Effect of surgical guide design and surgeon's experience on the accuracy of implant placement.
Identifieur interne : 001024 ( PubMed/Curation ); précédent : 001023; suivant : 001025Effect of surgical guide design and surgeon's experience on the accuracy of implant placement.
Auteurs : Simon Hinckfuss [États-Unis] ; Heather J. Conrad ; Lianshan Lin ; Scott Lunos ; Wook-Jin SeongSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2012.
Descripteurs français
- KwdFr :
- Arcade dentaire (), Arcade dentaire (anatomopathologie), Conception d'appareillage, Humains, Implants dentaires (), Internat et résidence, Maxillaire (), Maxillaire (anatomopathologie), Modèles dentaires, Mâchoire partiellement édentée (), Méthode en simple aveugle, Parodontie (enseignement et éducation), Pose d'implant dentaire endo-osseux (instrumentation), Pose d'implant dentaire endo-osseux (normes), Étudiant dentisterie.
- MESH :
- anatomopathologie : Arcade dentaire, Maxillaire.
- enseignement et éducation : Parodontie.
- normes : Pose d'implant dentaire endo-osseux.
- Arcade dentaire, Conception d'appareillage, Humains, Implants dentaires, Internat et résidence, Maxillaire, Modèles dentaires, Mâchoire partiellement édentée, Méthode en simple aveugle, Pose d'implant dentaire endo-osseux, Étudiant dentisterie.
English descriptors
- KwdEn :
- Dental Arch (pathology), Dental Arch (surgery), Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (standards), Dental Implants (statistics & numerical data), Dental Models, Equipment Design, Humans, Internship and Residency, Jaw, Edentulous, Partially (classification), Jaw, Edentulous, Partially (surgery), Maxilla (pathology), Maxilla (surgery), Periodontics (education), Single-Blind Method, Students, Dental.
- MESH :
- chemical , statistics & numerical data : Dental Implants.
- classification : Jaw, Edentulous, Partially.
- education : Periodontics.
- instrumentation : Dental Implantation, Endosseous.
- pathology : Dental Arch, Maxilla.
- standards : Dental Implantation, Endosseous.
- surgery : Dental Arch, Jaw, Edentulous, Partially, Maxilla.
- Dental Models, Equipment Design, Humans, Internship and Residency, Single-Blind Method, Students, Dental.
Abstract
Implant position is a key determinant of esthetic and functional success. Achieving the goal of ideal implant position may be affected by case selection, prosthodontically driven treatment planning, site preparation, surgeon's experience and use of a surgical guide. The combined effect of surgical guide design, surgeon's experience, and size of the edentulous area on the accuracy of implant placement was evaluated in a simulated clinical setting. Twenty-one volunteers were recruited to participate in the study. They were divided evenly into 3 groups (novice, intermediate, and experienced). Each surgeon placed implants in single and double sites using 4 different surgical guide designs (no guide, tube, channel, and guided) and written instructions describing the ideal implant positions. A definitive typodont was constructed that had 3 implants in prosthetically determined ideal positions of single and double sites. The position and angulation of implants placed by the surgeons in the duplicate typodonts was measured using a computerized coordinate measuring machine and compared to the definitive typodont. The mean absolute positional error for all guides was 0.273, 0.340, 0.197 mm in mesial-distal, buccal-lingual, vertical positions, respectively, with an overall range of 0.00 to 1.81 mm. The mean absolute angle error for all guides was 1.61° and 2.39° in the mesial-distal and buccal-lingual angulations, respectively, with an overall range of 0.01° to 9.7°. Surgical guide design had a statistically significant effect on the accuracy of implant placement regardless of the surgeon's experience level. Experienced surgeons had significantly less error in buccal-lingual angulation. The size of the edentulous sites was found to affect both implant angle and position significantly. The magnitude of error in position and angulation caused by surgical guide design, surgeon's experience, and site size reported in this study are possibly not large enough to be clinically significant; however, it is likely that errors would be magnified in clinical practice. Future research is recommended to evaluate the effect of surgical guide design in vivo on implant angulation and position error.
