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Accuracy of a computer-aided implant surgical technique.

Identifieur interne : 004629 ( Ncbi/Curation ); précédent : 004628; suivant : 004630

Accuracy of a computer-aided implant surgical technique.

Auteurs : Michele Cassetta [Italie] ; Luigi V. Stefanelli ; Matteo Giansanti ; Alfonso Di Mambro ; Sabrina Calasso

Source :

RBID : pubmed:23593625

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Abstract

The purpose of this in vivo retrospective study was to evaluate the accuracy of a computer-designed stereolithographic surgical guide. One hundred eleven implants were placed in 10 patients. Pre- and postoperative computed tomography images were compared using specific software. Global, angular, depth, and lateral deviations were calculated between planned and placed implants. Mean global deviations between planned and placed implants at the coronal and apical aspects were 1.52 mm (range, 0.13 to 3.00 mm) and 1.97 mm (range, 0.34 to 4.23 mm), respectively, while the mean angular deviation was 4.68 degrees (range, 0.10 to 15.25 degrees). This study highlighted a reasonable mean accuracy with relatively high maximum deviations between the postoperative position and the preoperative plan. These results should serve as a warning for the clinician if implants are placed near vital structures.

PubMed: 23593625

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pubmed:23593625

Le document en format XML

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<name sortKey="Cassetta, Michele" sort="Cassetta, Michele" uniqKey="Cassetta M" first="Michele" last="Cassetta">Michele Cassetta</name>
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<nlm:affiliation>Department of Oral Sciences, School of Dentistry, Sapienza University of Rome, Rome, Italy. michele.cassetta@uniroma1.it</nlm:affiliation>
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<wicri:regionArea>Department of Oral Sciences, School of Dentistry, Sapienza University of Rome, Rome</wicri:regionArea>
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<name sortKey="Stefanelli, Luigi V" sort="Stefanelli, Luigi V" uniqKey="Stefanelli L" first="Luigi V" last="Stefanelli">Luigi V. Stefanelli</name>
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<name sortKey="Di Mambro, Alfonso" sort="Di Mambro, Alfonso" uniqKey="Di Mambro A" first="Alfonso" last="Di Mambro">Alfonso Di Mambro</name>
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<title level="j">The International journal of periodontics & restorative dentistry</title>
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<term>Cone-Beam Computed Tomography (statistics & numerical data)</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (statistics & numerical data)</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (statistics & numerical data)</term>
<term>Imaging, Three-Dimensional (statistics & numerical data)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Care Planning</term>
<term>Radiography, Panoramic (statistics & numerical data)</term>
<term>Retrospective Studies</term>
<term>Surgery, Computer-Assisted (statistics & numerical data)</term>
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<term>Anatomie en coupes transversales ()</term>
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<term>Conception assistée par ordinateur ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</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>Radiographie panoramique ()</term>
<term>Tomodensitométrie hélicoïdale ()</term>
<term>Tomodensitométrie à faisceau conique ()</term>
<term>Traitement d'image par ordinateur ()</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<term>Dental Implants</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
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<term>Anatomy, Cross-Sectional</term>
<term>Computer-Aided Design</term>
<term>Cone-Beam Computed Tomography</term>
<term>Dental Implantation, Endosseous</term>
<term>Image Processing, Computer-Assisted</term>
<term>Imaging, Three-Dimensional</term>
<term>Radiography, Panoramic</term>
<term>Surgery, Computer-Assisted</term>
<term>Tomography, Spiral Computed</term>
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<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
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<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Care Planning</term>
<term>Retrospective Studies</term>
<term>User-Computer Interface</term>
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<term>Adulte d'âge moyen</term>
<term>Anatomie en coupes transversales</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Radiographie panoramique</term>
<term>Tomodensitométrie hélicoïdale</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Traitement d'image par ordinateur</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">The purpose of this in vivo retrospective study was to evaluate the accuracy of a computer-designed stereolithographic surgical guide. One hundred eleven implants were placed in 10 patients. Pre- and postoperative computed tomography images were compared using specific software. Global, angular, depth, and lateral deviations were calculated between planned and placed implants. Mean global deviations between planned and placed implants at the coronal and apical aspects were 1.52 mm (range, 0.13 to 3.00 mm) and 1.97 mm (range, 0.34 to 4.23 mm), respectively, while the mean angular deviation was 4.68 degrees (range, 0.10 to 15.25 degrees). This study highlighted a reasonable mean accuracy with relatively high maximum deviations between the postoperative position and the preoperative plan. These results should serve as a warning for the clinician if implants are placed near vital structures.</div>
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