Cargando…

3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve

An increase in the number of implants placed has led to a corresponding increase in the number of complications reported. The complications can vary from restorative complications due to poor placement to damage to collateral structures such as nerves and adjacent teeth. A large majority of these co...

Descripción completa

Detalles Bibliográficos
Autores principales: Mistry, Amit, Ucer, Cemal, Thompson, John D., Khan, Rabia Sannam, Karahmet, Emina, Sher, Farooq
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470513/
https://www.ncbi.nlm.nih.gov/pubmed/34562973
http://dx.doi.org/10.3390/dj9090099
_version_ 1784574218817503232
author Mistry, Amit
Ucer, Cemal
Thompson, John D.
Khan, Rabia Sannam
Karahmet, Emina
Sher, Farooq
author_facet Mistry, Amit
Ucer, Cemal
Thompson, John D.
Khan, Rabia Sannam
Karahmet, Emina
Sher, Farooq
author_sort Mistry, Amit
collection PubMed
description An increase in the number of implants placed has led to a corresponding increase in the number of complications reported. The complications can vary from restorative complications due to poor placement to damage to collateral structures such as nerves and adjacent teeth. A large majority of these complications can be avoided if the implant has been placed accurately in the optimal position. Therefore, the aim of this in vitro pilot study was to investigate the effect of freehand (FH) and fully guided (FG) surgery on the accuracy of implants placed in close proximity to vital structures such as the inferior alveolar nerve (IAN). Cone-beam computed tomography (CBCT) and intraoral scans of six patients who have had previous dental implants in the posterior mandible were used in this study. The ideal implant position was planned. FG surgical guides were manufactured for each case. In this study, the three-dimensional 3D printed resin models of each of the cases were produced and the implants placed using FG and FH methods on the respective models. The outcome variables of the study, angular deviations were calculated and the distance to the IAN was measured. The mean deviations for the planned position observed were 1.10 mm coronally, 1.88 mm apically with up to 6.3 degrees’ angular deviation for FH surgery. For FG surgical technique the mean deviation was found to be at 0.35 mm coronally, 0.43 mm apically with 0.78 degrees angularly respectively. The maximum deviation from the planned position for the apex of the implant to the IAN was 2.55 mm using FH and 0.63 mm FG. This bench study, within its limitations, demonstrated surgically acceptable accuracy for both FH and FG techniques that would allow safe placement of implants to vital structures such as the IAN when a safety zone of 3 mm is allowed. Nevertheless, a better margin of error was observed for FG surgery with respect to the angular deviation and controlling the distance of the implant to the IAN using R2 Gate(®) system.
format Online
Article
Text
id pubmed-8470513
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-84705132021-09-27 3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve Mistry, Amit Ucer, Cemal Thompson, John D. Khan, Rabia Sannam Karahmet, Emina Sher, Farooq Dent J (Basel) Article An increase in the number of implants placed has led to a corresponding increase in the number of complications reported. The complications can vary from restorative complications due to poor placement to damage to collateral structures such as nerves and adjacent teeth. A large majority of these complications can be avoided if the implant has been placed accurately in the optimal position. Therefore, the aim of this in vitro pilot study was to investigate the effect of freehand (FH) and fully guided (FG) surgery on the accuracy of implants placed in close proximity to vital structures such as the inferior alveolar nerve (IAN). Cone-beam computed tomography (CBCT) and intraoral scans of six patients who have had previous dental implants in the posterior mandible were used in this study. The ideal implant position was planned. FG surgical guides were manufactured for each case. In this study, the three-dimensional 3D printed resin models of each of the cases were produced and the implants placed using FG and FH methods on the respective models. The outcome variables of the study, angular deviations were calculated and the distance to the IAN was measured. The mean deviations for the planned position observed were 1.10 mm coronally, 1.88 mm apically with up to 6.3 degrees’ angular deviation for FH surgery. For FG surgical technique the mean deviation was found to be at 0.35 mm coronally, 0.43 mm apically with 0.78 degrees angularly respectively. The maximum deviation from the planned position for the apex of the implant to the IAN was 2.55 mm using FH and 0.63 mm FG. This bench study, within its limitations, demonstrated surgically acceptable accuracy for both FH and FG techniques that would allow safe placement of implants to vital structures such as the IAN when a safety zone of 3 mm is allowed. Nevertheless, a better margin of error was observed for FG surgery with respect to the angular deviation and controlling the distance of the implant to the IAN using R2 Gate(®) system. MDPI 2021-09-02 /pmc/articles/PMC8470513/ /pubmed/34562973 http://dx.doi.org/10.3390/dj9090099 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mistry, Amit
Ucer, Cemal
Thompson, John D.
Khan, Rabia Sannam
Karahmet, Emina
Sher, Farooq
3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve
title 3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve
title_full 3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve
title_fullStr 3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve
title_full_unstemmed 3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve
title_short 3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve
title_sort 3d guided dental implant placement: impact on surgical accuracy and collateral damage to the inferior alveolar nerve
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470513/
https://www.ncbi.nlm.nih.gov/pubmed/34562973
http://dx.doi.org/10.3390/dj9090099
work_keys_str_mv AT mistryamit 3dguideddentalimplantplacementimpactonsurgicalaccuracyandcollateraldamagetotheinferioralveolarnerve
AT ucercemal 3dguideddentalimplantplacementimpactonsurgicalaccuracyandcollateraldamagetotheinferioralveolarnerve
AT thompsonjohnd 3dguideddentalimplantplacementimpactonsurgicalaccuracyandcollateraldamagetotheinferioralveolarnerve
AT khanrabiasannam 3dguideddentalimplantplacementimpactonsurgicalaccuracyandcollateraldamagetotheinferioralveolarnerve
AT karahmetemina 3dguideddentalimplantplacementimpactonsurgicalaccuracyandcollateraldamagetotheinferioralveolarnerve
AT sherfarooq 3dguideddentalimplantplacementimpactonsurgicalaccuracyandcollateraldamagetotheinferioralveolarnerve