Dmitriy Klass, Albert Price, Massimo DiBattista, Serge Dibart, Jeremy Kernitsky
{"title":"机器人辅助部分无牙患者种植牙手术的光学准确性评估:单臂临床试验。","authors":"Dmitriy Klass, Albert Price, Massimo DiBattista, Serge Dibart, Jeremy Kernitsky","doi":"10.11607/jomi.10592","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To quantify the clinical accuracy of a robotically assisted implant guidance system in partially edentulous patients without the use of postoperative CBCT.</p><p><strong>Materials and methods: </strong>A total of 10 implants (7 patients) were placed in partially edentulous patients utilizing a robotically assisted implant guidance system. Following the implant placement, an intraoral scan was performed to register the implant position after attaching a scan body. The virtual plan and the postoperative intraoral scan with the scan bodies were exported as STL files and superimposed, and discrepancies were analyzed using Geomagic Control X software. Positional deviations were measured between the midpoint of the platform and apex of the planned and achieved implant positions.</p><p><strong>Results: </strong>Seven of the 10 implants in this study were defined as fully robotically guided, while 3 were partially robotically guided. For the fully robotic dynamically guided group, the mean deviation at the midpoint of the restorative platform of the implant, the apex of the implant, the top of the scan body, and the mean angular deviation were 1.31 ± 0.46 mm, 1.58 ± 0.61 mm, 1.11 ± 0.57 mm, and 2.34 ± 1.71 degrees, respectively. For the partially robotic dynamically guided cases, these values were 1.31 ± 0.49 mm, 1.45 ± 0.3 mm, 1.74 ± 0.47 mm, and 3.75 ± 2.53 degrees, respectively. Eight of the 10 implants (irrespective of full or partial guidance) showed a buccal displacement.</p><p><strong>Conclusions: </strong>Robotic surgery offers a level of accuracy similar to fully guided implant placement, without the need for a physical template, and allows for changes in the surgical plan at any time. The analytical method described in this study is an effective and radiation-free quality-control tool that can be used in implant dentistry as well as in other areas of dental research.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"625-631"},"PeriodicalIF":0.0000,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Optical Accuracy Assessment of Robotically Assisted Dental Implant Surgery for Partially Edentulous Patients: A Single-Arm Clinical Trial.\",\"authors\":\"Dmitriy Klass, Albert Price, Massimo DiBattista, Serge Dibart, Jeremy Kernitsky\",\"doi\":\"10.11607/jomi.10592\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To quantify the clinical accuracy of a robotically assisted implant guidance system in partially edentulous patients without the use of postoperative CBCT.</p><p><strong>Materials and methods: </strong>A total of 10 implants (7 patients) were placed in partially edentulous patients utilizing a robotically assisted implant guidance system. Following the implant placement, an intraoral scan was performed to register the implant position after attaching a scan body. The virtual plan and the postoperative intraoral scan with the scan bodies were exported as STL files and superimposed, and discrepancies were analyzed using Geomagic Control X software. Positional deviations were measured between the midpoint of the platform and apex of the planned and achieved implant positions.</p><p><strong>Results: </strong>Seven of the 10 implants in this study were defined as fully robotically guided, while 3 were partially robotically guided. For the fully robotic dynamically guided group, the mean deviation at the midpoint of the restorative platform of the implant, the apex of the implant, the top of the scan body, and the mean angular deviation were 1.31 ± 0.46 mm, 1.58 ± 0.61 mm, 1.11 ± 0.57 mm, and 2.34 ± 1.71 degrees, respectively. For the partially robotic dynamically guided cases, these values were 1.31 ± 0.49 mm, 1.45 ± 0.3 mm, 1.74 ± 0.47 mm, and 3.75 ± 2.53 degrees, respectively. Eight of the 10 implants (irrespective of full or partial guidance) showed a buccal displacement.</p><p><strong>Conclusions: </strong>Robotic surgery offers a level of accuracy similar to fully guided implant placement, without the need for a physical template, and allows for changes in the surgical plan at any time. The analytical method described in this study is an effective and radiation-free quality-control tool that can be used in implant dentistry as well as in other areas of dental research.</p>\",\"PeriodicalId\":94230,\"journal\":{\"name\":\"The International journal of oral & maxillofacial implants\",\"volume\":\"0 0\",\"pages\":\"625-631\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-08-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The International journal of oral & maxillofacial implants\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11607/jomi.10592\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The International journal of oral & maxillofacial implants","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11607/jomi.10592","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:在不使用术后锥束造影的情况下,量化机器人辅助种植体引导系统在部分缺牙患者中的临床准确性。材料和方法:利用机器人辅助种植体引导系统,在部分缺牙患者中植入10个种植体(7名患者)。植入物放置后,在连接扫描体后进行口内扫描以记录植入物的位置。虚拟平面图和带有扫描体的术后口腔内扫描被导出为STL文件,并使用Geomagic Control X软件进行叠加和差异分析。测量平台中点与计划和实现的植入位置顶点之间的位置偏差。结果:本研究中的10个样本中,有7个被定义为完全机器人动态引导,而3个被部分机器人引导。对于全机器人动态引导组,植入物恢复平台中点、植入物顶点、扫描体顶部的平均偏差和平均角偏差为1.31mm(SD0.46mm)、1.58mm(SD0.61mm)、1.11mm(SD0.57mm)和2.34度(SD1.71°)。而对于部分机器人动态引导的病例,其为1.31mm(SD0.49mm)、1.45mm(SD0.3mm)、1.74mm(SD0.47mm)和3.75度(SD2.53°)。10个植入物中有8个(无论完全或部分引导)显示颊部移位。结论:机器人手术提供了类似于完全引导植入物放置的准确度,不需要物理模板,并且可以随时更改手术计划。本研究中描述的分析方法是一种有效且无辐射的质量控制工具,可用于种植牙以及牙科研究的其他领域。
Optical Accuracy Assessment of Robotically Assisted Dental Implant Surgery for Partially Edentulous Patients: A Single-Arm Clinical Trial.
Purpose: To quantify the clinical accuracy of a robotically assisted implant guidance system in partially edentulous patients without the use of postoperative CBCT.
Materials and methods: A total of 10 implants (7 patients) were placed in partially edentulous patients utilizing a robotically assisted implant guidance system. Following the implant placement, an intraoral scan was performed to register the implant position after attaching a scan body. The virtual plan and the postoperative intraoral scan with the scan bodies were exported as STL files and superimposed, and discrepancies were analyzed using Geomagic Control X software. Positional deviations were measured between the midpoint of the platform and apex of the planned and achieved implant positions.
Results: Seven of the 10 implants in this study were defined as fully robotically guided, while 3 were partially robotically guided. For the fully robotic dynamically guided group, the mean deviation at the midpoint of the restorative platform of the implant, the apex of the implant, the top of the scan body, and the mean angular deviation were 1.31 ± 0.46 mm, 1.58 ± 0.61 mm, 1.11 ± 0.57 mm, and 2.34 ± 1.71 degrees, respectively. For the partially robotic dynamically guided cases, these values were 1.31 ± 0.49 mm, 1.45 ± 0.3 mm, 1.74 ± 0.47 mm, and 3.75 ± 2.53 degrees, respectively. Eight of the 10 implants (irrespective of full or partial guidance) showed a buccal displacement.
Conclusions: Robotic surgery offers a level of accuracy similar to fully guided implant placement, without the need for a physical template, and allows for changes in the surgical plan at any time. The analytical method described in this study is an effective and radiation-free quality-control tool that can be used in implant dentistry as well as in other areas of dental research.