DOI: 10.1563/AAID-JOI-D-10-00046
PubMed: 20712446
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Conrad</name></author><author><name sortKey="Lin, Lianshan" sort="Lin, Lianshan" uniqKey="Lin L" first="Lianshan" last="Lin">Lianshan Lin</name></author><author><name sortKey="Lunos, Scott" sort="Lunos, Scott" uniqKey="Lunos S" first="Scott" last="Lunos">Scott Lunos</name></author><author><name sortKey="Seong, Wook Jin" sort="Seong, Wook Jin" uniqKey="Seong W" first="Wook-Jin" last="Seong">Wook-Jin Seong</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:20712446</idno><idno type="pmid">20712446</idno><idno type="doi">10.1563/AAID-JOI-D-10-00046</idno><idno type="wicri:Area/PubMed/Corpus">001024</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001024</idno><idno type="wicri:Area/PubMed/Curation">001024</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001024</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Effect of surgical guide design and surgeon's experience on the accuracy of implant placement.</title><author><name sortKey="Hinckfuss, Simon" sort="Hinckfuss, Simon" uniqKey="Hinckfuss S" first="Simon" last="Hinckfuss">Simon Hinckfuss</name><affiliation wicri:level="1"><nlm:affiliation>Department of Diagnostic and Developmental Sciences, University of Minnesota, Minneapolis, MN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Diagnostic and Developmental Sciences, University of Minnesota, Minneapolis, MN</wicri:regionArea></affiliation></author><author><name sortKey="Conrad, Heather J" sort="Conrad, Heather J" uniqKey="Conrad H" first="Heather J" last="Conrad">Heather J. Conrad</name></author><author><name sortKey="Lin, Lianshan" sort="Lin, Lianshan" uniqKey="Lin L" first="Lianshan" last="Lin">Lianshan Lin</name></author><author><name sortKey="Lunos, Scott" sort="Lunos, Scott" uniqKey="Lunos S" first="Scott" last="Lunos">Scott Lunos</name></author><author><name sortKey="Seong, Wook Jin" sort="Seong, Wook Jin" uniqKey="Seong W" first="Wook-Jin" last="Seong">Wook-Jin Seong</name></author></analytic><series><title level="j">The Journal of oral implantology</title><idno type="ISSN">0160-6972</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dental Arch (pathology)</term><term>Dental Arch (surgery)</term><term>Dental Implantation, Endosseous (instrumentation)</term><term>Dental Implantation, Endosseous (standards)</term><term>Dental Implants (statistics & numerical data)</term><term>Dental Models</term><term>Equipment Design</term><term>Humans</term><term>Internship and Residency</term><term>Jaw, Edentulous, Partially (classification)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Maxilla (pathology)</term><term>Maxilla (surgery)</term><term>Periodontics (education)</term><term>Single-Blind Method</term><term>Students, Dental</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Arcade dentaire ()</term><term>Arcade dentaire (anatomopathologie)</term><term>Conception d'appareillage</term><term>Humains</term><term>Implants dentaires ()</term><term>Internat et résidence</term><term>Maxillaire ()</term><term>Maxillaire (anatomopathologie)</term><term>Modèles dentaires</term><term>Mâchoire partiellement édentée ()</term><term>Méthode en simple aveugle</term><term>Parodontie (enseignement et éducation)</term><term>Pose d'implant dentaire endo-osseux (instrumentation)</term><term>Pose d'implant dentaire endo-osseux (normes)</term><term>Étudiant dentisterie</term></keywords><keywords scheme="MESH" type="chemical" qualifier="statistics & numerical data" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Arcade dentaire</term><term>Maxillaire</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Periodontics</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Parodontie</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Pose d'implant dentaire endo-osseux</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Dental Arch</term><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Dental Arch</term><term>Jaw, Edentulous, Partially</term><term>Maxilla</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Dental Models</term><term>Equipment Design</term><term>Humans</term><term>Internship and Residency</term><term>Single-Blind Method</term><term>Students, Dental</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Arcade dentaire</term><term>Conception d'appareillage</term><term>Humains</term><term>Implants dentaires</term><term>Internat et résidence</term><term>Maxillaire</term><term>Modèles dentaires</term><term>Mâchoire partiellement édentée</term><term>Méthode en simple aveugle</term><term>Pose d'implant dentaire endo-osseux</term><term>Étudiant dentisterie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Implant position is a key determinant of esthetic and functional success. Achieving the goal of ideal implant position may be affected by case selection, prosthodontically driven treatment planning, site preparation, surgeon's experience and use of a surgical guide. The combined effect of surgical guide design, surgeon's experience, and size of the edentulous area on the accuracy of implant placement was evaluated in a simulated clinical setting. Twenty-one volunteers were recruited to participate in the study. They were divided evenly into 3 groups (novice, intermediate, and experienced). Each surgeon placed implants in single and double sites using 4 different surgical guide designs (no guide, tube, channel, and guided) and written instructions describing the ideal implant positions. A definitive typodont was constructed that had 3 implants in prosthetically determined ideal positions of single and double sites. The position and angulation of implants placed by the surgeons in the duplicate typodonts was measured using a computerized coordinate measuring machine and compared to the definitive typodont. The mean absolute positional error for all