Accuracy and safety of real-time navigation during insertion of temporary anchorage devices - A randomized clinical trial

IF 3.4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Dental Sciences Pub Date : 2025-02-01 DOI:10.1016/j.jds.2025.01.026

Yi-Cheng Chen , Hung-Ying Lin , Sang-Heng Kok , Hao-Hueng Chang , Chun-Pin Lin

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引用次数: 0

Abstract

Background/purpose

Temporary anchorage device (TAD) is one of the applications of dental implants that facilitate orthodontic treatment. However, there are possible complications in TAD surgery with the freehand technique. Navigation has been used in dental implantation with acceptable results. There has been no published study on the use of real-time navigation for TAD insertion.

Materials and methods

This was a split-mouth design randomized clinical trial in which the control group used a surgical guide (N = 16) for TAD insertion surgery and the experimental group used navigation for surgery (N = 16). We also performed a negative control by retrospective database survey to evaluate the freehand technique (N = 29). By comparing the platform center deviation and angular deviation of the control group, experimental group, and negative control, we can draw conclusions about the accuracy and safety of TAD insertion surgery using each method.

Results

The platform center deviation in the surgical guide group and the navigation group showed a statistical difference (P < 0.05), indicating that the surgical guide provided better position control. There was no statistical difference in terms of angular deviation.

Conclusion

The clinical use of real-time navigation in the insertion of TAD offers no more significant advantages than the freehand technique in terms of position and angular control. No immediate complications requiring implant removal occurred in this study. The combined technique has shown a trend in accuracy and safety, but a larger number of samples are still needed for statistical analysis to draw a definitive conclusion.

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来源期刊

Journal of Dental Sciences 医学-牙科与口腔外科

CiteScore

5.10

自引率

14.30%

发文量

348

审稿时长

6 days

期刊介绍： he Journal of Dental Sciences (JDS), published quarterly, is the official and open access publication of the Association for Dental Sciences of the Republic of China (ADS-ROC). The precedent journal of the JDS is the Chinese Dental Journal (CDJ) which had already been covered by MEDLINE in 1988. As the CDJ continued to prove its importance in the region, the ADS-ROC decided to move to the international community by publishing an English journal. Hence, the birth of the JDS in 2006. The JDS is indexed in the SCI Expanded since 2008. It is also indexed in Scopus, and EMCare, ScienceDirect, SIIC Data Bases. The topics covered by the JDS include all fields of basic and clinical dentistry. Some manuscripts focusing on the study of certain endemic diseases such as dental caries and periodontal diseases in particular regions of any country as well as oral pre-cancers, oral cancers, and oral submucous fibrosis related to betel nut chewing habit are also considered for publication. Besides, the JDS also publishes articles about the efficacy of a new treatment modality on oral verrucous hyperplasia or early oral squamous cell carcinoma.