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Accuracy assessment of computer-assisted flapless implant placement in partial edentulism

Identifieur interne : 000474 ( PascalFrancis/Curation ); précédent : 000473; suivant : 000475

Accuracy assessment of computer-assisted flapless implant placement in partial edentulism

Auteurs : N. Van Assche [Belgique] ; D. Van Steenberghe [Belgique] ; M. Quirynen [Belgique] ; R. Jacobs [Belgique]

Source :

RBID : Pascal:10-0176536

Descripteurs français

English descriptors

Abstract

Aim: To assess the accuracy of implants placed flapless by a stereolithographic template in partially edentulous patients. Material and Methods: Eight patients, requiring two to four implants (maxilla or mandible), were consecutively recruited. Radiographical data were obtained by means of a cone beam or a multi-slice CT scan and imported in a software program. Implants (n = 21) were planned in a virtual environment, leading to the manufacture of one stereolithographic template per patient to guide the implant placement in a one-stage flapless procedure. A postoperative cone beam CT was performed to calculate the difference between virtual implant (n = 21) positions in the preoperative planning and postoperative situation. Results: A mean angular deviation of 2.7° (range 0.4-8, SD 1.9), with a mean deviation at the apex of 1.0 mm (range 0.2-3.0, SD 0.7), was observed. If one patient, a dropout because of non-conformity with the protocol, was excluded, the angular deviation was reduced to 2.2° (range 0.6-3.9, SD 1.1), and the apical deviation to 0.9 mm (range 0.2-1.8). Conclusion: Based on this limited patient population, a flapless implant installation appears to be a useful procedure even when based on accurate and reliable 3D CT-based image data and a dedicated implant planning software.
pA  
A01 01  1    @0 0303-6979
A03   1    @0 J. clin. periodontol.
A05       @2 37
A06       @2 4
A08 01  1  ENG  @1 Accuracy assessment of computer-assisted flapless implant placement in partial edentulism
A11 01  1    @1 VAN ASSCHE (N.)
A11 02  1    @1 VAN STEENBERGHE (D.)
A11 03  1    @1 QUIRYNEN (M.)
A11 04  1    @1 JACOBS (R.)
A14 01      @1 Department of Periodontology, Faculty of Medicine, Catholic University Leuven @2 Leuven @3 BEL @Z 1 aut. @Z 2 aut. @Z 3 aut.
A14 02      @1 Department of Periodontology, Faculty of Medicine, Catholic University of Leuven @2 Leuven @3 BEL @Z 2 aut.
A14 03      @1 Oral Imaging Center, Faculty of Medicine, Catholic University Leuven @2 Leuven @3 BEL @Z 4 aut.
A20       @1 398-403
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 16273 @5 354000181495760110
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 3/4 p.
A47 01  1    @0 10-0176536
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of clinical periodontology
A66 01      @0 GBR
C01 01    ENG  @0 Aim: To assess the accuracy of implants placed flapless by a stereolithographic template in partially edentulous patients. Material and Methods: Eight patients, requiring two to four implants (maxilla or mandible), were consecutively recruited. Radiographical data were obtained by means of a cone beam or a multi-slice CT scan and imported in a software program. Implants (n = 21) were planned in a virtual environment, leading to the manufacture of one stereolithographic template per patient to guide the implant placement in a one-stage flapless procedure. A postoperative cone beam CT was performed to calculate the difference between virtual implant (n = 21) positions in the preoperative planning and postoperative situation. Results: A mean angular deviation of 2.7° (range 0.4-8, SD 1.9), with a mean deviation at the apex of 1.0 mm (range 0.2-3.0, SD 0.7), was observed. If one patient, a dropout because of non-conformity with the protocol, was excluded, the angular deviation was reduced to 2.2° (range 0.6-3.9, SD 1.1), and the apical deviation to 0.9 mm (range 0.2-1.8). Conclusion: Based on this limited patient population, a flapless implant installation appears to be a useful procedure even when based on accurate and reliable 3D CT-based image data and a dedicated implant planning software.
C02 01  X    @0 002B10C02
C02 02  X    @0 002B25C02
C03 01  X  FRE  @0 Edentation @5 01
C03 01  X  ENG  @0 Edentulousness @5 01
C03 01  X  SPA  @0 Edentación @5 01
C03 02  X  FRE  @0 Tomodensitométrie @5 04
C03 02  X  ENG  @0 Computerized axial tomography @5 04
C03 02  X  SPA  @0 Tomodensitometría @5 04
C03 03  X  FRE  @0 Image tridimensionnelle @5 05
C03 03  X  ENG  @0 Tridimensional image @5 05
C03 03  X  SPA  @0 Imagen tridimensional @5 05
C03 04  X  FRE  @0 Précision @5 07
C03 04  X  ENG  @0 Accuracy @5 07
C03 04  X  SPA  @0 Precisión @5 07
C03 05  X  FRE  @0 Assistance ordinateur @5 08
C03 05  X  ENG  @0 Computer aid @5 08
C03 05  X  SPA  @0 Asistencia ordenador @5 08
C03 06  X  FRE  @0 Implanté @5 09
C03 06  X  ENG  @0 Implanted @5 09
C03 06  X  SPA  @0 Implantado @5 09
C03 07  X  FRE  @0 Partiel @5 13
C03 07  X  ENG  @0 Partial @5 13
C03 07  X  SPA  @0 Parcial @5 13
C03 08  X  FRE  @0 Stéréolithographie @5 14
C03 08  X  ENG  @0 Stereolithography @5 14
C03 08  X  SPA  @0 Stereolitografia @5 14
C03 09  X  FRE  @0 Dentisterie @5 30
C03 09  X  ENG  @0 Dentistry @5 30
C03 09  X  SPA  @0 Odontología @5 30
C03 10  X  FRE  @0 Traitement @5 31
C03 10  X  ENG  @0 Treatment @5 31
C03 10  X  SPA  @0 Tratamiento @5 31
C03 11  X  FRE  @0 Implant dentaire @4 CD @5 96
C03 11  X  ENG  @0 Dental implant @4 CD @5 96
C03 12  X  FRE  @0 Chirurgie assistée par ordinateur @4 CD @5 97
C03 12  X  ENG  @0 Computer-assisted surgery @4 CD @5 97
C03 13  X  FRE  @0 Faisceau conique @4 CD @5 98
C03 13  X  ENG  @0 Cone beam @4 CD @5 98
C07 01  X  FRE  @0 Pathologie dentaire @5 37
C07 01  X  ENG  @0 Dental disease @5 37
C07 01  X  SPA  @0 Diente patología @5 37
C07 02  X  FRE  @0 Stomatologie @5 38
C07 02  X  ENG  @0 Stomatology @5 38
C07 02  X  SPA  @0 Estomatología @5 38
C07 03  X  FRE  @0 Imagerie médicale @5 39
C07 03  X  ENG  @0 Medical imagery @5 39
C07 03  X  SPA  @0 Imaginería médica @5 39
C07 04  X  FRE  @0 Radiodiagnostic @5 40
C07 04  X  ENG  @0 Radiodiagnosis @5 40
C07 04  X  SPA  @0 Radiodiagnóstico @5 40
N21       @1 116
N44 01      @1 OTO
N82       @1 OTO

