From implant planning to surgical execution: an integrated approach for surgery in oral implantology.
Identifieur interne : 000E08 ( PubMed/Checkpoint ); précédent : 000E07; suivant : 000E09From implant planning to surgical execution: an integrated approach for surgery in oral implantology.
Auteurs : Tommaso Chiarelli [Italie] ; Federico Franchini ; Achille Lamma ; Evelina Lamma ; Tommaso SansoniSource :
- The international journal of medical robotics + computer assisted surgery : MRCAS [ 1478-596X ] ; 2012.
Descripteurs français
- KwdFr :
- Chirurgie assistée par ordinateur (), Chirurgie stomatologique (spécialité) (), Conception d'appareillage, Endoprothèses, Humains, Imagerie tridimensionnelle (), Implants dentaires, Logiciel, Mâchoire édentée (), Os et tissu osseux (anatomopathologie), Pose d'implant dentaire endo-osseux (), Reproductibilité des résultats, Robotique, Tomodensitométrie ().
- MESH :
- anatomopathologie : Os et tissu osseux.
- Chirurgie assistée par ordinateur, Chirurgie stomatologique (spécialité), Conception d'appareillage, Endoprothèses, Humains, Imagerie tridimensionnelle, Implants dentaires, Logiciel, Mâchoire édentée, Pose d'implant dentaire endo-osseux, Reproductibilité des résultats, Robotique, Tomodensitométrie.
English descriptors
- KwdEn :
- Bone and Bones (pathology), Dental Implantation, Endosseous (methods), Dental Implants, Equipment Design, Humans, Imaging, Three-Dimensional (methods), Jaw, Edentulous (surgery), Reproducibility of Results, Robotics, Software, Stents, Surgery, Computer-Assisted (methods), Surgery, Oral (methods), Tomography, X-Ray Computed (methods).
- MESH :
- chemical : Dental Implants.
- methods : Dental Implantation, Endosseous, Imaging, Three-Dimensional, Surgery, Computer-Assisted, Surgery, Oral, Tomography, X-Ray Computed.
- pathology : Bone and Bones.
- surgery : Jaw, Edentulous.
- Equipment Design, Humans, Reproducibility of Results, Robotics, Software, Stents.
Abstract
Using oral implantology software and transferring the preoperative planning into a stereolithographic model, prosthodontists can produce the related surgical guide. This procedure has some disadvantages: bone-supported stent invasiveness, lack of references due to scattering and non-negligible stereolithography cost. An alternative solution is presented that provides an ideal surgical stent (not invasive, precise, and cheap) as a result. This work focuses on the third phase of a fully 3D approach to oral implant planning, that starts by CT scanning a patient who wears a markers-equipped radiological stent, continues exploiting built-on-purpose preoperative planning software, and finishes producing the ideal surgical template.
DOI: 10.1002/rcs.422
PubMed: 22009914
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:22009914Le document en format XML
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<term>Dental Implants</term>
<term>Equipment Design</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Reproducibility of Results</term>
<term>Robotics</term>
<term>Software</term>
<term>Stents</term>
<term>Surgery, Computer-Assisted (methods)</term>
<term>Surgery, Oral (methods)</term>
<term>Tomography, X-Ray Computed (methods)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Chirurgie assistée par ordinateur ()</term>
<term>Chirurgie stomatologique (spécialité) ()</term>
<term>Conception d'appareillage</term>
<term>Endoprothèses</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires</term>
<term>Logiciel</term>
<term>Mâchoire édentée ()</term>
<term>Os et tissu osseux (anatomopathologie)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Reproductibilité des résultats</term>
<term>Robotique</term>
<term>Tomodensitométrie ()</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Imaging, Three-Dimensional</term>
<term>Surgery, Computer-Assisted</term>
<term>Surgery, Oral</term>
<term>Tomography, X-Ray Computed</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Bone and Bones</term>
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<keywords scheme="MESH" xml:lang="en"><term>Equipment Design</term>
<term>Humans</term>
<term>Reproducibility of Results</term>
<term>Robotics</term>
<term>Software</term>
<term>Stents</term>
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<term>Chirurgie stomatologique (spécialité)</term>
<term>Conception d'appareillage</term>
<term>Endoprothèses</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Logiciel</term>
<term>Mâchoire édentée</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reproductibilité des résultats</term>
<term>Robotique</term>
<term>Tomodensitométrie</term>
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<front><div type="abstract" xml:lang="en">Using oral implantology software and transferring the preoperative planning into a stereolithographic model, prosthodontists can produce the related surgical guide. This procedure has some disadvantages: bone-supported stent invasiveness, lack of references due to scattering and non-negligible stereolithography cost. An alternative solution is presented that provides an ideal surgical stent (not invasive, precise, and cheap) as a result. This work focuses on the third phase of a fully 3D approach to oral implant planning, that starts by CT scanning a patient who wears a markers-equipped radiological stent, continues exploiting built-on-purpose preoperative planning software, and finishes producing the ideal surgical template.</div>
</front>
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<Title>The international journal of medical robotics + computer assisted surgery : MRCAS</Title>
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<ArticleTitle>From implant planning to surgical execution: an integrated approach for surgery in oral implantology.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Using oral implantology software and transferring the preoperative planning into a stereolithographic model, prosthodontists can produce the related surgical guide. This procedure has some disadvantages: bone-supported stent invasiveness, lack of references due to scattering and non-negligible stereolithography cost. An alternative solution is presented that provides an ideal surgical stent (not invasive, precise, and cheap) as a result. This work focuses on the third phase of a fully 3D approach to oral implant planning, that starts by CT scanning a patient who wears a markers-equipped radiological stent, continues exploiting built-on-purpose preoperative planning software, and finishes producing the ideal surgical template.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A 5-axes bur-equipped robot has been designed able to reproduce the milling vectors planned by the software. Software-robot interfacing has been achieved properly matching the stent reference frame and the software and robot coordinate systems. Invasiveness has been avoided achieving the surgical stent from the mucosa-supported radiological mask wax-up. Scattering is ignored because of the surgical stent independency from the bone structure radiography. Production cost has been strongly reduced by avoiding the stereolithographic model. Finally, software-robot interfacing precision has been validated comparing digitally a multi-marker base and its planning transfer.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Average position and orientation errors (respectively 0.283 mm ± 0.073 mm and 1.798° ± 0.496°) were significantly better than those achieved using methods based on stereolithography (respectively, 1.45 mm ± 1.42 mm and 7.25° ± 2.67°, with a general best maximum translation discrepancy of about 1.1 mm).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This paper describes the last step of a fully 3D approach in which implant planning can be done in a 3D environment, and the correct position, orientation and depth of the planned implants are easily computed and transferred to the surgical phase.</AbstractText>
<CopyrightInformation>Copyright © 2011 John Wiley & Sons, Ltd.</CopyrightInformation>
</Abstract>
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