Browse > Article
http://dx.doi.org/10.4047/jap.2013.5.4.440

An assessment of template-guided implant surgery in terms of accuracy and related factors  

Lee, Jee-Ho (Department of Oral and Maxillofacial Surgery, Seoul Asan Medical Center)
Park, Ji-Man (Department of Prosthodontics, Ewha Womans University, School of Medicine)
Kim, Soung-Min (Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital)
Kim, Myung-Joo (Department of Prosthodontics, Seoul National University Dental Hospital)
Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital)
Kim, Myung-Jin (Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital)
Publication Information
The Journal of Advanced Prosthodontics / v.5, no.4, 2013 , pp. 440-447 More about this Journal
Abstract
PURPOSE. Template-guided implant therapy has developed hand-in-hand with computed tomography (CT) to improve the accuracy of implant surgery and future prosthodontic treatment. In our present study, the accuracy and causative factors for computer-assisted implant surgery were assessed to further validate the stable clinical application of this technique. MATERIALS AND METHODS. A total of 102 implants in 48 patients were included in this study. Implant surgery was performed with a stereolithographic template. Pre- and post-operative CTs were used to compare the planned and placed implants. Accuracy and related factors were statistically analyzed with the Spearman correlation method and the linear mixed model. Differences were considered to be statistically significant at $P{\leq}.05$. RESULTS. The mean errors of computer-assisted implant surgery were 1.09 mm at the coronal center, 1.56 mm at the apical center, and the axis deviation was $3.80^{\circ}$. The coronal and apical errors of the implants were found to be strongly correlated. The errors developed at the coronal center were magnified at the apical center by the fixture length. The case of anterior edentulous area and longer fixtures affected the accuracy of the implant template. CONCLUSION. The control of errors at the coronal center and stabilization of the anterior part of the template are needed for safe implant surgery and future prosthodontic treatment.
Keywords
Computer-assisted surgery; Dental implant; Accuracy;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Besimo C, Lambrecht JT, Nidecker A. Dental implant treatment planning with reformatted computed tomography. Dentomaxillofac Radiol 1995;24:264-7.
2 Fortin T, Coudert JL, Champleboux G, Sautot P, Lavallee S. Computer-assisted dental implant surgery using computed tomography. J Image Guid Surg 1995;1:53-8.   DOI
3 Jacobs R, Adriansens A, Naert I, Quirynen M, Hermans R, Van Steenberghe D. Predictability of reformatted computed tomography for pre-operative planning of endosseous implants. Dentomaxillofac Radiol 1999;28:37-41.   DOI   ScienceOn
4 Fortin T, Champleboux G, Bianchi S, Buatois H, Coudert JL. Precision of transfer of preoperative planning for oral implants based on cone-beam CT-scan images through a robotic drilling machine. Clin Oral Implants Res 2002;13:651-6.   DOI   ScienceOn
5 Ozan O, Turkyilmaz I, Ersoy AE, McGlumphy EA, Rosenstiel SF. Clinical accuracy of 3 different types of computed tomography-derived stereolithographic surgical guides in implant placement. J Oral Maxillofac Surg 2009;67:394-   DOI   ScienceOn
6 Jacobs R, Adriansens A, Verstreken K, Suetens P, van Steenberghe D. Predictability of a three-dimensional planning system for oral implant surgery. Dentomaxillofac Radiol 1999; 28:105-11.   DOI   ScienceOn
7 Arisan V, Karabuda ZC, Ozdemir T. Accuracy of two stereolithographic guide systems for computer-aided implant placement: a computed tomography-based clinical comparative study. J Periodontol 2010;81:43-51.   DOI   ScienceOn
8 Cassetta M, Di Mambro A, Giansanti M, Stefanelli LV, Cavallini C. The intrinsic error of a stereolithographic surgical template in implant guided surgery. Int J Oral Maxillofac Surg 2013;42:264-75.   DOI   ScienceOn
9 D'haese J, Van De Velde T, Elaut L, De Bruyn H. A prospective study on the accuracy of mucosally supported stereolithographic surgical guides in fully edentulous maxillae. Clin Implant Dent Relat Res 2012;14:293-303.   DOI   ScienceOn
10 Park C, Raigrodski AJ, Rosen J, Spiekerman C, London RM. Accuracy of implant placement using precision surgical guides with varying occlusogingival heights: an in vitro study. J Prosthet Dent 2009;101:372-81.   DOI   ScienceOn
11 Stumpel LJ. Deformation of stereolithographically produced surgical guides: an observational case series report. Clin Implant Dent Relat Res 2012;14:442-53.   DOI   ScienceOn
12 Valente F, Schiroli G, Sbrenna A. Accuracy of computer-aided oral implant surgery: a clinical and radiographic study. Int J Oral Maxillofac Implants 2009;24:234-42.
