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Clinical accuracy of flapless computer-guided surgery for implant placement in edentulous arches.

Identifieur interne : 000B56 ( PubMed/Corpus ); précédent : 000B55; suivant : 000B57

Clinical accuracy of flapless computer-guided surgery for implant placement in edentulous arches.

Auteurs : Dalton Marinho Vieira ; Bruno Salles Sotto-Maior ; Carlos Alberto Villaça De Souza Barros ; Elson Sim Es Reis ; Carlos Eduardo Francischone

Source :

RBID : pubmed:24066327

English descriptors

Abstract

Although flapless computer-guided implant placement provides important benefits, deviations from the planned implant placement in the edentulous arch may pose significant risks. This study evaluated the reliability and accuracy of a flapless computer-guided surgical approach.

PubMed: 24066327

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pubmed:24066327

Le document en format XML

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<title xml:lang="en">Clinical accuracy of flapless computer-guided surgery for implant placement in edentulous arches.</title>
<author>
<name sortKey="Vieira, Dalton Marinho" sort="Vieira, Dalton Marinho" uniqKey="Vieira D" first="Dalton Marinho" last="Vieira">Dalton Marinho Vieira</name>
</author>
<author>
<name sortKey="Sotto Maior, Bruno Salles" sort="Sotto Maior, Bruno Salles" uniqKey="Sotto Maior B" first="Bruno Salles" last="Sotto-Maior">Bruno Salles Sotto-Maior</name>
</author>
<author>
<name sortKey="Barros, Carlos Alberto Villaca De Souza" sort="Barros, Carlos Alberto Villaca De Souza" uniqKey="Barros C" first="Carlos Alberto Villaça De Souza" last="Barros">Carlos Alberto Villaça De Souza Barros</name>
</author>
<author>
<name sortKey="Reis, Elson Sim Es" sort="Reis, Elson Sim Es" uniqKey="Reis E" first="Elson Sim Es" last="Reis">Elson Sim Es Reis</name>
</author>
<author>
<name sortKey="Francischone, Carlos Eduardo" sort="Francischone, Carlos Eduardo" uniqKey="Francischone C" first="Carlos Eduardo" last="Francischone">Carlos Eduardo Francischone</name>
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<title xml:lang="en">Clinical accuracy of flapless computer-guided surgery for implant placement in edentulous arches.</title>
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<name sortKey="Vieira, Dalton Marinho" sort="Vieira, Dalton Marinho" uniqKey="Vieira D" first="Dalton Marinho" last="Vieira">Dalton Marinho Vieira</name>
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<name sortKey="Sotto Maior, Bruno Salles" sort="Sotto Maior, Bruno Salles" uniqKey="Sotto Maior B" first="Bruno Salles" last="Sotto-Maior">Bruno Salles Sotto-Maior</name>
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<name sortKey="Barros, Carlos Alberto Villaca De Souza" sort="Barros, Carlos Alberto Villaca De Souza" uniqKey="Barros C" first="Carlos Alberto Villaça De Souza" last="Barros">Carlos Alberto Villaça De Souza Barros</name>
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<name sortKey="Reis, Elson Sim Es" sort="Reis, Elson Sim Es" uniqKey="Reis E" first="Elson Sim Es" last="Reis">Elson Sim Es Reis</name>
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<name sortKey="Francischone, Carlos Eduardo" sort="Francischone, Carlos Eduardo" uniqKey="Francischone C" first="Carlos Eduardo" last="Francischone">Carlos Eduardo Francischone</name>
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<series>
<title level="j">The International journal of oral & maxillofacial implants</title>
<idno type="eISSN">1942-4434</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Bone Screws</term>
<term>Computer-Aided Design</term>
<term>Cone-Beam Computed Tomography</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Humans</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Mouth, Edentulous (diagnostic imaging)</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Prospective Studies</term>
<term>Reproducibility of Results</term>
<term>Software</term>
<term>Statistics, Nonparametric</term>
<term>Surgery, Computer-Assisted (instrumentation)</term>
<term>Surgery, Computer-Assisted (methods)</term>
<term>Surgery, Computer-Assisted (standards)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Mouth, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Mouth, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en">
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Bone Screws</term>
<term>Computer-Aided Design</term>
<term>Cone-Beam Computed Tomography</term>
<term>Humans</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Prospective Studies</term>
<term>Reproducibility of Results</term>
<term>Software</term>
