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Accuracy of Edentulous Computer-Aided Implant Surgery as Compared to Virtual Planning: A Retrospective Multicenter Study
- Source :
- Journal of Clinical Medicine, Vol 9, Iss 3, p 774 (2020), Journal of Clinical Medicine, Volume 9, Issue 3
- Publication Year :
- 2020
- Publisher :
- MDPI AG, 2020.
-
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&deg<br />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.
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 20770383
- Volume :
- 9
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Medicine
- Accession number :
- edsair.doi.dedup.....91f3c75fd72333d28cb0a36c72a76140