TY - JOUR
T1 - Accuracy assessment of implant placement in a newly developed dynamic navigation system
T2 - A pilot study
AU - Setoguchi, Tomoyuki
AU - Ogino, Yoichiro
AU - Ouchida, Riichi
AU - Takahashi, Akira
AU - Ayukawa, Yasunori
AU - Koyano, Kiyoshi
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/7/2
Y1 - 2021/7/2
N2 - The aim of this pilot study was to evaluate the accuracy of a newly developed dynamic navigation system and to compare the accuracy between flapless and open-flap surgery, and between surgeons. The subjects were patients who were scheduled to receive implants of the same size using the newly developed dynamic navigation system. The study’s procedures included cone beam computed tomography (CBCT) filming with fiducials, virtual planning of implant placement and the use of motion tracking technology for calibration and practical implant placement. The accuracy was evaluated using preoperative (virtual implant) and postoperative (actual implant) CBCT images based on angular, apical, coronal and vertical deviations. The differences of deviations between flapless and open-flap surgery, and between two surgeons, were statistically compared. In total, 66 implants were placed in 39 patients. The median and interquartile range of angular, apical, coronal and vertical deviations were 3.07° (2.52–3.54°), 0.96 mm (0.75–1.42 mm), 0.76 mm (0.57–1.37 mm) and 0.71 mm (0.61–0.88 mm), respectively. These deviations were similar to those found in previous studies. Flapless surgery resulted in a more accurate placement with respect to apical and coronal deviations, and the differences between the two surgeons were limited. The newly developed dynamic navigation system is considered to be eligible for clinical use.
AB - The aim of this pilot study was to evaluate the accuracy of a newly developed dynamic navigation system and to compare the accuracy between flapless and open-flap surgery, and between surgeons. The subjects were patients who were scheduled to receive implants of the same size using the newly developed dynamic navigation system. The study’s procedures included cone beam computed tomography (CBCT) filming with fiducials, virtual planning of implant placement and the use of motion tracking technology for calibration and practical implant placement. The accuracy was evaluated using preoperative (virtual implant) and postoperative (actual implant) CBCT images based on angular, apical, coronal and vertical deviations. The differences of deviations between flapless and open-flap surgery, and between two surgeons, were statistically compared. In total, 66 implants were placed in 39 patients. The median and interquartile range of angular, apical, coronal and vertical deviations were 3.07° (2.52–3.54°), 0.96 mm (0.75–1.42 mm), 0.76 mm (0.57–1.37 mm) and 0.71 mm (0.61–0.88 mm), respectively. These deviations were similar to those found in previous studies. Flapless surgery resulted in a more accurate placement with respect to apical and coronal deviations, and the differences between the two surgeons were limited. The newly developed dynamic navigation system is considered to be eligible for clinical use.
KW - Accuracy assessment
KW - Dynamic navigation
KW - Flapless surgery
KW - Infrared optical camera
KW - Surgeon experience
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U2 - 10.3390/app11146593
DO - 10.3390/app11146593
M3 - Article
AN - SCOPUS:85111291846
SN - 2076-3417
VL - 11
JO - Applied Sciences (Switzerland)
JF - Applied Sciences (Switzerland)
IS - 14
M1 - 6593
ER -