Hamza Younis, Boya Xu, Kiran Acharya, Longlong He, Liangzhi Du, Sadam Ahmed Elayah, Xiaofeng Chang, Chengpeng Lv
{"title":"机器人辅助植入手术与徒手植入的准确性：回顾性临床研究。","authors":"Hamza Younis, Boya Xu, Kiran Acharya, Longlong He, Liangzhi Du, Sadam Ahmed Elayah, Xiaofeng Chang, Chengpeng Lv","doi":"10.1186/s40729-024-00586-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated the accuracy of implant placement using a robotic system (Remebot) compared to freehand surgery and explored factors influencing accuracy.</p><p><strong>Methods: </strong>This retrospective study included 95 implants placed in 65 patients, divided into robot-assisted (50 implants) and freehand (45 implants) groups. Platform, apical, and angular deviations were measured by superimposing preoperative plans and the postoperative CBCT images. Mean deviations between groups were compared, and regression analysis assessed the impact of implant dimensions and positioning on accuracy.</p><p><strong>Results: </strong>The robot-assisted group exhibited significantly lower mean deviations in platform (0.44 ± 0.17 mm), apical (0.46 ± 0.17 mm), and angular deviations (0.85 ± 0.47°) compared to the freehand group (1.38 ± 0.77 mm, 1.77 ± 0.82 mm, and 6.63 ± 3.90°, respectively; p < 0.001). Regression analysis indicated no significant impact of implant location, jaw type, or implant dimensions on the robotic system's accuracy, unlike the freehand placement where these factors influenced deviations.</p><p><strong>Conclusions: </strong>Robot-assisted implant surgery significantly enhances accuracy and clinical safety compared to freehand techniques. Despite limitations, robotic surgery presents a promising advancement in implant dentistry by reducing human error.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"11 1","pages":"1"},"PeriodicalIF":3.1000,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699033/pdf/","citationCount":"0","resultStr":"{\"title\":\"Accuracy of robot-assisted implant surgery versus freehand placement: a retrospective clinical study.\",\"authors\":\"Hamza Younis, Boya Xu, Kiran Acharya, Longlong He, Liangzhi Du, Sadam Ahmed Elayah, Xiaofeng Chang, Chengpeng Lv\",\"doi\":\"10.1186/s40729-024-00586-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study evaluated the accuracy of implant placement using a robotic system (Remebot) compared to freehand surgery and explored factors influencing accuracy.</p><p><strong>Methods: </strong>This retrospective study included 95 implants placed in 65 patients, divided into robot-assisted (50 implants) and freehand (45 implants) groups. Platform, apical, and angular deviations were measured by superimposing preoperative plans and the postoperative CBCT images. Mean deviations between groups were compared, and regression analysis assessed the impact of implant dimensions and positioning on accuracy.</p><p><strong>Results: </strong>The robot-assisted group exhibited significantly lower mean deviations in platform (0.44 ± 0.17 mm), apical (0.46 ± 0.17 mm), and angular deviations (0.85 ± 0.47°) compared to the freehand group (1.38 ± 0.77 mm, 1.77 ± 0.82 mm, and 6.63 ± 3.90°, respectively; p < 0.001). Regression analysis indicated no significant impact of implant location, jaw type, or implant dimensions on the robotic system's accuracy, unlike the freehand placement where these factors influenced deviations.</p><p><strong>Conclusions: </strong>Robot-assisted implant surgery significantly enhances accuracy and clinical safety compared to freehand techniques. Despite limitations, robotic surgery presents a promising advancement in implant dentistry by reducing human error.</p>\",\"PeriodicalId\":14076,\"journal\":{\"name\":\"International Journal of Implant Dentistry\",\"volume\":\"11 1\",\"pages\":\"1\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-01-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699033/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Implant Dentistry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s40729-024-00586-3\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Implant Dentistry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s40729-024-00586-3","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Accuracy of robot-assisted implant surgery versus freehand placement: a retrospective clinical study.
Purpose: This study evaluated the accuracy of implant placement using a robotic system (Remebot) compared to freehand surgery and explored factors influencing accuracy.
Methods: This retrospective study included 95 implants placed in 65 patients, divided into robot-assisted (50 implants) and freehand (45 implants) groups. Platform, apical, and angular deviations were measured by superimposing preoperative plans and the postoperative CBCT images. Mean deviations between groups were compared, and regression analysis assessed the impact of implant dimensions and positioning on accuracy.
Results: The robot-assisted group exhibited significantly lower mean deviations in platform (0.44 ± 0.17 mm), apical (0.46 ± 0.17 mm), and angular deviations (0.85 ± 0.47°) compared to the freehand group (1.38 ± 0.77 mm, 1.77 ± 0.82 mm, and 6.63 ± 3.90°, respectively; p < 0.001). Regression analysis indicated no significant impact of implant location, jaw type, or implant dimensions on the robotic system's accuracy, unlike the freehand placement where these factors influenced deviations.
Conclusions: Robot-assisted implant surgery significantly enhances accuracy and clinical safety compared to freehand techniques. Despite limitations, robotic surgery presents a promising advancement in implant dentistry by reducing human error.
期刊介绍：
The International Journal of Implant Dentistry is a peer-reviewed open access journal published under the SpringerOpen brand. The journal is dedicated to promoting the exchange and discussion of all research areas relevant to implant dentistry in the form of systematic literature or invited reviews, prospective and retrospective clinical studies, clinical case reports, basic laboratory and animal research, and articles on material research and engineering.
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