An assessment of template-guided implant surgery in terms of accuracy and related factors
Identifieur interne : 002660 ( Main/Exploration ); précédent : 002659; suivant : 002661An assessment of template-guided implant surgery in terms of accuracy and related factors
Auteurs : Jee-Ho Lee [Corée du Sud] ; Ji-Man Park [Corée du Sud] ; Soung-Min Kim [Corée du Sud] ; Myung-Joo Kim [Corée du Sud] ; Jong-Ho Lee [Corée du Sud] ; Myung-Jin Kim [Corée du Sud]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2013.
Abstract
Template-guided implant therapy has developed hand-in-hand with computed tomography (CT) to improve the accuracy of implant surgery and future prosthodontic treatment. In our present study, the accuracy and causative factors for computer-assisted implant surgery were assessed to further validate the stable clinical application of this technique.
A total of 102 implants in 48 patients were included in this study. Implant surgery was performed with a stereolithographic template. Pre- and post-operative CTs were used to compare the planned and placed implants. Accuracy and related factors were statistically analyzed with the Spearman correlation method and the linear mixed model. Differences were considered to be statistically significant at
The mean errors of computer-assisted implant surgery were 1.09 mm at the coronal center, 1.56 mm at the apical center, and the axis deviation was 3.80°. The coronal and apical errors of the implants were found to be strongly correlated. The errors developed at the coronal center were magnified at the apical center by the fixture length. The case of anterior edentulous area and longer fixtures affected the accuracy of the implant template.
The control of errors at the coronal center and stabilization of the anterior part of the template are needed for safe implant surgery and future prosthodontic treatment.
Url:
DOI: 10.4047/jap.2013.5.4.440
PubMed: 24353883
PubMed Central: 3865200
Affiliations:
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Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Ewha Womans University, School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Soung Min" sort="Kim, Soung Min" uniqKey="Kim S" first="Soung-Min" last="Kim">Soung-Min Kim</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Myung Joo" sort="Kim, Myung Joo" uniqKey="Kim M" first="Myung-Joo" last="Kim">Myung-Joo Kim</name><affiliation wicri:level="3"><nlm:aff id="A4">Department of Prosthodontics, Seoul National University Dental Hospital, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Seoul National University Dental Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lee, Jong Ho" sort="Lee, Jong Ho" uniqKey="Lee J" first="Jong-Ho" last="Lee">Jong-Ho Lee</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du 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type="wicri:Area/Main/Exploration">002660</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">An assessment of template-guided implant surgery in terms of accuracy and related factors</title><author><name sortKey="Lee, Jee Ho" sort="Lee, Jee Ho" uniqKey="Lee J" first="Jee-Ho" last="Lee">Jee-Ho Lee</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Seoul Asan Medical Center, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Seoul Asan Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Ji Man" sort="Park, Ji Man" uniqKey="Park J" first="Ji-Man" last="Park">Ji-Man Park</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Prosthodontics, Ewha Womans University, School of Medicine, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Ewha Womans University, School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Soung Min" sort="Kim, Soung Min" uniqKey="Kim S" first="Soung-Min" last="Kim">Soung-Min Kim</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Myung Joo" sort="Kim, Myung Joo" uniqKey="Kim M" first="Myung-Joo" last="Kim">Myung-Joo Kim</name><affiliation wicri:level="3"><nlm:aff id="A4">Department of Prosthodontics, Seoul National University Dental Hospital, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Seoul National University Dental Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lee, Jong Ho" sort="Lee, Jong Ho" uniqKey="Lee J" first="Jong-Ho" last="Lee">Jong-Ho Lee</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Myung Jin" sort="Kim, Myung Jin" uniqKey="Kim M" first="Myung-Jin" last="Kim">Myung-Jin Kim</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">The Journal of Advanced Prosthodontics</title><idno type="ISSN">2005-7806</idno><idno type="eISSN">2005-7814</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>PURPOSE</title><p>Template-guided implant therapy has developed hand-in-hand with computed tomography (CT) to improve the accuracy of implant surgery and future prosthodontic treatment. In our present study, the accuracy and causative factors for computer-assisted implant surgery were assessed to further validate the stable clinical application of this technique.</p></sec><sec><title>MATERIALS AND METHODS</title><p>A total of 102 implants in 48 patients were included in this study. Implant surgery was performed with a stereolithographic template. Pre- and post-operative CTs were used to compare the planned and placed implants. Accuracy and related factors were statistically analyzed with the Spearman correlation method and the linear mixed model. Differences were considered to be statistically significant at <italic>P</italic>≤.05.</p></sec><sec><title>RESULTS</title><p>The mean errors of computer-assisted implant surgery were 1.09 mm at the coronal center, 1.56 mm at the apical center, and the axis deviation was 3.80°. The coronal and apical errors of the implants were found to be strongly correlated. The errors developed at the coronal center were magnified at the apical center by the fixture length. The case of anterior edentulous area and longer fixtures affected the accuracy of the implant template.</p></sec><sec><title>CONCLUSION</title><p>The control of errors at the coronal center and stabilization of the anterior part of the template are needed for safe implant surgery and future prosthodontic treatment.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Besimo, C" uniqKey="Besimo C">C Besimo</name></author><author><name sortKey="Lambrecht, Jt" uniqKey="Lambrecht J">JT Lambrecht</name></author><author><name sortKey="Nidecker, A" uniqKey="Nidecker A">A Nidecker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fortin, T" uniqKey="Fortin T">T Fortin</name></author><author><name sortKey="Coudert, Jl" uniqKey="Coudert J">JL Coudert</name></author><author><name sortKey="Champleboux, G" uniqKey="Champleboux G">G Champleboux</name></author><author><name sortKey="Sautot, P" uniqKey="Sautot 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sortKey="Lee, Jong Ho" sort="Lee, Jong Ho" uniqKey="Lee J" first="Jong-Ho" last="Lee">Jong-Ho Lee</name><name sortKey="Park, Ji Man" sort="Park, Ji Man" uniqKey="Park J" first="Ji-Man" last="Park">Ji-Man Park</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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