guides was 0.273, 0.340, 0.197 mm in mesial-distal, buccal-lingual, vertical positions, respectively, with an overall range of 0.00 to 1.81 mm. The mean absolute angle error for all guides was 1.61° and 2.39° in the mesial-distal and buccal-lingual angulations, respectively, with an overall range of 0.01° to 9.7°. Surgical guide design had a statistically significant effect on the accuracy of implant placement regardless of the surgeon's experience level. Experienced surgeons had significantly less error in buccal-lingual angulation. The size of the edentulous sites was found to affect both implant angle and position significantly. The magnitude of error in position and angulation caused by surgical guide design, surgeon's experience, and site size reported in this study are possibly not large enough to be clinically significant; however, it is likely that errors would be magnified in clinical practice. Future research is recommended to evaluate the effect of surgical guide design in vivo on implant angulation and position error.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20712446</PMID><DateCompleted><Year>2013</Year><Month>08</Month><Day>28</Day></DateCompleted><DateRevised><Year>2012</Year><Month>08</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0160-6972</ISSN><JournalIssue CitedMedium="Print"><Volume>38</Volume><Issue>4</Issue><PubDate><Year>2012</Year><Month>Aug</Month></PubDate></JournalIssue><Title>The Journal of oral implantology</Title><ISOAbbreviation>J Oral Implantol</ISOAbbreviation></Journal><ArticleTitle>Effect of surgical guide design and surgeon's experience on the accuracy of implant placement.</ArticleTitle><Pagination><MedlinePgn>311-23</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1563/AAID-JOI-D-10-00046</ELocationID><Abstract><AbstractText>Implant position is a key determinant of esthetic and functional success. Achieving the goal of ideal implant position may be affected by case selection, prosthodontically driven treatment planning, site preparation, surgeon's experience and use of a surgical guide. The combined effect of surgical guide design, surgeon's experience, and size of the edentulous area on the accuracy of implant placement was evaluated in a simulated clinical setting. Twenty-one volunteers were recruited to participate in the study. They were divided evenly into 3 groups (novice, intermediate, and experienced). Each surgeon placed implants in single and double sites using 4 different surgical guide designs (no guide, tube, channel, and guided) and written instructions describing the ideal implant positions. A definitive typodont was constructed that had 3 implants in prosthetically determined ideal positions of single and double sites. The position and angulation of implants placed by the surgeons in the duplicate typodonts was measured using a computerized coordinate measuring machine and compared to the definitive typodont. The mean absolute positional error for all guides was 0.273, 0.340, 0.197 mm in mesial-distal, buccal-lingual, vertical positions, respectively, with an overall range of 0.00 to 1.81 mm. The mean absolute angle error for all guides was 1.61° and 2.39° in the mesial-distal and buccal-lingual angulations, respectively, with an overall range of 0.01° to 9.7°. Surgical guide design had a statistically significant effect on the accuracy of implant placement regardless of the surgeon's experience level. Experienced surgeons had significantly less error in buccal-lingual angulation. The size of the edentulous sites was found to affect both implant angle and position significantly. The magnitude of error in position and angulation caused by surgical guide design, surgeon's experience, and site size reported in this study are possibly not large enough to be clinically significant; however, it is likely that errors would be magnified in clinical practice. Future research is recommended to evaluate the effect of surgical guide design in vivo on implant angulation and position error.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hinckfuss</LastName><ForeName>Simon</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Diagnostic and Developmental Sciences, University of Minnesota, Minneapolis, MN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Conrad</LastName><ForeName>Heather J</ForeName><Initials>HJ</Initials></Author><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Lianshan</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Lunos</LastName><ForeName>Scott</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Seong</LastName><ForeName>Wook-Jin</ForeName><Initials>WJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>08</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Oral Implantol</MedlineTA><NlmUniqueID>7801086</NlmUniqueID><ISSNLinking>0160-6972</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003724" MajorTopicYN="N">Dental Arch</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003765" MajorTopicYN="N">Dental Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004867" MajorTopicYN="N">Equipment Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007396" MajorTopicYN="N">Internship and Residency</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010517" MajorTopicYN="N">Periodontics</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016037" MajorTopicYN="N">Single-Blind Method</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013335" MajorTopicYN="N">Students, Dental</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>8</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>8</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>8</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20712446</ArticleId><ArticleId IdType="doi">10.1563/AAID-JOI-D-10-00046</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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