Accuracy of a direct drill-guiding system with minimal tolerance of surgical instruments used for implant surgery: a prospective clinical study
Identifieur interne : 006822 ( Ncbi/Curation ); précédent : 006821; suivant : 006823Accuracy of a direct drill-guiding system with minimal tolerance of surgical instruments used for implant surgery: a prospective clinical study
Auteurs : Du-Hyeong Lee [Corée du Sud] ; Seo-Young An [Corée du Sud] ; Min-Ho Hong [Corée du Sud] ; Kyoung-Bae Jeon [Corée du Sud] ; Kyu-Bok Lee [Corée du Sud]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2016.
Abstract
A recently introduced direct drill-guiding implant surgery system features minimal tolerance of surgical instruments in the metal sleeve by using shank-modified drills and a sleeve-incorporated stereolithographic guide template. The purpose of this study was to evaluate the accuracy of this new guided surgery system in partially edentulous patients using geometric analyses.
For the study, 21 implants were placed in 11 consecutive patients using the direct drill-guiding implant surgery system. The stereolithographic surgical guide was fabricated using cone-beam computed tomography, digital scanning, computer-aided design and computer-assisted manufacturing, and additive manufacturing processes. After surgery, the positional and angular deviations between planned and placed implants were measured at the abutment level using implant-planning software. The Kruskal-Wallis test and Mann-Whitney U test were used to compare the deviations (α=.05).
The mean horizontal deviations were 0.593 mm (SD 0.238) mesiodistally and 0.691 mm (SD 0.344) buccolingually. The mean vertical deviation was 0.925 mm (SD 0.376) occlusogingivally. The vertical deviation was significantly larger than the horizontal deviation (
The direct drill-guiding implant surgery system demonstrates high accuracy in placing implants. Use of the drill shank as the guiding component is an effective way for reducing tolerance.
Url:
DOI: 10.4047/jap.2016.8.3.207
PubMed: 27350855
PubMed Central: 4919491
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Dentistry, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author><author><name sortKey="Hong, Min Ho" sort="Hong, Min Ho" uniqKey="Hong M" first="Min-Ho" last="Hong">Min-Ho Hong</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Bio-medical Research Institute, A3DI, Kyungpook National University Hospital, Daegu, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Bio-medical Research Institute, A3DI, Kyungpook National University Hospital, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author><author><name sortKey="Jeon, Kyoung Bae" sort="Jeon, Kyoung Bae" uniqKey="Jeon K" first="Kyoung-Bae" 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level="a" type="main">Accuracy of a direct drill-guiding system with minimal tolerance of surgical instruments used for implant surgery: a prospective clinical study</title><author><name sortKey="Lee, Du Hyeong" sort="Lee, Du Hyeong" uniqKey="Lee D" first="Du-Hyeong" last="Lee">Du-Hyeong Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, A3DI, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, School of Dentistry, A3DI, Kyungpook National University, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author><author><name sortKey="An, Seo Young" sort="An, Seo Young" uniqKey="An S" first="Seo-Young" last="An">Seo-Young An</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author><author><name sortKey="Hong, Min Ho" sort="Hong, Min Ho" uniqKey="Hong M" first="Min-Ho" last="Hong">Min-Ho Hong</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Bio-medical Research Institute, A3DI, Kyungpook National University Hospital, Daegu, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Bio-medical Research Institute, A3DI, Kyungpook National University Hospital, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author><author><name sortKey="Jeon, Kyoung Bae" sort="Jeon, Kyoung Bae" uniqKey="Jeon K" first="Kyoung-Bae" last="Jeon">Kyoung-Bae Jeon</name><affiliation wicri:level="1"><nlm:aff id="A4">Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Kyu Bok" sort="Lee, Kyu Bok" uniqKey="Lee K" first="Kyu-Bok" last="Lee">Kyu-Bok Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, A3DI, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, School of Dentistry, A3DI, Kyungpook National University, Daegu</wicri:regionArea><wicri:noRegion>Daegu</wicri:noRegion></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="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>PURPOSE</title><p>A recently introduced direct drill-guiding implant surgery system features minimal tolerance of surgical instruments in the metal sleeve by using shank-modified drills and a sleeve-incorporated stereolithographic guide template. The purpose of this study was to evaluate the accuracy of this new guided surgery system in partially edentulous patients using geometric analyses.</p></sec><sec><title>MATERIALS AND METHODS</title><p>For the study, 21 implants were placed in 11 consecutive patients using the direct drill-guiding implant surgery system. The stereolithographic surgical guide was fabricated using cone-beam computed tomography, digital scanning, computer-aided design and computer-assisted manufacturing, and additive manufacturing processes. After surgery, the positional and angular deviations between planned and placed implants were measured at the abutment level using implant-planning software. The Kruskal-Wallis test and Mann-Whitney U test were used to compare the deviations (α=.05).</p></sec><sec><title>RESULTS</title><p>The mean horizontal deviations were 0.593 mm (SD 0.238) mesiodistally and 0.691 mm (SD 0.344) buccolingually. The mean vertical deviation was 0.925 mm (SD 0.376) occlusogingivally. The vertical deviation was significantly larger than the horizontal deviation (<italic>P</italic>=.018). The mean angular deviation was 2.024 degrees (SD 0.942) mesiodistally and 2.390 degrees (SD 1.142) buccolingually.</p></sec><sec><title>CONCLUSION</title><p>The direct drill-guiding implant surgery system demonstrates high accuracy in placing implants. 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Galindo-Moreno</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nelogi, S" uniqKey="Nelogi S">S Nelogi</name></author><author><name sortKey="Rao, Bs" uniqKey="Rao B">BS Rao</name></author><author><name sortKey="Naveen, Hc" uniqKey="Naveen H">HC Naveen</name></author><author><name sortKey="Porwal, A" uniqKey="Porwal A">A Porwal</name></author><author><name sortKey="Nelogi, M" uniqKey="Nelogi M">M Nelogi</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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