Clinical and tomographic comparison of dental implants placed by guided virtual surgery versus conventional technique: A split‐mouth randomized clinical trial

Aim Our objective was to compare guided virtual surgery to conventional surgery in terms of angular deviation of single dental implants placed in the posterior mandible. Materials and Methods Patients with bilateral homologous single teeth missing in the posterior mandible were eligible for this spl...

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Published inJournal of clinical periodontology Vol. 47; no. 1; pp. 120 - 128
Main Authors Magrin, Gabriel L., Rafael, Stela N. F., Passoni, Bernardo B., Magini, Ricardo S., Benfatti, Cesar A. M., Gruber, Reinhard, Peruzzo, Daiane C.
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.01.2020
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Abstract Aim Our objective was to compare guided virtual surgery to conventional surgery in terms of angular deviation of single dental implants placed in the posterior mandible. Materials and Methods Patients with bilateral homologous single teeth missing in the posterior mandible were eligible for this split‐mouth randomized clinical trial. Cone beam computed tomography (CBCT) was performed for virtual planning of implant position and manufacturing of the stereolithographic guides. One week after the surgery, a second CBCT scan was superimposed to the initial planning. Primary endpoint was the angular deviation between virtual and clinical implant position. Secondary endpoints were linear deviations and patient‐reported outcomes collected with a questionnaire. Results Data from 12 patients were available for analysis. Angular deviation was significantly lower using stereolithographic guides as compared to conventional guides (2.2 ± 1.1° vs. 3.5 ± 1.6°, p = .042). Linear deviations were similar for both techniques in the coronal (2.34 ± 1.01 vs. 1.93 ± 0.95 mm) and apical (2.53 ± 1.11 vs. 2.19 ± 1.00 mm) dimensions (p ˃ .05). The selection of the surgical technique had no significant impact on the patient‐reported outcomes. Conclusion Our data suggest that the angular discrepancy between the virtual and the clinical implant position is slightly lower when using stereolithographic guides as compared to conventional guides.
AbstractList AIMOur objective was to compare guided virtual surgery to conventional surgery in terms of angular deviation of single dental implants placed in the posterior mandible. MATERIALS AND METHODSPatients with bilateral homologous single teeth missing in the posterior mandible were eligible for this split-mouth randomized clinical trial. Cone beam computed tomography (CBCT) was performed for virtual planning of implant position and manufacturing of the stereolithographic guides. One week after the surgery, a second CBCT scan was superimposed to the initial planning. Primary endpoint was the angular deviation between virtual and clinical implant position. Secondary endpoints were linear deviations and patient-reported outcomes collected with a questionnaire. RESULTSData from 12 patients were available for analysis. Angular deviation was significantly lower using stereolithographic guides as compared to conventional guides (2.2 ± 1.1° vs. 3.5 ± 1.6°, p = .042). Linear deviations were similar for both techniques in the coronal (2.34 ± 1.01 vs. 1.93 ± 0.95 mm) and apical (2.53 ± 1.11 vs. 2.19 ± 1.00 mm) dimensions (p ˃ .05). The selection of the surgical technique had no significant impact on the patient-reported outcomes. CONCLUSIONOur data suggest that the angular discrepancy between the virtual and the clinical implant position is slightly lower when using stereolithographic guides as compared to conventional guides.
Our objective was to compare guided virtual surgery to conventional surgery in terms of angular deviation of single dental implants placed in the posterior mandible. Patients with bilateral homologous single teeth missing in the posterior mandible were eligible for this split-mouth randomized clinical trial. Cone beam computed tomography (CBCT) was performed for virtual planning of implant position and manufacturing of the stereolithographic guides. One week after the surgery, a second CBCT scan was superimposed to the initial planning. Primary endpoint was the angular deviation between virtual and clinical implant position. Secondary endpoints were linear deviations and patient-reported outcomes collected with a questionnaire. Data from 12 patients were available for analysis. Angular deviation was significantly lower using stereolithographic guides as compared to conventional guides (2.2 ± 1.1° vs. 3.5 ± 1.6°, p = .042). Linear deviations were similar for both techniques in the coronal (2.34 ± 1.01 vs. 1.93 ± 0.95 mm) and apical (2.53 ± 1.11 vs. 2.19 ± 1.00 mm) dimensions (p ˃ .05). The selection of the surgical technique had no significant impact on the patient-reported outcomes. Our data suggest that the angular discrepancy between the virtual and the clinical implant position is slightly lower when using stereolithographic guides as compared to conventional guides.
