Maxillofac Plast Reconstr Surg.  2016 Mar;38(3):15. 10.1186/s40902-016-0063-3.

Clinical problems of computer-guided implant surgery

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, 375 Seosuk dong, Dong-gu, Gwangju, 501-759 South Korea.
  • 2Department of Prosthodontics, Graduate School of Dentistry, Chosun University, 375 Seosuk dong, Dong-gu, Gwangju, 501-759 South Korea.
  • 3Department of Prosthodontics, School of Dentistry, Chosun University, 375 Seosuk dong, Dong-gu, Gwangju, 501-759 South Korea. son0513@Chosun.ac.kr

Abstract

BACKGROUND
The utilization of a cone-beam computed tomography (CT)-assisted surgical template allows for predictable results because implant placement plans can be performed in the actual surgery. In order to assess the accuracy of the CT-guided surgery, angular errors and shoulder/apex distance errors were evaluated by data fusion from before and after the placement.
METHODS
Computer-guided implant surgery was performed in five patients with 19 implants. In order to analyze differences of the implant fixture body between preoperative planned implant and postoperative placed implant, angular error and distance errors were evaluated.
RESULTS
The mean angular errors between the preoperative planned and postoperative placed implant was 3.84°± 1.49°; the mean distance errors between the planned and placed implants were 0.45 ± 0.48 mm horizontally and 0.63 ± 0.51 mm vertically at the implant neck and 0.70 ± 0.63 mm horizontally and 0.64 ± 0.57 mm vertically at the implant apex for all 19 implants.
CONCLUSIONS
It is important to be able to utilize these methods in actual clinical settings by improving the various problems, including the considerations of patient mouth opening limitations, surgical guide preparation, and fixation.

Keyword

Implant; CT-guided surgery; Computer-assisted surgery; Angular errors; Distance errors

MeSH Terms

Cone-Beam Computed Tomography
Humans
Mouth
Neck
Surgery, Computer-Assisted
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