<term>Statistics, Nonparametric</term>
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<front>
<div type="abstract" xml:lang="en">Although flapless computer-guided implant placement provides important benefits, deviations from the planned implant placement in the edentulous arch may pose significant risks. This study evaluated the reliability and accuracy of a flapless computer-guided surgical approach.</div>
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<PMID Version="1">24066327</PMID>
<DateCompleted>
<Year>2014</Year>
<Month>04</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1942-4434</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>28</Volume>
<Issue>5</Issue>
<PubDate>
<MedlineDate>2013 Sep-Oct</MedlineDate>
</PubDate>
</JournalIssue>
<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
</Journal>
<ArticleTitle>Clinical accuracy of flapless computer-guided surgery for implant placement in edentulous arches.</ArticleTitle>
<Pagination>
<MedlinePgn>1347-51</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.11607/jomi.3156</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Although flapless computer-guided implant placement provides important benefits, deviations from the planned implant placement in the edentulous arch may pose significant risks. This study evaluated the reliability and accuracy of a flapless computer-guided surgical approach.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Computer-generated preoperative implant planning was compared to actual placement by cone-beam computerized tomography (CBCT) scanning of patients before and after surgery. A well-fitting complete denture or optimized prosthetic tooth arrangement was used and converted to a radiographic template. Prior to scanning, esthetics and functional aspects were checked clinically. The implant positions were virtually determined by the implant planning software relative to the bone structure and prospective tooth position. After implant placement, new CBCT scans were obtained for each subject. Software was used to fuse the images of the planned and placed implants, and the locations and axes were compared. The normality of the data distribution was evaluated by the Kolmogorov-Smirnov test. Mean values were compared between groups based on the upper or lower jaws with the t test for independent samples. The level of significance was fixed at 5%.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Sixty-two implants were placed in edentulous arches with stereolithographic surgical guides in 14 patients. Damage due to implant placement was not observed in any critical anatomical structure. Compared to the planned implants, placed implants showed mean and standard deviation linear measurements at the cervical, middle, and apical implant portions of 2.17 (± 0.87), 2.32 (± 1.52), and 2.86 (± 2.17) mm, for the maxilla, and 1.42 (± 0.76), 1.42 (± 0.76), and 1.42 (± 0.76) mm, for the mandible, respectively. The angular deviations were 1.93 (± 0.17) and 1.85 (± 0.75) degrees for the maxilla and mandible, respectively. The linear deviation differed significantlybetween the upper and lower jaws, but the angular deviation did not.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Flapless computer-guided surgery may be a viable treatment option for rehabilitating the edentulous arch.</AbstractText>
</Abstract>
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<LastName>Vieira</LastName>
<ForeName>Dalton Marinho</ForeName>
<Initials>DM</Initials>
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<LastName>Sotto-Maior</LastName>
<ForeName>Bruno Salles</ForeName>
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<ForeName>Carlos Alberto Villaça de Souza</ForeName>
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<DescriptorName UI="D001863" MajorTopicYN="N">Bone Screws</DescriptorName>
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<DescriptorName UI="D017076" MajorTopicYN="N">Computer-Aided Design</DescriptorName>
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<DescriptorName UI="D054893" MajorTopicYN="N">Cone-Beam Computed Tomography</DescriptorName>
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<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
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<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
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<DescriptorName UI="D009066" MajorTopicYN="N">Mouth, Edentulous</DescriptorName>
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<DescriptorName UI="D025321" MajorTopicYN="N">Surgery, Computer-Assisted</DescriptorName>
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