Accuracy of a Novel Robot-Assisted System and Dynamic Navigation System for Dental Implant Placement: A Clinical Retrospective Study

IF 5.3 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Implants Research Pub Date : 2025-02-15 DOI:10.1111/clr.14420

Jianping Chen, Yude Ding, Ruijue Cao, Yuchen Zheng, Liheng Shen, Linhong Wang, Fan Yang

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引用次数: 0

Abstract

Aim

This clinical retrospective study aimed to compare the deviations in single-tooth implant placement using novel semi-autonomous robotic-assisted surgery system (sa-RASS) and dynamic navigation system (DNS) methods.

Materials and Methods

A retrospective analysis of medical records from January to December 2023 was conducted to compare the implantation accuracy of the sa-RASS and DNS in partially edentulous patients using cone-beam computed tomography. Platform, apex, and angular deviations were measured and analyzed. The Kolmogorov–Smirnov test was used to check the data distribution, along with t-tests or Mann–Whitney U-tests, where appropriate.

Results

Fifty-seven patients (57 implants) were analyzed: 29 (29 implants) in the sa-RASS group and 28 (28 implants) in the DNS group. The comparison of platform, apex, and angular deviation between the sa-RASS group and DNS group were 0.91 ± 0.46 mm vs. 1.26 ± 0.51 mm (p < 0.001), 1.06 ± 0.60 mm vs. 1.51 ± 0.56 mm (p < 0.001), and 3.07° ± 1.66° vs. 3.71° ± 1.64° (p > 0.05), respectively. In addition, there was no significant difference in the accuracy of different implant regions (premolar, molar, maxilla, and mandible) or implant length (p > 0.05).

Conclusions

In the present study, sa-RASS implant placement showed better positional accuracy than DNS implant placement in platform and apex deviation, although these improvements in accuracy may have limited clinical relevance, suggesting that the sa-RASS might be advantageous in dental implant surgery.

Trial Registration: ClinicalTrials.gov identifier: ChiCTR2400085089

Abstract Image

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一种新型机器人辅助系统和动态导航系统的准确性：一项临床回顾性研究

目的本临床回顾性研究旨在比较新型半自主机器人辅助手术系统（sa - RASS）和动态导航系统（DNS）方法在单牙种植体植入中的偏差。材料与方法回顾性分析2023年1月至12月的医疗记录，比较锥束计算机断层扫描对部分无牙患者sa - RASS和DNS植入的准确性。测量并分析平台、顶点和角度偏差。使用Kolmogorov-Smirnov检验来检查数据分布，并在适当的情况下使用t检验或Mann-Whitney U检验。结果共分析57例患者，其中sa - RASS组29例（29颗），DNS组28例（28颗）。sa - RASS组和DNS组的平台、顶点和角度偏差比较为0.91±0.46 mm和1.26±0.51 mm (p <；0.001), 1.06±0.60 mm vs. 1.51±0.56 mm (p <；0.001),和3.07°±1.66°和3.71°±1.64°(p比;分别为0.05)。此外，不同种植区域（前磨牙、磨牙、上颌骨和下颌骨）或种植体长度的准确性无显著差异(p >；0.05)。结论在本研究中，sa - RASS种植体在平台和尖偏差方面的位置准确性优于DNS种植体，尽管这些准确性的提高可能具有有限的临床相关性，这表明sa - RASS可能在牙科种植手术中具有优势。试验注册：ClinicalTrials.gov标识符：ChiCTR2400085089

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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.