3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve
Abstract
:1. Introduction
2. Materials and Methods
2.1. Eligibility Criteria for the Selection of Cases
2.2. 3D Protocol Planning
2.3. In-Vitro Implant Placement
2.4. Digital Scanning of the Implants Using IOS
2.5. Scan Analysis Using EXOCAD®
2.6. Measurement of Deviations in Implant Position
2.7. Data Analysis
3. Results and Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Case Number | Selected Cases Description |
---|---|
Case 1 | Missing LR first molar, bound saddle, socket preservation, IAN inferior |
Case 2 | Missing LR first molar, bound saddle, socket preservation, IAN inferolateral |
Case 3 | Missing LR first molar, socket preservation, IAN inferior |
Case 4 | Missing LL second molar, socket preservation, IAN inferior, LL first molar also missing, larger guide span between bound saddles |
Case 5 | Missing LR first molar, bound saddle, socket preservation, IAN inferolateral, laterally inclined lingual bone |
Case 6 | Missing LL first molar, bound saddle, socket preservation, no lingual fossa, IAN inferolateral, and close to the planned position |
Free Hand | Planned Distance to IAN (mm) | Distance to IAN (mm) | Deviation (mm) | Coronal Deviation (mm) | Apical Deviation (mm) | Angular Deviation (°) |
---|---|---|---|---|---|---|
1 | 3.21 | 4.28 | +1.07 | 1.00 | 2.02 | 8.00 |
2 | 2.50 | 2.79 | +0.29 | 0.87 | 2.17 | 9.12 |
3 | 6.29 | 7.91 | +1.62 | 1.88 | 2.03 | 1.99 |
4 | 4.70 | 4.93 | +0.23 | 0.70 | 0.93 | 4.88 |
5 | 4.18 | 6.73 | +2.55 | 1.69 | 3.38 | 11.78 |
6 | 1.29 | 1.22 | −0.07 | 0.44 | 0.78 | 2.82 |
Mean | 3.70 ± 1.76 | 4.64 ± 2.47 | 0.95 ± 1.00 | 1.10 ± 0.57 | 1.88 ± 0.95 | 6.43 ± 3.82 |
Fully Guided | Planned Distance to IAN (mm) | Distance to IAN (mm) | Deviation (mm) | Coronal Deviation (mm) | Apical Deviation (mm) | Angular Deviation (°) |
---|---|---|---|---|---|---|
1 | 3.21 | 2.96 | −0.25 | 0.43 | 0.53 | 0.97 |
2 | 2.50 | 3.13 | + 0.63 | 0.79 | 0.92 | 0.98 |
3 | 6.29 | 6.33 | + 0.04 | 0.14 | 0.14 | 0.16 |
4 | 4.70 | 4.80 | + 0.10 | 0.22 | 0.22 | 0.95 |
5 | 4.18 | 4.35 | + 0.17 | 0.21 | 0.21 | 0.97 |
6 | 1.29 | 1.08 | −0.21 | 0.29 | 0.29 | 0.69 |
Mean | 3.70 ± 1.76 | 3.78 ± 1.80 | 0.08 ± 0.32 | 0.35 ± 0.24 | 0.43 ± 0.27 | 0.78 ± 0.33 |
Mean Deviation from Planned Position | ||
---|---|---|
Study | Free-Hand | Guided |
Fürhauser et al. (2015) [30] | - | Entry 0.8 mm Apex 1.2 mm Angle 2.7° |
Schnutenhaus et al. (2016) [31] | - | Entry 1.0 mm Apex 1.6 mm Angle 5.0° |
Tahmaseb et al. (2018) [29] | - | Entry 0.9 mm Apex 1.2 mm Angle 3.3° |
Vercruyssen et al. (2015) [32] | Entry 2.8 mm Apex 3.1 mm Angle 9.1° | Entry 1.4 mm Apex 1.6 mm Angle 3.0° |
Younes et al. (2018) [33] | Entry 1.5 mm Apex 2.1 mm Angle 7.0° | Entry 0.7 mm Apex 1.0 mm Angle 2.3° |
Mistry et al. (2021) | Entry 1.1 mm Apex 1.9 mm Angle 6.4° | Entry 0.4 mm Apex 0.4 mm Angle 0.8° |
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Mistry, A.; Ucer, C.; Thompson, J.D.; Khan, R.S.; Karahmet, E.; Sher, F. 3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve. Dent. J. 2021, 9, 99. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9090099
Mistry A, Ucer C, Thompson JD, Khan RS, Karahmet E, Sher F. 3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve. Dentistry Journal. 2021; 9(9):99. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9090099
Chicago/Turabian StyleMistry, Amit, Cemal Ucer, John D. Thompson, Rabia Sannam Khan, Emina Karahmet, and Farooq Sher. 2021. "3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve" Dentistry Journal 9, no. 9: 99. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9090099