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Accuracy of implant placement in the posterior maxilla as related to 2 types of surgical guides: a pilot study in the human cadaver.

Identifieur interne : 000809 ( PubMed/Checkpoint ); précédent : 000808; suivant : 000810

Accuracy of implant placement in the posterior maxilla as related to 2 types of surgical guides: a pilot study in the human cadaver.

Auteurs : Renaud Noharet [France] ; Andreas Pettersson [Suède] ; Denis Bourgeois [France]

Source :

RBID : pubmed:24721507

Descripteurs français

English descriptors

Abstract

The position of implants may have an effect on obtaining osseointegration without complications and on the outcome of the prostheses.

DOI: 10.1016/j.prosdent.2013.12.013
PubMed: 24721507


Affiliations:


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pubmed:24721507

Le document en format XML

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<term>Bone Density (physiology)</term>
<term>Cadaver</term>
<term>Computer-Aided Design</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (statistics & numerical data)</term>
<term>Dental Prosthesis Design</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (methods)</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Patient Care Planning</term>
<term>Pilot Projects</term>
<term>Surgery, Computer-Assisted (instrumentation)</term>
<term>Surgery, Computer-Assisted (statistics & numerical data)</term>
<term>Tomography, X-Ray Computed (methods)</term>
<term>User-Computer Interface</term>
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<term>Atrophie</term>
<term>Cadavre</term>
<term>Chirurgie assistée par ordinateur ()</term>
<term>Chirurgie assistée par ordinateur (instrumentation)</term>
<term>Conception assistée par ordinateur</term>
<term>Conception de prothèse dentaire</term>
<term>Densité osseuse (physiologie)</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Interface utilisateur</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</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>Projets pilotes</term>
<term>Tomodensitométrie ()</term>
<term>Traitement d'image par ordinateur ()</term>
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<term>Maxillaire</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Surgery, Computer-Assisted</term>
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<term>Tomography, X-Ray Computed</term>
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<term>Maxilla</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Densité osseuse</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Bone Density</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Surgery, Computer-Assisted</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Atrophy</term>
<term>Cadaver</term>
<term>Computer-Aided Design</term>
<term>Dental Prosthesis Design</term>
<term>Humans</term>
<term>Patient Care Planning</term>
<term>Pilot Projects</term>
<term>User-Computer Interface</term>
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<term>Atrophie</term>
<term>Cadavre</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception assistée par ordinateur</term>
<term>Conception de prothèse dentaire</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Interface utilisateur</term>
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<term>Mâchoire partiellement édentée</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Projets pilotes</term>
<term>Tomodensitométrie</term>
<term>Traitement d'image par ordinateur</term>
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<div type="abstract" xml:lang="en">The position of implants may have an effect on obtaining osseointegration without complications and on the outcome of the prostheses.</div>
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<Title>The Journal of prosthetic dentistry</Title>
<ISOAbbreviation>J Prosthet Dent</ISOAbbreviation>
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<ArticleTitle>Accuracy of implant placement in the posterior maxilla as related to 2 types of surgical guides: a pilot study in the human cadaver.</ArticleTitle>
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<AbstractText Label="STATEMENT OF PROBLEM" NlmCategory="BACKGROUND">The position of implants may have an effect on obtaining osseointegration without complications and on the outcome of the prostheses.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of this study was to compare the accuracy of implant placement with computer-guided surgery and freehand surgery in the atrophic area of the posterior maxilla.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Six human cadavers (Kennedy-Applegate class I) were included in the study. The specimens were randomly classified into 2 categories by using a computer: computer-guided surgery (n=3) and freehand surgery (n=3). Thirty-nine implants were planned with the software. Two types of surgeries were performed. The preoperative computed tomography data were matched with the postoperative computed tomography data by using voxel-based registration software. The position of the planned implants was compared to the actual position of the implants. A multivariate analysis was used for each variable (bone density, length of implant, implant angulation, and surgical technique) to evaluate the effect of these variables on the implant accuracy (α=.05).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The statistical tests (Kolmogorov-Smirnov bootstrap) found that guided surgery offered significantly better accuracy for the platform (P=.002), apex (P=.001), and angle (P<.001). However, the accuracy of the 2 methods was similar for the depth parameter (P=.186). The bone density did not influence the implant placement accuracy.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Computer-guided surgery was more accurate than a freehand approach for placing implants into bilateral edentulous zones in the posterior maxilla.</AbstractText>
<CopyrightInformation>Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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<Language>eng</Language>
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