A Comparative Prospective Study on the Accuracy and Efficiency of Autonomous Robotic System Versus Dynamic Navigation System in Dental Implant Placement

IF 5.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Clinical Periodontology Pub Date : 2024-12-02 DOI:10.1111/jcpe.14091

Muqiao Yu, Yilin Luo, Bolin Li, Lingqiao Xu, Xingmei Yang, Yi Man

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引用次数: 0

Abstract

Aim

This study aimed to evaluate the efficiency of and discrepancies between planned and final implant positions using dynamic computer-assisted implant surgery (d-CAIS) and autonomous robotic computer-assisted implant surgery (r-CAIS) in clinical practice.

Materials and Methods

The study included 83 patients, who received 135 implants between December 2022 and March 2024 (r-CAIS group: 43 patients with 71 implants; d-CAIS group: 40 patients with 64 implants). Cone-beam computed tomography scans taken before and after surgery assessed linear and angular deviations between the groups in both 2D and 3D spaces. The duration of surgery was also analysed.

Results

The angular deviation between d-CAIS and r-CAIS was 3.61° ± 1.65° versus 1.62° ± 0.93° (p < 0.001), the platform deviation was 1.12 ± 0.51 mm versus 0.50 ± 0.19 mm (p < 0.001) and the apex deviation was 1.36 ± 0.57 mm versus 0.58 ± 0.21 mm (p < 0.001). The d-CAIS group experienced significantly longer drilling and implant placement times compared to the r-CAIS group (10.6 ± 3.8 vs. 8.3 ± 3.4 min, p < 0.01), while preparation time showed no statistical difference between the groups (7.2 ± 3.3 vs. 6.2 ± 2.7 min, p > 0.05).

Conclusions

The robotic system demonstrated higher accuracy and efficiency of implant placement than the dynamic navigation system in partially edentulous patients.

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自主机器人系统与动态导航系统在牙种植体植入中的准确性和效率的前瞻性比较研究

目的本研究旨在评估临床实践中使用动态计算机辅助种植手术（d‐CAIS）和自主机器人计算机辅助种植手术（r‐CAIS）的效率和计划种植位置与最终种植位置之间的差异。材料和方法该研究纳入83例患者，在2022年12月至2024年3月期间接受了135个种植体(r‐CAIS组：43例患者，71个种植体；d‐CAIS组：40例患者，共植入64颗植入物)。手术前后进行锥形束计算机断层扫描，评估两组患者在二维和三维空间中的线性和角度偏差。并对手术时间进行分析。结果d‐CAIS与r‐CAIS的角偏差分别为3.61°±1.65°和1.62°±0.93°(p <；0.001)，平台偏差分别为1.12±0.51 mm和0.50±0.19 mm (p <；分别为1.36±0.57 mm和0.58±0.21 mm (p <；0.001)。与r - CAIS组相比，d - CAIS组钻孔和种植体放置时间明显更长(10.6±3.8 vs 8.3±3.4 min, p <；0.01)，而准备时间组间差异无统计学意义(7.2±3.3 vs. 6.2±2.7 min, p >；0.05)。结论在部分无牙患者中，机器人系统比动态导航系统具有更高的种植精度和效率。

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

Journal of Clinical Periodontology 医学-牙科与口腔外科

CiteScore

13.30

自引率

10.40%

发文量

175

审稿时长

3-8 weeks

期刊介绍： Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.