Accuracy of Robotic Computer-Assisted Implant Surgery for Transcrestal Sinus Floor Elevation: A Retrospective Case Series Study

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

Clinical Implant Dentistry and Related Research Pub Date : 2025-07-09 DOI:10.1111/cid.70067

Ping Li, Ying Yang, Jiahao Chen, Lanchen Liang, Shulan Xu, An Li, Shuo Yang

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引用次数: 0

Abstract

Aim

To investigate the accuracy of robotic computer-assisted implant surgery (r-CAIS) for transcrestal sinus floor elevation (TSFE) with simultaneous implant placement.

Materials and Methods

Virtual sinus elevation and a stepwise drilling plan were created on the robotic operating system before surgery. Robotic arm automatically executed drilling tasks during procedure. Fourteen implants in ten patients with missing teeth in the posterior maxilla were placed by robotic computer-assisted implant surgery through TSFE. Deviations between the planned and placed implants were evaluated with an immediate postoperative CBCT scan. The coronal, apical, and angular deviations between the planned and actual implant placement were measured.

Results

A total of 10 patients with edentulism in the posterior maxilla were included, and 14 implants were placed. The robot-assisted TSFE with simultaneous implant surgery exhibited a mean global coronal deviation of 0.72 mm (range: 0.32–1.57 mm, 95% CI: 0.52–0.92 mm), a mean global apical deviation of 0.78 mm (range: 0.33–1.50 mm, 95% CI: 0.60–0.96 mm), and an angular deviation of 2.20° (range: 0.16°–8.70°, 95% CI: 0.82°–3.60°), respectively. Throughout the surgical intervention, no immediate or significant complications were noted, and no evidence of complications such as tissue perforation or premature implantation failure was documented in the postoperative phase.

Conclusions

The r-CAIS-assisted TSFE demonstrated potential techniques for implant osteotomy and placement. Nevertheless, further clinical trials are necessary to reinforce evidence-based clinical outcomes.

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计算机辅助机器人植入手术治疗经瓣窦底抬高的准确性：回顾性病例系列研究

目的探讨机器人计算机辅助种植手术（r-CAIS）在经瓣窦底抬高术（TSFE）中同时放置种植体的准确性。材料与方法术前在机器人操作系统上建立虚拟窦抬高和逐步钻孔计划。机械臂在钻孔过程中自动执行钻孔任务。对10例后上颌缺牙患者，采用机器人计算机辅助种植技术，通过TSFE植入14颗种植体。术后立即进行CBCT扫描，评估计划植入物和放置植入物之间的偏差。测量计划种植体放置与实际种植体放置之间的冠状、根尖和角度偏差。结果共纳入10例后上颌无牙症患者，种植体14颗。机器人辅助TSFE同时进行种植手术时，平均冠状面总偏差为0.72 mm（范围：0.32-1.57 mm, 95% CI: 0.52-0.92 mm），平均根尖总偏差为0.78 mm（范围：0.33-1.50 mm, 95% CI: 0.60-0.96 mm），角偏差为2.20°（范围：0.16°-8.70°，95% CI: 0.82°-3.60°）。在整个手术过程中，没有立即或明显的并发症被注意到，也没有证据表明术后出现组织穿孔或过早植入失败等并发症。结论r- cais辅助的TSFE显示了种植体截骨和放置的潜在技术。然而，需要进一步的临床试验来加强循证临床结果。

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.