Exploring the Learning Curve of Dental Implant Placement Using a Task-Autonomous Robotic System Among Young Dentists From Different Specialties—A Pilot Module Study

IF 3.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Implant Dentistry and Related Research Pub Date : 2024-10-15 DOI:10.1111/cid.13402

Minjie Zhuang, Jinyan Chen, Baoxin Tao, Meisha Gul, Feng Wang, Yiqun Wu

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引用次数: 0

Abstract

Background

The learning curve effect of dynamic computer-assisted implant surgery (D-CAIS) was observed among inexperienced novice surgeons. The learning curves can provide valuable information for novice surgeons and valid comparisons between new and conventional techniques. Recently, robotic computer-assisted implant surgery (R-CAIS) has shown promise as a novel dental implant surgical technique for both partially and edentulous patients. However, its learning curve remains unknown.

Purpose

The aim of this study was to explore the learning curve of dental implant placement surgery with a task-autonomous robotic system among young dentists with different specialties.

Methods and Materials

Four young dentists (mean age: 25.3 ± 1.5 years at the beginning of their first attempt) with equal representation of males and females and with different specialties participated in this study. None of the participants had prior experience in R-CAIS. Each operator placed eight implants over eight attempts using a semi-active task-autonomous robotic system. Among the eight implants, four were straight lateral incisor implants, and four were 30°-tilted premolar implants. The implants were placed in each dental quadrant of the maxillary and mandibular jaw modules. The operation time was recorded. Coronal, apical, and angular deviations between the planned and actual sites of implant placement were measured by merging preoperative and postoperative cone-beam computed tomography (CBCT) scans. The data were analyzed with repeated-measures ANOVA (α = 0.05).

Results

The mean time for implant placement was associated with the number of attempts (p < 0.01). The time taken for the second attempt was significantly shorter than that of the first attempt (33.26 vs. 30.47 min; p < 0.001) then it plateaued. Three-dimensional (3D) angular (p = 0.31), coronal deviation (p = 0.26), and apical deviation (p = 0.06) did not differ significantly among attempts. The mean values and standard deviations of 3D coronal deviation, 3D apical deviation, and 3D angular deviation were 0.71 ± 0.31 mm, 0.72 ± 0.30 mm, and 0.94 ± 0.58°, respectively. Neither the position of the jaw (p > 0.59) nor the tilt angle of the implant (straight or 30°-tilted, p > 0.85) was related to implant placement accuracy.

Conclusions

Dentists quickly learned the basic workflow of R-CAIS and thus facilitated the clinicians in the mastery of implant placement on edentulous jaw modules, leading to a comparable operating speed and high precision. Moreover, the accuracy of placement of straight and tilted implants in both the maxilla and mandible with R-CAIS was satisfactory.

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探索来自不同专业的年轻牙科医生使用任务自主型机器人系统进行牙科种植体植入的学习曲线--试点模块研究

背景：在缺乏经验的外科医生中观察到了动态计算机辅助种植手术（D-CAIS）的学习曲线效应。学习曲线可以为新手外科医生提供有价值的信息，并对新技术和传统技术进行有效比较。最近，机器人计算机辅助种植手术（R-CAIS）作为一种新型牙科种植手术技术，在部分无牙颌和无牙颌患者中的应用前景广阔。目的：本研究旨在探讨不同专业的年轻牙医在使用任务自主机器人系统进行牙科种植手术时的学习曲线：四名年轻牙医（首次尝试时的平均年龄为 25.3 ± 1.5 岁）参加了本研究，男女比例相同，专业各异。所有参与者均无 R-CAIS 经验。每位操作者使用半主动任务自主机器人系统进行了八次植入。八颗种植体中，四颗是直侧切牙种植体，四颗是30°倾斜前磨牙种植体。种植体分别植入上颌和下颌模块的每个牙象限。手术时间均有记录。通过合并术前和术后的锥束计算机断层扫描（CBCT），测量了计划植入和实际植入位置之间的冠状、根尖和角度偏差。数据采用重复测量方差分析（α = 0.05）：结果：种植体植入的平均时间与尝试的次数有关（p 0.59），种植体的倾斜角度（直角或30°倾斜角，p > 0.85）也与种植体植入的准确性无关：牙医很快就学会了 R-CAIS 的基本工作流程，从而帮助临床医生掌握了在无牙颌模块上植入种植体的方法，从而实现了相当的操作速度和高精度。此外，使用 R-CAIS 在上颌和下颌植入直线和倾斜种植体的精确度也令人满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Implant Dentistry and Related Research 医学-牙科与口腔外科

CiteScore

6.00

自引率

13.90%

发文量

103

审稿时长

4-8 weeks

期刊介绍： The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal. The range of topics covered by the journals will include but be not limited to: New scientific developments relating to bone Implant surfaces and their relationship to the surrounding tissues Computer aided implant designs Computer aided prosthetic designs Immediate implant loading Immediate implant placement Materials relating to bone induction and conduction New surgical methods relating to implant placement New materials and methods relating to implant restorations Methods for determining implant stability A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.