13 Vercruyssen M, Jacobs R, Van Assche N, van Steenberghe D. The use of CT scan based planning for oral rehabilitation by means of implants and its transfer to the surgical field: a critical review on accuracy. J Oral Rehabil 2008;35:454-74.   DOI   ScienceOn
14 Di Giacomo GA, Cury PR, de Araujo NS, Sendyk WR, Sendyk CL. Clinical application of stereolithographic surgical guides for implant placement: preliminary results. J Periodontol 2005;76:503-7.   DOI   ScienceOn
15 Vrielinck L, Politis C, Schepers S, Pauwels M, Naert I. Imagebased planning and clinical validation of zygoma and pterygoid implant placement in patients with severe bone atrophy using customized drill guides. Preliminary results from a prospective clinical follow-up study. Int J Oral Maxillofac Surg 2003;32:7-14.   DOI   ScienceOn
16 Lee JH, Kim MJ, Kim SM, Kwon OH, Kim YK. The 3D CT superimposition method using image fusion based on the maximum mutual information algorithm for the assessment of oral and maxillofacial surgery treatment results. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114:167-74.   DOI   ScienceOn
17 Verstreken K, Van Cleynenbreugel J, Marchal G, Naert I, Suetens P, van Steenberghe D. Computer-assisted planning of oral implant surgery: a three-dimensional approach. Int J Oral Maxillofac Implants 1996;11:806-10.
18 Sarment DP, Sukovic P, Clinthorne N. Accuracy of implant placement with a stereolithographic surgical guide. Int J Oral Maxillofac Implants 2003;18:571-7.
19 Fortin T, Camby E, Alik M, Isidori M, Bouchet H. Panoramic images versus three-dimensional planning software for oral implant planning in atrophied posterior maxillary: a clinical radiological study. Clin Implant Dent Relat Res 2013;15:198-   DOI   ScienceOn
20 Cassetta M, Stefanelli LV, Giansanti M, Calasso S. Accuracy of implant placement with a stereolithographic surgical template. Int J Oral Maxillofac Implants 2012;27:655-63.
21 Kramer FJ, Baethge C, Swennen G, Rosahl S. Navigated vs. conventional implant insertion for maxillary single tooth replacement. Clin Oral Implants Res 2005;16:60-8.
22 Choi M, Romberg E, Driscoll CF. Effects of varied dimensions of surgical guides on implant angulations. J Prosthet Dent 2004;92:463-9.   DOI   ScienceOn
23 Schneider D, Marquardt P, Zwahlen M, Jung RE. A systematic review on the accuracy and the clinical outcome of computer- guided template-based implant dentistry. Clin Oral Implants Res 2009;20:73-86.   DOI   ScienceOn
24 Van Assche N, Vercruyssen M, Coucke W, Teughels W, Jacobs R, Quirynen M. Accuracy of computer-aided implant placement. Clin Oral Implants Res 2012;23:112-23.   DOI   ScienceOn