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An Accuracy Study of Computer-Planned Implant Placement in the Augmented Maxilla Using Mucosa-Supported Surgical Templates.

Identifieur interne : 000289 ( PubMed/Corpus ); précédent : 000288; suivant : 000290

An Accuracy Study of Computer-Planned Implant Placement in the Augmented Maxilla Using Mucosa-Supported Surgical Templates.

Auteurs : Luc M. Verhamme ; Gert J. Meijer ; Stefaan J. Bergé ; Rik A. Soehardi ; Tong Xi ; Anton F J. De Haan ; Filip Schutyser ; Thomas J J. Maal

Source :

RBID : pubmed:25181255

English descriptors

Abstract

The purpose of this study was to determine the clinically relevant accuracy of implant placement in the augmented maxilla using computer planning and a mucosa-supported surgical template.

DOI: 10.1111/cid.12230
PubMed: 25181255

Links to Exploration step

pubmed:25181255

Le document en format XML

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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</nlm:affiliation>
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<name sortKey="Xi, Tong" sort="Xi, Tong" uniqKey="Xi T" first="Tong" last="Xi">Tong Xi</name>
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<nlm:affiliation>Nobel Biocare c/o Medicim NV, Mechelen, Belgium.</nlm:affiliation>
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<name sortKey="Maal, Thomas J J" sort="Maal, Thomas J J" uniqKey="Maal T" first="Thomas J J" last="Maal">Thomas J J. Maal</name>
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<title level="j">Clinical implant dentistry and related research</title>
<idno type="eISSN">1708-8208</idno>
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<term>Aged</term>
<term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation (methods)</term>
<term>Computer-Aided Design</term>
<term>Cone-Beam Computed Tomography</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Ilium (transplantation)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Surgery, Computer-Assisted</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en">
<term>Ilium</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Alveolar Ridge Augmentation</term>
<term>Computer-Aided Design</term>
<term>Cone-Beam Computed Tomography</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Surgery, Computer-Assisted</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">The purpose of this study was to determine the clinically relevant accuracy of implant placement in the augmented maxilla using computer planning and a mucosa-supported surgical template.</div>
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<DateCompleted>
<Year>2017</Year>
<Month>06</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>06</Month>
<Day>26</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1708-8208</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>17</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2015</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
</Journal>
<ArticleTitle>An Accuracy Study of Computer-Planned Implant Placement in the Augmented Maxilla Using Mucosa-Supported Surgical Templates.</ArticleTitle>
<Pagination>
<MedlinePgn>1154-63</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/cid.12230</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of this study was to determine the clinically relevant accuracy of implant placement in the augmented maxilla using computer planning and a mucosa-supported surgical template.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Twenty-five consecutive edentulous patients with an extreme maxillar alveolar ridge resorption were treated with a bone augmentation procedure. In a second stage, six Brånemark MkIII Groovy (Nobel Biocare®, Zürich, Switzerland) implants were installed. Preoperatively, a cone beam computer tomography (CBCT) scan was acquired, followed by virtual implant planning and flapless implant placement using a surgical template. A postoperative CBCT scan was acquired and registered to the preoperative scan. The Implant Position Orthogonal Projection validation method was applied to measure implant deviations in both the buccolingual and mesio-distal plane. The influence of fixation pins and the position on the dental arch were investigated with regard to implant deviations, and rotations and translations of the surgical template.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred fifty implants were installed. In mesio-distal direction, a mean implant deviation of 1.50 mm was scored at the implant tip, 1.27 mm at the shoulder, -0.60 mm in depth, as well as a mean deviation of angulation of 2.50°. In buccolingual direction, a mean implant deviation of 0.99 mm was found at the implant tip, 0.76 mm at the implant shoulder, -0.57 mm in depth, and a deviation of angulation of 2.48°. Of all implants, 53% was placed too superficial compared with the planning. The use of fixation pins and implant deviations in both buccal and mesial directions as also for rotations and translation of the surgical template showed statistically significant differences.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Computer-aided implant planning showed to be a clinically relevant tool. However, this study emphasizes that the surgeon should take into account that deviations are larger compared with implant placement without augmentation procedure. Deviations are mainly caused by angulations and translations of the surgical template.</AbstractText>
<CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Verhamme</LastName>
<ForeName>Luc M</ForeName>
<Initials>LM</Initials>
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<Affiliation>Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</Affiliation>
</AffiliationInfo>
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<Affiliation>Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Implantology and Periodontology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</Affiliation>
</AffiliationInfo>
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<LastName>Bergé</LastName>
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<Affiliation>Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</Affiliation>
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<Affiliation>Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</Affiliation>
</AffiliationInfo>
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<LastName>de Haan</LastName>
<ForeName>Anton F J</ForeName>
<Initials>AF</Initials>
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<Affiliation>Department for Health Evidence, Biostatistics group, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</Affiliation>
</AffiliationInfo>
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<LastName>Schutyser</LastName>
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<AffiliationInfo>
<Affiliation>Nobel Biocare c/o Medicim NV, Mechelen, Belgium.</Affiliation>
</AffiliationInfo>
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<LastName>Maal</LastName>
<ForeName>Thomas J J</ForeName>
<Initials>TJ</Initials>
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<Affiliation>Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>09</Month>
<Day>02</Day>
</ArticleDate>
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<Country>United States</Country>
<MedlineTA>Clin Implant Dent Relat Res</MedlineTA>
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<ISSNLinking>1523-0899</ISSNLinking>
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</MeshHeading>
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<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<DescriptorName UI="D007085" MajorTopicYN="N">Ilium</DescriptorName>
<QualifierName UI="Q000637" MajorTopicYN="N">transplantation</QualifierName>
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</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D025321" MajorTopicYN="Y">Surgery, Computer-Assisted</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">CAD/CAM technology</Keyword>
<Keyword MajorTopicYN="N">accuracy</Keyword>
<Keyword MajorTopicYN="N">atrophic maxilla</Keyword>
<Keyword MajorTopicYN="N">bone augmentation</Keyword>
<Keyword MajorTopicYN="N">computer-assisted</Keyword>
<Keyword MajorTopicYN="N">cone beam CT</Keyword>
<Keyword MajorTopicYN="N">edentulous maxilla</Keyword>
<Keyword MajorTopicYN="N">flapless implant surgery</Keyword>
<Keyword MajorTopicYN="N">sinus floor elevation</Keyword>
<Keyword MajorTopicYN="N">surgical guides</Keyword>
</KeywordList>
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