Randomized controlled trial on the efficacy of a custom-made, fully guided implant system for flapless crestal sinus floor elevation: Accuracy and patient-reported outcomes

IF 4.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Implants Research Pub Date : 2024-08-05 DOI:10.1111/clr.14341

Jongseung Kim, Jin-Young Park, Joo-Yeon Lee, Da-mi Kim, Jungwon Lee, Ui-Won Jung, Young-Jun Lim, Jae-Kook Cha

{"title":"Randomized controlled trial on the efficacy of a custom-made, fully guided implant system for flapless crestal sinus floor elevation: Accuracy and patient-reported outcomes","authors":"Jongseung Kim, Jin-Young Park, Joo-Yeon Lee, Da-mi Kim, Jungwon Lee, Ui-Won Jung, Young-Jun Lim, Jae-Kook Cha","doi":"10.1111/clr.14341","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To compare fully guided flapless implant surgery using a light-cured surgical guide (FG group) with partially guided open flap surgery (PG group) in the posterior maxilla when performing simultaneous sinus floor elevation in terms of the accuracy, time requirements, and patient/clinician-reported outcomes (PROMs and CROMs).</p>\n </section>\n \n <section>\n \n <h3> Materials and Methods</h3>\n \n <p>In this study, 56 tissue-level implants were placed with crestal sinus floor elevation in 56 patients at single-tooth sites, with 28 implants allocated to the PG group and 28 to the FG group. The deviations of the placed implants from the virtually planned positions were measured at the implant platform and apex and for the angular deviation. The presurgical preparation time and the duration of surgery were measured. PROMs and CROMs were made by administering questionnaires at multiple time points.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Horizontal deviations at the platform and apex and the angular deviation were significantly smaller in the FG group than the PG group (<i>p</i> < .05). Presurgical preparation and surgery times were significantly shorter in the FG group (<i>p</i> < .001). Patient satisfaction and willingness to receive repeat treatment were significantly better in the FG group than in the PG group (<i>p</i> < .005 and .025, respectively). Clinicians were more satisfied in the FG group than the PG group (<i>p</i> < .05).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>When placing an implant with sinus floor elevation, the flapless approach using a fully guided surgical system can be more accurate, faster, and increase the satisfaction of both the clinician and patient compared to the partially guided surgery.</p>\n </section>\n </div>","PeriodicalId":10455,"journal":{"name":"Clinical Oral Implants Research","volume":"35 12","pages":"1531-1545"},"PeriodicalIF":4.8000,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629462/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Oral Implants Research","FirstCategoryId":"5","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/clr.14341","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

To compare fully guided flapless implant surgery using a light-cured surgical guide (FG group) with partially guided open flap surgery (PG group) in the posterior maxilla when performing simultaneous sinus floor elevation in terms of the accuracy, time requirements, and patient/clinician-reported outcomes (PROMs and CROMs).

Materials and Methods

In this study, 56 tissue-level implants were placed with crestal sinus floor elevation in 56 patients at single-tooth sites, with 28 implants allocated to the PG group and 28 to the FG group. The deviations of the placed implants from the virtually planned positions were measured at the implant platform and apex and for the angular deviation. The presurgical preparation time and the duration of surgery were measured. PROMs and CROMs were made by administering questionnaires at multiple time points.

Results

Horizontal deviations at the platform and apex and the angular deviation were significantly smaller in the FG group than the PG group (p < .05). Presurgical preparation and surgery times were significantly shorter in the FG group (p < .001). Patient satisfaction and willingness to receive repeat treatment were significantly better in the FG group than in the PG group (p < .005 and .025, respectively). Clinicians were more satisfied in the FG group than the PG group (p < .05).

Conclusion

When placing an implant with sinus floor elevation, the flapless approach using a fully guided surgical system can be more accurate, faster, and increase the satisfaction of both the clinician and patient compared to the partially guided surgery.

Abstract Image

查看原文本刊更多论文

无瓣嵴窦底提升术的定制全引导种植系统疗效随机对照试验：准确性和患者报告结果。

目的比较使用光固化手术导板的全引导无瓣种植手术（FG组）与部分引导开放瓣手术（PG组）在上颌后牙同时进行上颌窦底提升时的准确性、所需时间以及患者/医师报告结果（PROMs和CROMs）：在这项研究中，56 位患者在单牙部位植入了 56 颗组织水平种植体，同时进行了嵴窦底提升，其中 28 颗种植体被分配到 PG 组，28 颗被分配到 FG 组。在种植体平台和顶点测量了植入种植体与虚拟计划位置的偏差以及角度偏差。对术前准备时间和手术持续时间进行了测量。通过在多个时间点进行问卷调查，得出了PROM和CROM：结果：FG 组的平台和顶点水平偏差以及角度偏差明显小于 PG 组（p 结论：FG 组的角度偏差明显小于 PG 组：在植入上颌窦底抬高种植体时，与部分引导手术相比，使用完全引导手术系统的无瓣方法更准确、更快速，并能提高临床医生和患者的满意度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Oral Implants Research 医学-工程：生物医学

CiteScore

7.70

自引率

11.60%

发文量

149

审稿时长

3 months

期刊介绍： Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.