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An Assessment of Template-guided Implant Surgery in Terms of Accuracy and Related Factors

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Specialty Dentistry
Date 2013 Dec 20
PMID 24353883
Citations 14
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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≤.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°. 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.

Citing Articles

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A 10-year follow-up study on clinical outcomes of dental implant rehabilitation using surgical guide.

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Comparison of the accuracy of immediate implant placement using static and dynamic computer-assisted implant system in the esthetic zone of the maxilla: a prospective study.

Feng Y, Su Z, Mo A, Yang X Int J Implant Dent. 2022; 8(1):65.

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Comparison of Dental Surface Image Registration and Fiducial Marker Registration: An In Vivo Accuracy Study of Static Computer-Assisted Implant Surgery.

Han Y, Lin W, Fan F, Chen C, Lin C, Cheng H J Clin Med. 2021; 10(18).

PMID: 34575295 PMC: 8466254. DOI: 10.3390/jcm10184183.


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