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Accuracy of implant placement based on pre-surgical planning of three-dimensional cone-beam images : a pilot study

Identifieur interne : 006B44 ( Main/Exploration ); précédent : 006B43; suivant : 006B45

Accuracy of implant placement based on pre-surgical planning of three-dimensional cone-beam images : a pilot study

Auteurs : N. Van Assche [Belgique] ; D. Van Steenberghe [Belgique] ; M. E. Guerrero [Belgique] ; E. Hirsch [Allemagne] ; F. Schutyser [Belgique] ; M. Quirynen [Belgique] ; R. Jacobs [Belgique]

Source :

RBID : Pascal:07-0427844

Descripteurs français

English descriptors

Abstract

Aim: To evaluate the precision of transfer of a computer-based three-dimensional (3D) planning, using re-formatted cone-beam images, for oral implant placement in partially edentulous jaws. Material and Methods: Four formalin-fixed cadaver jaws were imaged in a 3D Accuitomo FPD® cone-beam computed tomography (CT). Data were used to produce an accurate implant planning with a transfer to surgery by means of stereolithographic drill guides. Pre-operative cone-beam CT images were subsequently matched with post-operative ones to calculate the deviation between planned and installed implants. Results: Placed implants (length: 10-15 mm) showed an average angular deviation of 2° (SD: 0.8, range: 0.7-4.0°) as compared with the planning, while the mean linear deviation was 1.1 mm (SD: 0.7mm, range 0.3-2.3 mm) at the hex and 2.0mm (SD: 0.7 mm, range 0.7-2.4 mm) at the tip. Conclusions: Cone-beam images could be used for implant planning, taking into account a maximal 4° angular and 2.4 mm linear deviation at the apical tip.


Affiliations:


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Le document en format XML

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<term>Accuracy</term>
<term>Bone</term>
<term>Cadaver</term>
<term>Computer aid</term>
<term>Computerized axial tomography</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dentistry</term>
<term>Edentulousness</term>
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<term>Image Processing, Computer-Assisted (methods)</term>
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<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Methacrylates</term>
<term>Patient Care Planning</term>
<term>Pilot Projects</term>
<term>Planning</term>
<term>Stereolithography</term>
<term>Surgery</term>
<term>Surgery, Computer-Assisted</term>
<term>Tomography, X-Ray Computed (methods)</term>
<term>Treatment</term>
<term>Tridimensional image</term>
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<term>Cadavre</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Méthacrylates</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Projets pilotes</term>
<term>Tomodensitométrie ()</term>
<term>Traitement d'image par ordinateur ()</term>
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<term>Dental Implants</term>
<term>Methacrylates</term>
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<term>Dental Implantation, Endosseous</term>
<term>Image Processing, Computer-Assisted</term>
<term>Imaging, Three-Dimensional</term>
<term>Tomography, X-Ray Computed</term>
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<term>Jaw, Edentulous, Partially</term>
</keywords>
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<term>Cadaver</term>
<term>Humans</term>
<term>Patient Care Planning</term>
<term>Pilot Projects</term>
<term>Surgery, Computer-Assisted</term>
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<term>Cadavre</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Edentation</term>
<term>Chirurgie</term>
<term>Humains</term>
<term>Image tridimensionnelle</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Mâchoire partiellement édentée</term>
<term>Méthacrylates</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Projets pilotes</term>
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<term>Précision</term>
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<term>Planification</term>
<term>Assistance ordinateur</term>
<term>Ex vivo</term>
<term>Mâchoire</term>
<term>Os</term>
<term>Stéréolithographie</term>
<term>Dentisterie</term>
<term>Traitement</term>
<term>Traitement d'image par ordinateur</term>
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<front>
<div type="abstract" xml:lang="en">Aim: To evaluate the precision of transfer of a computer-based three-dimensional (3D) planning, using re-formatted cone-beam images, for oral implant placement in partially edentulous jaws. Material and Methods: Four formalin-fixed cadaver jaws were imaged in a 3D Accuitomo FPD® cone-beam computed tomography (CT). Data were used to produce an accurate implant planning with a transfer to surgery by means of stereolithographic drill guides. Pre-operative cone-beam CT images were subsequently matched with post-operative ones to calculate the deviation between planned and installed implants. Results: Placed implants (length: 10-15 mm) showed an average angular deviation of 2° (SD: 0.8, range: 0.7-4.0°) as compared with the planning, while the mean linear deviation was 1.1 mm (SD: 0.7mm, range 0.3-2.3 mm) at the hex and 2.0mm (SD: 0.7 mm, range 0.7-2.4 mm) at the tip. Conclusions: Cone-beam images could be used for implant planning, taking into account a maximal 4° angular and 2.4 mm linear deviation at the apical tip.</div>
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