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Impact of operator experience on the accuracy of implant placement with stereolithographic surgical templates: an in vitro study.

Identifieur interne : 000A09 ( PubMed/Checkpoint ); précédent : 000A08; suivant : 000A10

Impact of operator experience on the accuracy of implant placement with stereolithographic surgical templates: an in vitro study.

Auteurs : Sarra E. Cushen [États-Unis] ; Ilser Turkyilmaz

Source :

RBID : pubmed:23566606

Descripteurs français

English descriptors

Abstract

To achieve functional and esthetic results, implants must be placed accurately. However, little information relating to the effect of operator experience on implant placement accuracy is available.

DOI: 10.1016/S0022-3913(13)60053-0
PubMed: 23566606


Affiliations:


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pubmed:23566606

Le document en format XML

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<title xml:lang="en">Impact of operator experience on the accuracy of implant placement with stereolithographic surgical templates: an in vitro study.</title>
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<name sortKey="Cushen, Sarra E" sort="Cushen, Sarra E" uniqKey="Cushen S" first="Sarra E" last="Cushen">Sarra E. Cushen</name>
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<nlm:affiliation>United States Air Force, Wilford Hall Medical Center, Lackland AFB, San Antonio, Texas, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Turkyilmaz, Ilser" sort="Turkyilmaz, Ilser" uniqKey="Turkyilmaz I" first="Ilser" last="Turkyilmaz">Ilser Turkyilmaz</name>
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<title xml:lang="en">Impact of operator experience on the accuracy of implant placement with stereolithographic surgical templates: an in vitro study.</title>
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<nlm:affiliation>United States Air Force, Wilford Hall Medical Center, Lackland AFB, San Antonio, Texas, USA.</nlm:affiliation>
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<title level="j">The Journal of prosthetic dentistry</title>
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<term>Clinical Competence</term>
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<term>Cone-Beam Computed Tomography (methods)</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (standards)</term>
<term>Dental Implants</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (methods)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (surgery)</term>
<term>Models, Anatomic</term>
<term>Osteotomy (instrumentation)</term>
<term>Osteotomy (standards)</term>
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<term>Chirurgie assistée par ordinateur ()</term>
<term>Chirurgie assistée par ordinateur (instrumentation)</term>
<term>Compétence clinique</term>
<term>Conception assistée par ordinateur</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Mandibule ()</term>
<term>Modèles anatomiques</term>
<term>Mâchoire édentée ()</term>
<term>Ostéotomie (instrumentation)</term>
<term>Ostéotomie (normes)</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Pose d'implant dentaire endo-osseux (normes)</term>
<term>Tomodensitométrie à faisceau conique ()</term>
<term>Traitement d'image par ordinateur ()</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Osteotomy</term>
<term>Surgery, Computer-Assisted</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Cone-Beam Computed Tomography</term>
<term>Image Processing, Computer-Assisted</term>
<term>Surgery, Computer-Assisted</term>
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<keywords scheme="MESH" qualifier="normes" xml:lang="fr">
<term>Ostéotomie</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<keywords scheme="MESH" qualifier="standards" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Osteotomy</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Clinical Competence</term>
<term>Computer-Aided Design</term>
<term>Humans</term>
<term>Models, Anatomic</term>
<term>Patient Care Planning</term>
<term>User-Computer Interface</term>
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<term>Chirurgie assistée par ordinateur</term>
<term>Compétence clinique</term>
<term>Conception assistée par ordinateur</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Mandibule</term>
<term>Modèles anatomiques</term>
<term>Mâchoire édentée</term>
<term>Ostéotomie</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Traitement d'image par ordinateur</term>
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<front>
<div type="abstract" xml:lang="en">To achieve functional and esthetic results, implants must be placed accurately. However, little information relating to the effect of operator experience on implant placement accuracy is available.</div>
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<DateCompleted>
<Year>2013</Year>
<Month>09</Month>
<Day>27</Day>
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<DateRevised>
<Year>2013</Year>
<Month>04</Month>
<Day>09</Day>
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<ISSN IssnType="Electronic">1097-6841</ISSN>
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<Volume>109</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2013</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of prosthetic dentistry</Title>
<ISOAbbreviation>J Prosthet Dent</ISOAbbreviation>
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<ArticleTitle>Impact of operator experience on the accuracy of implant placement with stereolithographic surgical templates: an in vitro study.</ArticleTitle>
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<MedlinePgn>248-54</MedlinePgn>
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<Abstract>
<AbstractText Label="STATEMENT OF PROBLEM" NlmCategory="BACKGROUND">To achieve functional and esthetic results, implants must be placed accurately. However, little information relating to the effect of operator experience on implant placement accuracy is available.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The objective of this investigation was to measure the accuracy of dental implant placement with a bone-supported stereolithographic surgical template created from a virtual implant plan and to determine the effect of operator experience on implant placement accuracy.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Twenty photopolymer resin edentulous mandibles were scanned with cone beam computerized tomography (CBCT). Five implants were planned virtually for each mandible, and a stereolithographic surgical template was made. Four operators placed a total of 100 implants (25 per operator). Two of the operators were experienced in implant placement and 2 operators had limited prior implant placement experience. A CBCT scan of the postimplant placement mandibles was performed, and the images were superimposed on the preimplant placement images containing the virtual implant plans. The amount of angular, horizontal, and vertical deviation of the placed implants from the virtually planned implants at the apex and platform was calculated, and statistically significant differences were detected between the operator groups by using a multivariate analysis of variance (MANOVA) (α=.05).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">For the experienced operators, the mean error of angular deviation was 2.60 ±1.25 degrees, of horizontal deviation at the apex 0.34 ±0.15 mm, of horizontal deviation at the platform 0.63 ±0.28 mm, of vertical deviation at the apex 0.59 ±0.12 mm, and of vertical deviation at the platform 0.16 ±0.11 mm. For the inexperienced group, the mean error of angular deviation was 3.96 ±1.64 degrees, of horizontal deviation at the apex 0.42 ±0.19 mm, of horizontal deviation at the platform 0.77 ±0.33 mm, of vertical deviation at the apex 0.62 ±0.13 mm, and of vertical deviation at the platform 0.15 ±0.11 mm. The MANOVA showed a statistically significant difference between the experienced and inexperienced groups for angular and horizontal error at the implant apex and platform (P<.05).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The results of this in vitro investigation revealed that the experience level of the operator placing the implants contributes to the accuracy of implant placement, with more experienced operators placing more implants accurately.</AbstractText>
<CopyrightInformation>Copyright © 2013 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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