Aim Our objective was to compare guided virtual surgery to conventional surgery in terms of angular deviation of single dental implants placed in the posterior mandible. Materials and Methods Patients with bilateral homologous single teeth missing in the posterior mandible were eligible for this split‐mouth randomized clinical trial. Cone beam computed tomography (CBCT) was performed for virtual planning of implant position and manufacturing of the stereolithographic guides. One week after the surgery, a second CBCT scan was superimposed to the initial planning. Primary endpoint was the angular deviation between virtual and clinical implant position. Secondary endpoints were linear deviations and patient‐reported outcomes collected with a questionnaire. Results Data from 12 patients were available for analysis. Angular deviation was significantly lower using stereolithographic guides as compared to conventional guides (2.2 ± 1.1° vs. 3.5 ± 1.6°, p = .042). Linear deviations were similar for both techniques in the coronal (2.34 ± 1.01 vs. 1.93 ± 0.95 mm) and apical (2.53 ± 1.11 vs. 2.19 ± 1.00 mm) dimensions (p ˃ .05). The selection of the surgical technique had no significant impact on the patient‐reported outcomes. Conclusion Our data suggest that the angular discrepancy between the virtual and the clinical implant position is slightly lower when using stereolithographic guides as compared to conventional guides.
Author Gruber, Reinhard
Rafael, Stela N. F.
Passoni, Bernardo B.
Magini, Ricardo S.
Peruzzo, Daiane C.
Magrin, Gabriel L.
Benfatti, Cesar A. M.
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  givenname: Stela N. F.
  surname: Rafael
  fullname: Rafael, Stela N. F.
  organization: São Leopoldo Mandic
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  surname: Passoni
  fullname: Passoni, Bernardo B.
  organization: Federal University of Santa Catarina / UFSC
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  givenname: Ricardo S.
  surname: Magini
  fullname: Magini, Ricardo S.
  organization: Federal University of Santa Catarina / UFSC
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  givenname: Cesar A. M.
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  organization: Dental School of the Medical University of Vienna
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  givenname: Daiane C.
  surname: Peruzzo
  fullname: Peruzzo, Daiane C.
  organization: São Leopoldo Mandic
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Issue 1
Keywords single-tooth dental implant
oral surgery
computer-assisted surgery
dental implants
cone beam computed tomography
Language English
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Snippet Aim Our objective was to compare guided virtual surgery to conventional surgery in terms of angular deviation of single dental implants placed in the posterior...
Our objective was to compare guided virtual surgery to conventional surgery in terms of angular deviation of single dental implants placed in the posterior...
AimOur objective was to compare guided virtual surgery to conventional surgery in terms of angular deviation of single dental implants placed in the posterior...
AIMOur objective was to compare guided virtual surgery to conventional surgery in terms of angular deviation of single dental implants placed in the posterior...
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SubjectTerms Clinical trials
Computed tomography
computer‐assisted surgery
cone beam computed tomography
Dental implants
Dental prosthetics
Dentistry
Mandible
oral surgery
Patients
single‐tooth dental implant
Surgery
Teeth
Transplants & implants
Title Clinical and tomographic comparison of dental implants placed by guided virtual surgery versus conventional technique: A split‐mouth randomized clinical trial
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjcpe.13211
https://www.ncbi.nlm.nih.gov/pubmed/31628873
https://www.proquest.com/docview/2329664801
https://search.proquest.com/docview/2307144312
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