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Computer-assisted surgery in the edentulous jaw based on 3 fixed intraoral reference points.

Identifieur interne : 001974 ( PubMed/Corpus ); précédent : 001973; suivant : 001975

Computer-assisted surgery in the edentulous jaw based on 3 fixed intraoral reference points.

Auteurs : Gerlig Widmann ; Martin Keiler ; Antoniette Zangerl ; Rudolf Stoffner ; Stefano Longato ; Reto Bale ; Wolfgang Puelacher

Source :

RBID : pubmed:20156663

English descriptors

Abstract

In computer-assisted implantation surgery, the transfer of prosthodontic-guided planning to the operative site is usually based on a registration template. The precise repositioning of the registration template is crucial for high accuracy and is compromised in edentulous jaws. The purpose was to determine the in vitro registration and targeting accuracy for surgical navigation in the edentulous jaw based on 3 fixed intraoral reference points.

DOI: 10.1016/j.joms.2009.10.008
PubMed: 20156663

Links to Exploration step

pubmed:20156663

Le document en format XML

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<title xml:lang="en">Computer-assisted surgery in the edentulous jaw based on 3 fixed intraoral reference points.</title>
<author>
<name sortKey="Widmann, Gerlig" sort="Widmann, Gerlig" uniqKey="Widmann G" first="Gerlig" last="Widmann">Gerlig Widmann</name>
<affiliation>
<nlm:affiliation>Stereotaxy Intervention Planning, Department for Microinvasive Therapy, Department of Radiology, Innsbruck Medical University, Innsbruck, Austria. gerlig.widmann@i-med.ac.at</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Keiler, Martin" sort="Keiler, Martin" uniqKey="Keiler M" first="Martin" last="Keiler">Martin Keiler</name>
</author>
<author>
<name sortKey="Zangerl, Antoniette" sort="Zangerl, Antoniette" uniqKey="Zangerl A" first="Antoniette" last="Zangerl">Antoniette Zangerl</name>
</author>
<author>
<name sortKey="Stoffner, Rudolf" sort="Stoffner, Rudolf" uniqKey="Stoffner R" first="Rudolf" last="Stoffner">Rudolf Stoffner</name>
</author>
<author>
<name sortKey="Longato, Stefano" sort="Longato, Stefano" uniqKey="Longato S" first="Stefano" last="Longato">Stefano Longato</name>
</author>
<author>
<name sortKey="Bale, Reto" sort="Bale, Reto" uniqKey="Bale R" first="Reto" last="Bale">Reto Bale</name>
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<author>
<name sortKey="Puelacher, Wolfgang" sort="Puelacher, Wolfgang" uniqKey="Puelacher W" first="Wolfgang" last="Puelacher">Wolfgang Puelacher</name>
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<title xml:lang="en">Computer-assisted surgery in the edentulous jaw based on 3 fixed intraoral reference points.</title>
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<name sortKey="Widmann, Gerlig" sort="Widmann, Gerlig" uniqKey="Widmann G" first="Gerlig" last="Widmann">Gerlig Widmann</name>
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<nlm:affiliation>Stereotaxy Intervention Planning, Department for Microinvasive Therapy, Department of Radiology, Innsbruck Medical University, Innsbruck, Austria. gerlig.widmann@i-med.ac.at</nlm:affiliation>
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<name sortKey="Keiler, Martin" sort="Keiler, Martin" uniqKey="Keiler M" first="Martin" last="Keiler">Martin Keiler</name>
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<name sortKey="Zangerl, Antoniette" sort="Zangerl, Antoniette" uniqKey="Zangerl A" first="Antoniette" last="Zangerl">Antoniette Zangerl</name>
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<name sortKey="Stoffner, Rudolf" sort="Stoffner, Rudolf" uniqKey="Stoffner R" first="Rudolf" last="Stoffner">Rudolf Stoffner</name>
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<name sortKey="Longato, Stefano" sort="Longato, Stefano" uniqKey="Longato S" first="Stefano" last="Longato">Stefano Longato</name>
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<name sortKey="Bale, Reto" sort="Bale, Reto" uniqKey="Bale R" first="Reto" last="Bale">Reto Bale</name>
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<name sortKey="Puelacher, Wolfgang" sort="Puelacher, Wolfgang" uniqKey="Puelacher W" first="Wolfgang" last="Puelacher">Wolfgang Puelacher</name>
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<series>
<title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title>
<idno type="eISSN">1531-5053</idno>
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<date when="2010" type="published">2010</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Bone Screws</term>
<term>Cadaver</term>
<term>Dental Arch (surgery)</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Models</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (methods)</term>
<term>Jaw Relation Record (instrumentation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Patient Care Planning</term>
