1. Accuracy of Edentulous Computer-Aided Implant Surgery as Compared to Virtual Planning: A Retrospective Multicenter Study
- Author
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Enrico Gherlone, Lorenzo Lo Muzio, Antonio Scarano, M Manacorda, Alberta Greco Lucchina, Corrado Crocetta, R Abundo, Filiberto Mastrangelo, Raffaele Vinci, Vinci, R., Manacorda, M., Abundo, R., Lucchina, A. G., Scarano, A., Crocetta, C., Lo Muzio, L., Gherlone, E. F., and Mastrangelo, F.
- Subjects
guided surgery ,medicine.medical_treatment ,titanium dental implant ,lcsh:Medicine ,Osseointegration ,Article ,Three-Dimensional implant accuracy ,Titanium dental implant ,03 medical and health sciences ,permutation tests ,Three-Dimensional software implant ,0302 clinical medicine ,immediate-load dental implants ,Non-parametric combination ,Medicine ,Dental implant ,Orthodontics ,non-parametric combination ,business.industry ,lcsh:R ,Immediate-load dental implants ,Mandible ,Guided surgery ,osseointegration ,Permutation tests ,030206 dentistry ,General Medicine ,Planning ,multivariate analysis ,Multivariate analysis ,Virtual planning ,Multicenter study ,Maxilla ,three-dimensional software implant ,Computer-aided ,Implant ,three-dimensional implant accuracy ,planning ,business ,030217 neurology & neurosurgery - Abstract
Purpose: To evaluate the accuracy of computer-aided dental implant positions obtained with mucosal-supported templates as compared to Three-Dimensional (3D) planning. Materials and methods: One-hundred implants were inserted into 14 edentulous patients using the All-on-4/6 protocol after surgical virtual planning with RealGUIDE, 3DIEMME, and Geomagic software. After 6 months, three-dimensional neck (V) and apex (S) spatial coordinates of implants and angle inclination displacements as compared to virtual plans were evaluated. Results: The S maxilla coordinates revealed a significant discrepancy between clinical and virtual implant positions (p-value = 0.091). The V coordinates showed no significant differences (p-value = 0.71). The S (p-value = 0.017) and V (p-value = 0.038) mandible coordinates showed significant discrepancies between the clinical and virtual positions of the screws. Implant evaluation showed a 1-mm of the horizontal deviation in the V point and a 1.6-mm deviation in the S point. A mean 5°, angular global deviation was detected. The multivariate permutation test of the S (p-value = 0.02) confirmed the difference. Greater errors in the mandible were detected as compared to the maxilla, and a higher S discrepancy was found in the posterior jaw compared to the anterior section of both the mandible and maxilla. Conclusions: Computer-aided surgery with mucosal-supported templates is a predictable procedure for implant placement. Data showed a discrepancy between the actual dental implant position as compared to the virtual plan, but this was not statistically significant. However, the horizontal and angle deviations detected indicated that flap surgery should be used to prevent implant positioning errors due to poor sensitivity and accuracy in cases of severe jaw atrophy.
- Published
- 2020