Precision of transfer of preoperative planning for oral implants based on cone-beam CT-scan images through a robotic drilling machine.
Identifieur interne : 000B35 ( Ncbi/Merge ); précédent : 000B34; suivant : 000B36Precision of transfer of preoperative planning for oral implants based on cone-beam CT-scan images through a robotic drilling machine.
Auteurs : Thomas Fortin [France] ; Guillaume Champleboux ; Silvio Bianchi ; Hervé Buatois ; Jean-Loup CoudertSource :
- Clinical oral implants research [ 0905-7161 ] ; 2002.
Descripteurs français
- KwdFr :
- Chirurgie assistée par ordinateur (instrumentation), Conception assistée par ordinateur (instrumentation), Coûts et analyse des coûts, Dose de radiation, Humains, Imagerie tridimensionnelle, Implants dentaires, Mandibule (), Mandibule (imagerie diagnostique), Maxillaire (), Maxillaire (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (imagerie diagnostique), Planification des soins du patient, Pose d'implant dentaire endo-osseux (instrumentation), Robotique (instrumentation), Technologie dentaire, Tomodensitométrie (économie), Traitement d'image par ordinateur.
- MESH :
- imagerie diagnostique : Mandibule, Maxillaire, Mâchoire édentée.
- économie : Chirurgie assistée par ordinateur, Conception assistée par ordinateur, Pose d'implant dentaire endo-osseux, Robotique, Tomodensitométrie.
- Coûts et analyse des coûts, Dose de radiation, Humains, Imagerie tridimensionnelle, Implants dentaires, Mandibule, Maxillaire, Mâchoire édentée, Planification des soins du patient, Technologie dentaire, Traitement d'image par ordinateur.
English descriptors
- KwdEn :
- Computer-Aided Design (instrumentation), Costs and Cost Analysis, Dental Implantation, Endosseous (instrumentation), Dental Implants, Humans, Image Processing, Computer-Assisted, Imaging, Three-Dimensional, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (surgery), Mandible (diagnostic imaging), Mandible (surgery), Maxilla (diagnostic imaging), Maxilla (surgery), Patient Care Planning, Radiation Dosage, Robotics (instrumentation), Surgery, Computer-Assisted (instrumentation), Technology, Dental, Tomography, X-Ray Computed (economics).
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Jaw, Edentulous, Mandible, Maxilla.
- economics : Tomography, X-Ray Computed.
- instrumentation : Computer-Aided Design, Dental Implantation, Endosseous, Robotics, Surgery, Computer-Assisted.
- surgery : Jaw, Edentulous, Mandible, Maxilla.
- Costs and Cost Analysis, Humans, Image Processing, Computer-Assisted, Imaging, Three-Dimensional, Patient Care Planning, Radiation Dosage, Technology, Dental.
Abstract
In this study, an image-guided system for oral implant placement was assessed. A specially designed mechanical tool has been elaborated to transfer the preoperative implant axis planned on 3-dimensional imagery into a surgical template by a numerically controlled drilling machine. The main drawback of image-guiding systems is the use of preoperative computed tomography, which is expensive and delivers high radiation doses. Therefore, in this study the image-guiding system was coupled with a cone-beam tomograph that significantly decreased both cost and radiation doses. Three edentulous models were used. To determine the accuracy of the system, the ability of a 1.8-mm diameter drill to enter a 2.0-mm diameter, 10-mm-long titanium tube inserted on the model with no contact was verified. Because the drill entered the tubes with no contact and went beyond the end of the tube, the transfer error was less than 0.2 mm for translation and less than 1.1 degrees for rotation. The method presented here is low cost and high precision compared to other technological solutions such as tracking. Further assessment in the surgical field should lead to daily use of this system for flapless surgery, to prepare a prosthesis prior to surgery for immediate loading, to reduce risk of injuring critical anatomical structures and to eliminate manual placement error.
