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Implant positioning errors in freehand and computer-aided placement methods: a single-blind clinical comparative study.

Identifieur interne : 004464 ( Ncbi/Merge ); précédent : 004463; suivant : 004465

Implant positioning errors in freehand and computer-aided placement methods: a single-blind clinical comparative study.

Auteurs : Volkan Arisan [Turquie] ; Cüneyt Z. Karabuda ; Emre Mumcu ; Tayfun Özdemir

Source :

RBID : pubmed:23377066

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English descriptors

Abstract

Simultaneous insertion of multiple implants may exhibit suboptimal positions, especially in edentulous jaws considered for a fixed restoration. The aim of this study was to compare the incidence of and confounding factors in implant positioning errors related to the use of freehand and computer-aided treatment methods.

PubMed: 23377066

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pubmed:23377066

Le document en format XML

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<nlm:affiliation>Department of Oral Implantology, Faculty of Dentistry, Istanbul University, Çapa, Istanbul, Turkey. varisan@istanbul.edu.tr</nlm:affiliation>
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<name sortKey="Karabuda, Cuneyt Z" sort="Karabuda, Cuneyt Z" uniqKey="Karabuda C" first="Cüneyt Z" last="Karabuda">Cüneyt Z. Karabuda</name>
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<term>Dental Implantation, Endosseous (instrumentation)</term>
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<term>Dental Implantation, Endosseous (statistics & numerical data)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chirurgie assistée par ordinateur ()</term>
<term>Conception assistée par ordinateur</term>
<term>Erreurs médicales ()</term>
<term>Facteurs de confusion (épidémiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires</term>
<term>Logiciel</term>
<term>Loi du khi-deux</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Méthode en simple aveugle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Sujet âgé</term>
<term>Technique de prise d'empreinte</term>
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<term>Dental Implants</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Dental Implantation, Endosseous</term>
<term>Imaging, Three-Dimensional</term>
<term>Surgery, Computer-Assisted</term>
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<term>Jaw, Edentulous</term>
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<term>Mâchoire édentée</term>
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<term>Medical Errors</term>
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<term>Adult</term>
<term>Aged</term>
<term>Chi-Square Distribution</term>
<term>Computer-Aided Design</term>
<term>Confounding Factors (Epidemiology)</term>
<term>Dental Impression Technique</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Single-Blind Method</term>
<term>Software</term>
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<term>Adulte d'âge moyen</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Erreurs médicales</term>
<term>Facteurs de confusion (épidémiologie)</term>
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<term>Imagerie tridimensionnelle</term>
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<term>Loi du khi-deux</term>
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<term>Méthode en simple aveugle</term>
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<front>
<div type="abstract" xml:lang="en">Simultaneous insertion of multiple implants may exhibit suboptimal positions, especially in edentulous jaws considered for a fixed restoration. The aim of this study was to compare the incidence of and confounding factors in implant positioning errors related to the use of freehand and computer-aided treatment methods.</div>
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<DateCompleted>
<Year>2014</Year>
<Month>02</Month>
<Day>06</Day>
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<DateRevised>
<Year>2013</Year>
<Month>02</Month>
<Day>04</Day>
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<ISSN IssnType="Electronic">1942-4434</ISSN>
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<Volume>28</Volume>
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<MedlineDate>2013 Jan-Feb</MedlineDate>
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<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
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<ArticleTitle>Implant positioning errors in freehand and computer-aided placement methods: a single-blind clinical comparative study.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Simultaneous insertion of multiple implants may exhibit suboptimal positions, especially in edentulous jaws considered for a fixed restoration. The aim of this study was to compare the incidence of and confounding factors in implant positioning errors related to the use of freehand and computer-aided treatment methods.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A total of 353 implants were placed in 54 patients with at least one edentulous jaw using freehand and computer-aided methods involving 16 mucosa- and 12 bone-supported single- and multiple-type stereolithographic surgical guides. At the stage of prosthesis delivery, a blinded examiner evaluated seven positioning error criteria. Results were analyzed by chi-square test and logistic regression.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Interproximal emergence (OR = 2.82, P < .0001), insufficient interimplant distance (OR = 1.42, P < .0001), and improper parallelism (OR = 1.24, P = .001) errors were significantly higher in implants placed by the freehand method. The highest probability of positioning error (88%) was associated with the use of the freehand method, whereas the lowest (6%) was associated with single-type, mucosa-supported guides with other significant confounding factors.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Utilizing computer-aided methods may alleviate the occurrence of implant positioning errors that are frequently associated with the freehand method. The use of software planning with enhanced viewing capabilities and single-type, mucosa-supported stereolithographic surgical guides in suitable patients minimizes errors.</AbstractText>
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