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Accuracy assessment of computer‐assisted flapless implant placement in partial edentulism

Identifieur interne : 005B93 ( Istex/Corpus ); précédent : 005B92; suivant : 005B94

Accuracy assessment of computer‐assisted flapless implant placement in partial edentulism

Auteurs : N. Van Assche ; D. Van Steenberghe ; M. Quirynen ; R. Jacobs

Source :

RBID : ISTEX:B892007E8C579FB9CDE506AEFFD8D73C2ABBAFF7

English descriptors

Abstract

Van Assche N, van Steenberghe D, Quirynen M, Jacobs R. Accuracy assessment of computer‐assisted flapless implant placement in partial edentulism. J Clin Periodontol 2010; 37: 398–403. doi: 10.1111/j.1600‐051X.2010.01535.x

Url:
DOI: 10.1111/j.1600-051X.2010.01535.x

Links to Exploration step

ISTEX:B892007E8C579FB9CDE506AEFFD8D73C2ABBAFF7

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<hi rend="italic">Van Assche N, van Steenberghe D, Quirynen M, Jacobs R. Accuracy assessment of computer‐assisted flapless implant placement in partial edentulism. J Clin Periodontol 2010; 37: 398–403. doi: 10.1111/j.1600‐051X.2010.01535.x</hi>
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Abstract
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<hi rend="bold">Aim: </hi>
To assess the accuracy of implants placed flapless by a stereolithographic template in partially edentulous patients.</p>
<p>
<hi rend="bold">Material and Methods: </hi>
Eight patients, requiring two to four implants (maxilla or mandible), were consecutively recruited. Radiographical data were obtained by means of a cone beam or a multi‐slice CT scan and imported in a software program. Implants (
<hi rend="italic">n</hi>
=21) were planned in a virtual environment, leading to the manufacture of one stereolithographic template per patient to guide the implant placement in a one‐stage flapless procedure. A postoperative cone beam CT was performed to calculate the difference between virtual implant (
<hi rend="italic">n</hi>
=21) positions in the preoperative planning and postoperative situation.</p>
<p>
<hi rend="bold">Results: </hi>
A mean angular deviation of 2.7° (range 0.4–8, SD 1.9), with a mean deviation at the apex of 1.0 mm (range 0.2–3.0, SD 0.7), was observed. If one patient, a dropout because of non‐conformity with the protocol, was excluded, the angular deviation was reduced to 2.2° (range 0.6–3.9, SD 1.1), and the apical deviation to 0.9 mm (range 0.2–1.8).</p>
<p>
<hi rend="bold">Conclusion: </hi>
Based on this limited patient population, a flapless implant installation appears to be a useful procedure even when based on accurate and reliable 3D CT‐based image data and a dedicated implant planning software.</p>
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<i>Nele Van Assche</i>
<i>Department of Periodontology</i>
<i>Catholic University Leuven</i>
<i>Kapucijnenvoer 7</i>
<i>Leuven</i>
<i>Belgium</i>

E‐mail:
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<i>Van Assche N, van Steenberghe D, Quirynen M, Jacobs R. Accuracy assessment of computer‐assisted flapless implant placement in partial edentulism. J Clin Periodontol 2010; 37: 398–403. doi: 10.1111/j.1600‐051X.2010.01535.x</i>
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<p>
<b>Aim: </b>
To assess the accuracy of implants placed flapless by a stereolithographic template in partially edentulous patients.</p>
<p>
<b>Material and Methods: </b>
Eight patients, requiring two to four implants (maxilla or mandible), were consecutively recruited. Radiographical data were obtained by means of a cone beam or a multi‐slice CT scan and imported in a software program. Implants (
<i>n</i>
=21) were planned in a virtual environment, leading to the manufacture of one stereolithographic template per patient to guide the implant placement in a one‐stage flapless procedure. A postoperative cone beam CT was performed to calculate the difference between virtual implant (
<i>n</i>
=21) positions in the preoperative planning and postoperative situation.</p>
<p>
<b>Results: </b>
A mean angular deviation of 2.7° (range 0.4–8, SD 1.9), with a mean deviation at the apex of 1.0 mm (range 0.2–3.0, SD 0.7), was observed. If one patient, a dropout because of non‐conformity with the protocol, was excluded, the angular deviation was reduced to 2.2° (range 0.6–3.9, SD 1.1), and the apical deviation to 0.9 mm (range 0.2–1.8).</p>
<p>
<b>Conclusion: </b>
Based on this limited patient population, a flapless implant installation appears to be a useful procedure even when based on accurate and reliable 3D CT‐based image data and a dedicated implant planning software.</p>
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There are no conflicts of interests.
Oral implants were delivered free of charge by the Nobel Biocare company.</p>
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