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From implant planning to surgical execution: an integrated approach for surgery in oral implantology.

Identifieur interne : 000E08 ( PubMed/Checkpoint ); précédent : 000E07; suivant : 000E09

From implant planning to surgical execution: an integrated approach for surgery in oral implantology.

Auteurs : Tommaso Chiarelli [Italie] ; Federico Franchini ; Achille Lamma ; Evelina Lamma ; Tommaso Sansoni

Source :

RBID : pubmed:22009914

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English descriptors

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:


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pubmed:22009914

Le document en format XML

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<name sortKey="Lamma, Evelina" sort="Lamma, Evelina" uniqKey="Lamma E" first="Evelina" last="Lamma">Evelina Lamma</name>
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<name sortKey="Sansoni, Tommaso" sort="Sansoni, Tommaso" uniqKey="Sansoni T" first="Tommaso" last="Sansoni">Tommaso Sansoni</name>
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<term>Bone and Bones (pathology)</term>
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<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>
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<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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<term>Dental Implants</term>
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<term>Logiciel</term>
<term>Mâchoire édentée</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<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>
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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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<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>
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