Accuracy assessment of computer‐assisted flapless implant placement in partial edentulism
Identifieur interne : 005B93 ( Istex/Corpus ); précédent : 005B92; suivant : 005B94Accuracy assessment of computer‐assisted flapless implant placement in partial edentulism
Auteurs : N. Van Assche ; D. Van Steenberghe ; M. Quirynen ; R. JacobsSource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2010-04.
English descriptors
- KwdEn :
- Accuracy assessment, Anchor pins, Angular deviation, Apless, Apless implant placement, Apless procedure, Apless surgery, Assche, Cadaver study, Catholic university, Catholic university leuven, Cbct, Cbct scan, Clin periodontol, Clinical implant dentistry, Cone beam, Drill guides, Edentulism, Edentulous sites, Ersoy, Implant, Implant insertion, Implant placement, Implants research, International journal, Jacobs, John wiley sons, Leuven, Maxillofacial, Maxillofacial implants, Maxillofacial surgery, Msct, Msct scan, Multimodality image registration, Mutual information, Nobel biocare, Oral implant surgery, Oral rehabilitation, Ozan, Partial edentulism, Pilot study, Planning procedure, Postoperative, Preliminary results, Preoperative planning, Present study, Prosthetic, Provisional bridge, Radiographic template, Software, Steenberghe, Stereolithographic, Stereolithographic template, Stone model, Suetens, Surgical, Surgical template, Template, Virtual environment, Vivo studies.
- Teeft :
- Accuracy assessment, Anchor pins, Angular deviation, Apless, Apless implant placement, Apless procedure, Apless surgery, Assche, Cadaver study, Catholic university, Catholic university leuven, Cbct, Cbct scan, Clin periodontol, Clinical implant dentistry, Cone beam, Drill guides, Edentulism, Edentulous sites, Ersoy, Implant, Implant insertion, Implant placement, Implants research, International journal, Jacobs, John wiley sons, Leuven, Maxillofacial, Maxillofacial implants, Maxillofacial surgery, Msct, Msct scan, Multimodality image registration, Mutual information, Nobel biocare, Oral implant surgery, Oral rehabilitation, Ozan, Partial edentulism, Pilot study, Planning procedure, Postoperative, Preliminary results, Preoperative planning, Present study, Prosthetic, Provisional bridge, Radiographic template, Software, Steenberghe, Stereolithographic, Stereolithographic template, Stone model, Suetens, Surgical, Surgical template, Template, Virtual environment, Vivo studies.
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
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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
<p><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>
</abstract>
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<correspondenceTo>Address:
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<i>Department of Periodontology</i>
<i>Catholic University Leuven</i>
<i>Kapucijnenvoer 7</i>
<i>Leuven</i>
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E‐mail: <email normalForm="nele_van_assche@hotmail.com">nele_van_assche@hotmail.com</email>
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<titleGroup><title type="main">Accuracy assessment of computer‐assisted flapless implant placement in partial edentulism</title>
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<section xml:id="abs1-1"><title type="main">Abstract</title>
<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>
</section>
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<noteGroup><note xml:id="fn1" numbered="no"><p><b>Conflict of interest and source of funding statement</b>
There are no conflicts of interests.
Oral implants were delivered free of charge by the Nobel Biocare company.</p>
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<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</abstract>
<abstract>Aim: To assess the accuracy of implants placed flapless by a stereolithographic template in partially edentulous patients. Material and Methods: 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 (n=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 (n=21) positions in the preoperative planning and postoperative situation. Results: 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). Conclusion: 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.</abstract>
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