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<div type="abstract" xml:lang="en">Aim: To assess the accuracy of implants placed flapless by a stereolithographic template in partially edentulous patients. Material and Methods: Eight patients, requiring two to four implants (maxilla or mandible), were consecutively recruited. Radiographical data were obtained by means of a cone beam or a multi-slice CT scan and imported in a software program. Implants (n = 21) were planned in a virtual environment, leading to the manufacture of one stereolithographic template per patient to guide the implant placement in a one-stage flapless procedure. A postoperative cone beam CT was performed to calculate the difference between virtual implant (n = 21) positions in the preoperative planning and postoperative situation. Results: A mean angular deviation of 2.7° (range 0.4-8, SD 1.9), with a mean deviation at the apex of 1.0 mm (range 0.2-3.0, SD 0.7), was observed. If one patient, a dropout because of non-conformity with the protocol, was excluded, the angular deviation was reduced to 2.2° (range 0.6-3.9, SD 1.1), and the apical deviation to 0.9 mm (range 0.2-1.8). Conclusion: Based on this limited patient population, a flapless implant installation appears to be a useful procedure even when based on accurate and reliable 3D CT-based image data and a dedicated implant planning software.</div>
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<s0>Dentisterie</s0>
<s5>30</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Dentistry</s0>
<s5>30</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Odontología</s0>
<s5>30</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>31</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>31</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>31</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Implant dentaire</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Dental implant</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Chirurgie assistée par ordinateur</s0>
<s4>CD</s4>
<s5>97</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Computer-assisted surgery</s0>
<s4>CD</s4>
<s5>97</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Faisceau conique</s0>
<s4>CD</s4>
<s5>98</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Cone beam</s0>
<s4>CD</s4>
<s5>98</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Pathologie dentaire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Dental disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Diente patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Stomatologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Stomatology</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Estomatología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Imagerie médicale</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Medical imagery</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Imaginería médica</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Radiodiagnostic</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Radiodiagnosis</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Radiodiagnóstico</s0>
<s5>40</s5>
</fC07>
<fN21>
<s1>116</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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