<term>Resins, Synthetic</term>
<term>Surgery, Computer-Assisted (instrumentation)</term>
<term>Surgery, Computer-Assisted (methods)</term>
<term>Tomography, X-Ray Computed</term>
<term>User-Computer Interface</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Resins, Synthetic</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Jaw Relation Record</term>
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Image Processing, Computer-Assisted</term>
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Dental Arch</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Bone Screws</term>
<term>Cadaver</term>
<term>Dental Models</term>
<term>Humans</term>
<term>Patient Care Planning</term>
<term>Tomography, X-Ray Computed</term>
<term>User-Computer Interface</term>
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<front>
<div type="abstract" xml:lang="en">In computer-assisted implantation surgery, the transfer of prosthodontic-guided planning to the operative site is usually based on a registration template. The precise repositioning of the registration template is crucial for high accuracy and is compromised in edentulous jaws. The purpose was to determine the in vitro registration and targeting accuracy for surgical navigation in the edentulous jaw based on 3 fixed intraoral reference points.</div>
</front>
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<PMID Version="1">20156663</PMID>
<DateCompleted>
<Year>2010</Year>
<Month>05</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised>
<Year>2010</Year>
<Month>04</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1531-5053</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>68</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2010</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Computer-assisted surgery in the edentulous jaw based on 3 fixed intraoral reference points.</ArticleTitle>
<Pagination>
<MedlinePgn>1140-7</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.joms.2009.10.008</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">In computer-assisted implantation surgery, the transfer of prosthodontic-guided planning to the operative site is usually based on a registration template. The precise repositioning of the registration template is crucial for high accuracy and is compromised in edentulous jaws. The purpose was to determine the in vitro registration and targeting accuracy for surgical navigation in the edentulous jaw based on 3 fixed intraoral reference points.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Edentulous maxilla and mandible cadaver specimens were provided with 3 fixed reference-point screws. A resin template with matrices for the fixed reference-point screws was produced and connected to a Vogele-Bale-Hohner registration mouthpiece and external registration frame with a snap-lock system. Surgical implants were planned on computed tomographic data and the corresponding dental stone casts were drilled under guidance of an optical navigation system. For evaluation of the registration accuracy, fiducial registration error was recorded and application accuracy was evaluated by fusion of postsurgical computed tomographic scans of the drilled dental stone casts with the presurgical planning computed tomogram.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In 9 maxillas and 5 mandibles, 14 registrations and 104 stone cast drillings were performed. The mean fiducial registration error was 0.49 +/- 0.14 mm (0.37 to 0.9 mm). The mean total error at the tip of the borehole was 0.88 +/- 0.65 mm (0.0 to 4.24 mm). The mean lateral errors were 0.51 +/- 0.49 mm (0.0 to 2.80 mm) at the base and 0.46 +/- 0.34 mm (0.0 to 1.5 mm) at the tip of the borehole, respectively. The mean angular error was 0.83 +/- 0.60 degrees (0.0 to 2.5 degrees ).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Three fixed intraoral reference points successfully support a registration mouthpiece and provide in vitro registration and targeting accuracy that is comparable to tooth-supported registration templates or bone marker registration.</AbstractText>
<CopyrightInformation>Copyright 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<LastName>Widmann</LastName>
<ForeName>Gerlig</ForeName>
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<Affiliation>Stereotaxy Intervention Planning, Department for Microinvasive Therapy, Department of Radiology, Innsbruck Medical University, Innsbruck, Austria. gerlig.widmann@i-med.ac.at</Affiliation>
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<Author ValidYN="Y">
<LastName>Keiler</LastName>
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<Author ValidYN="Y">
<LastName>Zangerl</LastName>
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<LastName>Stoffner</LastName>
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<Language>eng</Language>
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