CBCT investigation and referential marker‐based registration.</p>
<p>
<hi rend="bold">Results: </hi>
The SICAT system inherent mean deviation rates for the drilled pilot osteotomies were determined to be smaller than 500 μm even at the apical end. Mean angle deviations of 1.18° were determined. Utilizing the NobelGuide sleeve‐in‐sleeve system for fully guided implant insertion in combination with the investigated template technology enabled to insert dental implants with the same accuracy. Crestal deviations, in general, were significantly lower than the apical deviations.</p>
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<hi rend="bold">Conclusion: </hi>
Although hardly comparable due to different study designs and measurement strategies, the investigated SICAT system's inherent accuracy corresponds to the most favourable results for computer‐aided surgery systems published so far. In combination with the NobelGuide surgical set for fully guided insertion, the same accuracy level could be maintained for implant positioning.</p>
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Department for Craniomaxillofacial and Plastic Surgery
University of Cologne
Kerpener Straße 62
D‐50924 Cologne
Germany
Tel.: +0049 221 478 5786
Fax: +0049 221 478 3488
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<p>
<b>Objectives: </b>
To evaluate the accuracy of the first integrated system for cone‐beam CT (CBCT) imaging, dental implant planning and surgical template‐aided implant placement.</p>
<p>
<b>Materials and methods: </b>
On the basis of CBCT scans, a total of 54 implant positions were planned for 10 partially edentulous anatomical patient‐equivalent models. Surgical guides were ordered from the manufacturer (SICAT). Two different types of guidance were assessed: for assessment of the SICAT system inherent accuracy vendor's titanium sleeves of 2 mm internal diameter and 5 mm length were utilized for pilot drills. The guide sleeves of the NobelGuide system were implemented for fully guided surgery and implant insertion. Deviations perpendicular to the implant axes at the crestal and apical end, as well as the angle deviations between the virtual planning data and the surgical results, were measured utilizing a follow‐up CBCT investigation and referential marker‐based registration.</p>
<p>
<b>Results: </b>
The SICAT system inherent mean deviation rates for the drilled pilot osteotomies were determined to be smaller than 500 μm even at the apical end. Mean angle deviations of 1.18° were determined. Utilizing the NobelGuide sleeve‐in‐sleeve system for fully guided implant insertion in combination with the investigated template technology enabled to insert dental implants with the same accuracy. Crestal deviations, in general, were significantly lower than the apical deviations.</p>
<p>
<b>Conclusion: </b>
Although hardly comparable due to different study designs and measurement strategies, the investigated SICAT system's inherent accuracy corresponds to the most favourable results for computer‐aided surgery systems published so far. In combination with the NobelGuide surgical set for fully guided insertion, the same accuracy level could be maintained for implant positioning.</p>
<!--

To cite this article:

Dreiseidler T, Neugebauer J, Ritter L, Lingohr T, Rothamel D, Mischkowski RA, Zöller JE. Accuracy of a newly developed integrated system for dental implant planning.

Clin. Oral Impl. Res. 20, 2009; 1191–1199.

doi: 10.1111/j.1600-0501.2009.01764.x.

--></abstract>
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<title>Accuracy of a newly developed integrated system for dental implant planning</title>
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<title>Accuracy of newly developed integrated system</title>
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<title>Accuracy of a newly developed integrated system for dental implant planning</title>
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<name type="personal">
<namePart type="given">Timo</namePart>
<namePart type="family">Dreiseidler</namePart>
<affiliation>Department for Craniomaxillofacial and Plastic Surgery, University of Cologne, Cologne, Germany</affiliation>
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<namePart type="given">Jörg</namePart>
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<affiliation>Department for Craniomaxillofacial and Plastic Surgery, University of Cologne, Cologne, Germany</affiliation>
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<namePart type="given">Lutz</namePart>
<namePart type="family">Ritter</namePart>
<affiliation>Department for Craniomaxillofacial and Plastic Surgery, University of Cologne, Cologne, Germany</affiliation>
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<namePart type="given">Thea</namePart>
<namePart type="family">Lingohr</namePart>
<affiliation>Department for Craniomaxillofacial and Plastic Surgery, University of Cologne, Cologne, Germany</affiliation>
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<name type="personal">
<namePart type="given">Daniel</namePart>
<namePart type="family">Rothamel</namePart>
<affiliation>Department for Craniomaxillofacial and Plastic Surgery, University of Cologne, Cologne, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Robert A.</namePart>
<namePart type="family">Mischkowski</namePart>
<affiliation>Department for Craniomaxillofacial and Plastic Surgery, University of Cologne, Cologne, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Joachim E.</namePart>
<namePart type="family">Zöller</namePart>
<affiliation>Department for Craniomaxillofacial and Plastic Surgery, University of Cologne, Cologne, Germany</affiliation>
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<dateIssued encoding="w3cdtf">2009-11</dateIssued>
<edition>Date: Accepted 17 May 2009</edition>
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<abstract>Objectives: To evaluate the accuracy of the first integrated system for cone‐beam CT (CBCT) imaging, dental implant planning and surgical template‐aided implant placement.</abstract>
<abstract>Materials and methods: On the basis of CBCT scans, a total of 54 implant positions were planned for 10 partially edentulous anatomical patient‐equivalent models. Surgical guides were ordered from the manufacturer (SICAT). Two different types of guidance were assessed: for assessment of the SICAT system inherent accuracy vendor's titanium sleeves of 2 mm internal diameter and 5 mm length were utilized for pilot drills. The guide sleeves of the NobelGuide system were implemented for fully guided surgery and implant insertion. Deviations perpendicular to the implant axes at the crestal and apical end, as well as the angle deviations between the virtual planning data and the surgical results, were measured utilizing a follow‐up CBCT investigation and referential marker‐based registration.</abstract>
<abstract>Results: The SICAT system inherent mean deviation rates for the drilled pilot osteotomies were determined to be smaller than 500 μm even at the apical end. Mean angle deviations of 1.18° were determined. Utilizing the NobelGuide sleeve‐in‐sleeve system for fully guided implant insertion in combination with the investigated template technology enabled to insert dental implants with the same accuracy. Crestal deviations, in general, were significantly lower than the apical deviations.</abstract>
<abstract>Conclusion: Although hardly comparable due to different study designs and measurement strategies, the investigated SICAT system's inherent accuracy corresponds to the most favourable results for computer‐aided surgery systems published so far. In combination with the NobelGuide surgical set for fully guided insertion, the same accuracy level could be maintained for implant positioning.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>computer‐aided surgery (CAS)</topic>
<topic>cone‐beam imaging (CBCT)</topic>
<topic>dental implantology</topic>
<topic>surgical templates</topic>
<topic>drill templates</topic>
<topic>surgical guides</topic>
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<title>Clinical Oral Implants Research</title>
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<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
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<part>
<date>2009</date>
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<number>20</number>
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<detail type="issue">
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<number>11</number>
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<accessCondition type="use and reproduction" contentType="copyright">© 2009 The Authors. Journal compilation © 2009 John Wiley & Sons A/S</accessCondition>
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