Force Feedback Implant Robot With Osseodensification Drilling for Transcrestal Sinus Floor Elevation: A Retrospective Case Series Study.

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

Clinical Oral Implants Research Pub Date : 2025-03-26 DOI:10.1111/clr.14439

YaXin Bai, Yuan Chen, MinXue Yang, YuanDing Huang, Peng Xu, Tao Chen

{"title":"Force Feedback Implant Robot With Osseodensification Drilling for Transcrestal Sinus Floor Elevation: A Retrospective Case Series Study.","authors":"YaXin Bai, Yuan Chen, MinXue Yang, YuanDing Huang, Peng Xu, Tao Chen","doi":"10.1111/clr.14439","DOIUrl":null,"url":null,"abstract":"Objectives: This study evaluated the effectiveness of force-feedback-based autonomous dental implant robotic systems combined with osseodensification (OD) for transcrestal sinus floor elevation (TSFE), to understand patterns of force-feedback curves, visualize the TSFE process through mechanical vision, and offer new perspectives on surgical strategies.Materials and methods: The included patients required simultaneous implant placement and TSFE. Preoperative planning was performed, and during surgery, using an OD drill, the robotic arm was guided to create a microfracture on the sinus floor, elevate the sinus membrane, and place the implant, all under the surgeon's supervision. Postoperative cone-beam computed tomography evaluated sinus lift and implant accuracy. The visual analog scale was used to measure patient-reported outcomes. Mechanical curves were plotted using extracted force-feedback values. Data are reported as mean ± standard deviation and Pearson's correlation for linear relationships (p < 0.05 was statistically significant).Results: Overall, 17 patients (18 implants) were included, with a 94.4% implant retention rate at 6 months postoperatively. The Fz force-feedback curve showed a critical peak followed by a sharp drop at the sinus-floor breakthrough point and a gradual rise followed by a steep decrease as the bone graft entered the sinus cavity. Cortical bone density at the sinus floor positively correlated with force feedback (p < 0.05).Conclusions: Force-feedback-based implant robotics combined with OD is an innovative and reliable approach for TSFE. Integrating mechanical vision with force-feedback curves allows for precise identification of microfracture points and safe sinus membrane elevation, overcoming the limitations of traditional blind techniques and enhancing procedural safety and predictability.Trial registration: Chinese Clinical Trial Registry: ChiCTR2300072248.","PeriodicalId":10455,"journal":{"name":"Clinical Oral Implants Research","volume":" ","pages":""},"PeriodicalIF":4.8000,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Oral Implants Research","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1111/clr.14439","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

Objectives: This study evaluated the effectiveness of force-feedback-based autonomous dental implant robotic systems combined with osseodensification (OD) for transcrestal sinus floor elevation (TSFE), to understand patterns of force-feedback curves, visualize the TSFE process through mechanical vision, and offer new perspectives on surgical strategies.

Materials and methods: The included patients required simultaneous implant placement and TSFE. Preoperative planning was performed, and during surgery, using an OD drill, the robotic arm was guided to create a microfracture on the sinus floor, elevate the sinus membrane, and place the implant, all under the surgeon's supervision. Postoperative cone-beam computed tomography evaluated sinus lift and implant accuracy. The visual analog scale was used to measure patient-reported outcomes. Mechanical curves were plotted using extracted force-feedback values. Data are reported as mean ± standard deviation and Pearson's correlation for linear relationships (p < 0.05 was statistically significant).

Results: Overall, 17 patients (18 implants) were included, with a 94.4% implant retention rate at 6 months postoperatively. The Fz force-feedback curve showed a critical peak followed by a sharp drop at the sinus-floor breakthrough point and a gradual rise followed by a steep decrease as the bone graft entered the sinus cavity. Cortical bone density at the sinus floor positively correlated with force feedback (p < 0.05).

Conclusions: Force-feedback-based implant robotics combined with OD is an innovative and reliable approach for TSFE. Integrating mechanical vision with force-feedback curves allows for precise identification of microfracture points and safe sinus membrane elevation, overcoming the limitations of traditional blind techniques and enhancing procedural safety and predictability.

Trial registration: Chinese Clinical Trial Registry: ChiCTR2300072248.

查看原文本刊更多论文

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.