PubMed: 12519341
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pubmed:12519341Le document en format XML
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<author><name sortKey="Fortin, Thomas" sort="Fortin, Thomas" uniqKey="Fortin T" first="Thomas" last="Fortin">Thomas Fortin</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Oral Surgery, Dental University of Lyon,Thomas Fortin, Guillaume Champleboux, TIMC-GMCAO, Medical University of Grenoble, France. Thomas.Fortin@rockefeller.univ-lyonI.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Oral Surgery, Dental University of Lyon,Thomas Fortin, Guillaume Champleboux, TIMC-GMCAO, Medical University of Grenoble</wicri:regionArea>
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<author><name sortKey="Bianchi, Silvio" sort="Bianchi, Silvio" uniqKey="Bianchi S" first="Silvio" last="Bianchi">Silvio Bianchi</name>
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<author><name sortKey="Buatois, Herve" sort="Buatois, Herve" uniqKey="Buatois H" first="Hervé" last="Buatois">Hervé Buatois</name>
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<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implants</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Imaging, Three-Dimensional</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (surgery)</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Patient Care Planning</term>
<term>Radiation Dosage</term>
<term>Robotics (instrumentation)</term>
<term>Surgery, Computer-Assisted (instrumentation)</term>
<term>Technology, Dental</term>
<term>Tomography, X-Ray Computed (economics)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Chirurgie assistée par ordinateur (instrumentation)</term>
<term>Conception assistée par ordinateur (instrumentation)</term>
<term>Coûts et analyse des coûts</term>
<term>Dose de radiation</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Robotique (instrumentation)</term>
<term>Technologie dentaire</term>
<term>Tomodensitométrie (économie)</term>
<term>Traitement d'image par ordinateur</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Computer-Aided Design</term>
<term>Dental Implantation, Endosseous</term>
<term>Robotics</term>
<term>Surgery, Computer-Assisted</term>
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<term>Maxilla</term>
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<term>Conception assistée par ordinateur</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Robotique</term>
<term>Tomodensitométrie</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Costs and Cost Analysis</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Imaging, Three-Dimensional</term>
<term>Patient Care Planning</term>
<term>Radiation Dosage</term>
<term>Technology, Dental</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Coûts et analyse des coûts</term>
<term>Dose de radiation</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Planification des soins du patient</term>
<term>Technologie dentaire</term>
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<front><div type="abstract" xml:lang="en">In this study, an image-guided system for oral implant placement was assessed. A specially designed mechanical tool has been elaborated to transfer the preoperative implant axis planned on 3-dimensional imagery into a surgical template by a numerically controlled drilling machine. The main drawback of image-guiding systems is the use of preoperative computed tomography, which is expensive and delivers high radiation doses. Therefore, in this study the image-guiding system was coupled with a cone-beam tomograph that significantly decreased both cost and radiation doses. Three edentulous models were used. To determine the accuracy of the system, the ability of a 1.8-mm diameter drill to enter a 2.0-mm diameter, 10-mm-long titanium tube inserted on the model with no contact was verified. Because the drill entered the tubes with no contact and went beyond the end of the tube, the transfer error was less than 0.2 mm for translation and less than 1.1 degrees for rotation. The method presented here is low cost and high precision compared to other technological solutions such as tracking. Further assessment in the surgical field should lead to daily use of this system for flapless surgery, to prepare a prosthesis prior to surgery for immediate loading, to reduce risk of injuring critical anatomical structures and to eliminate manual placement error.</div>
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<Abstract><AbstractText>In this study, an image-guided system for oral implant placement was assessed. A specially designed mechanical tool has been elaborated to transfer the preoperative implant axis planned on 3-dimensional imagery into a surgical template by a numerically controlled drilling machine. The main drawback of image-guiding systems is the use of preoperative computed tomography, which is expensive and delivers high radiation doses. Therefore, in this study the image-guiding system was coupled with a cone-beam tomograph that significantly decreased both cost and radiation doses. Three edentulous models were used. To determine the accuracy of the system, the ability of a 1.8-mm diameter drill to enter a 2.0-mm diameter, 10-mm-long titanium tube inserted on the model with no contact was verified. Because the drill entered the tubes with no contact and went beyond the end of the tube, the transfer error was less than 0.2 mm for translation and less than 1.1 degrees for rotation. The method presented here is low cost and high precision compared to other technological solutions such as tracking. Further assessment in the surgical field should lead to daily use of this system for flapless surgery, to prepare a prosthesis prior to surgery for immediate loading, to reduce risk of injuring critical anatomical structures and to eliminate manual placement error.</AbstractText>
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