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Published in: Clinical Oral Investigations 6/2011

01-12-2011 | Original Article

Accuracy of templates for navigated implantation made by rapid prototyping with DICOM datasets of cone beam computer tomography (CBCT)

Authors: Jochen Weitz, Herbert Deppe, Sebastian Stopp, Tim Lueth, Steffen Mueller, Bettina Hohlweg-Majert

Published in: Clinical Oral Investigations | Issue 6/2011

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Abstract

The aim of this study is to evaluate the accuracy of a surgical template-aided implant placement produced by rapid prototyping using a DICOM dataset from cone beam computer tomography (CBCT). On the basis of CBCT scans (Sirona® Galileos), a total of ten models were produced using a rapid-prototyping three-dimensional printer. On the same patients, impressions were performed to compare fitting accuracy of both methods. From the models made by impression, templates were produced and accuracy was compared and analyzed with the rapid-prototyping model. Whereas templates made by conventional procedure had an excellent accuracy, the fitting accuracy of those produced by DICOM datasets was not sufficient. Deviations ranged between 2.0 and 3.5 mm, after modification of models between 1.4 and 3.1 mm. The findings of this study suggest that the accuracy of the low-dose Sirona Galileos® DICOM dataset seems to show a high deviation, which is not useable for accurate surgical transfer for example in implant surgery.
Literature
1.
go back to reference Carrafiello G, Dizonno M, Colli V, Strocchi S, Pozzi Taubert S, Leonardi A, Giorgianni A, Barresi M, Macchi A, Bracchi E, Conte L, Fugazzola C (2010) Comparative study of jaws with multislice computed tomography and cone-beam computed tomography. Radiol Med 115(4):600–611PubMedCrossRef Carrafiello G, Dizonno M, Colli V, Strocchi S, Pozzi Taubert S, Leonardi A, Giorgianni A, Barresi M, Macchi A, Bracchi E, Conte L, Fugazzola C (2010) Comparative study of jaws with multislice computed tomography and cone-beam computed tomography. Radiol Med 115(4):600–611PubMedCrossRef
2.
go back to reference Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA (1998) A new volumetric ct machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 8(9):1558–1564PubMedCrossRef Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA (1998) A new volumetric ct machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 8(9):1558–1564PubMedCrossRef
3.
go back to reference Broer N, Fuhrmann A, Bremert S, Schulze D, Kahl-Nieke B (2005) Evaluation of transversal slice imaging in the diagnosis of tooth displacement with special consideration of the upper canines. J Orofac Orthop 66(2):94–109PubMedCrossRef Broer N, Fuhrmann A, Bremert S, Schulze D, Kahl-Nieke B (2005) Evaluation of transversal slice imaging in the diagnosis of tooth displacement with special consideration of the upper canines. J Orofac Orthop 66(2):94–109PubMedCrossRef
4.
go back to reference Hagtvedt T, Aalokken TM, Notthellen J, Kolbenstvedt A (2003) A new low-dose ct examination compared with standard-dose CT in the diagnosis of acute sinusitis. Eur Radiol 13(5):976–980PubMed Hagtvedt T, Aalokken TM, Notthellen J, Kolbenstvedt A (2003) A new low-dose ct examination compared with standard-dose CT in the diagnosis of acute sinusitis. Eur Radiol 13(5):976–980PubMed
5.
go back to reference Ludlow JB, Davies-Ludlow LE, Brooks SL (2003) Dosimetry of two extraoral direct digital imaging devices: NewTom cone beam CT and orthophos plus DS panoramic unit. Dentomaxillofac Radiol 32(4):229–234PubMedCrossRef Ludlow JB, Davies-Ludlow LE, Brooks SL (2003) Dosimetry of two extraoral direct digital imaging devices: NewTom cone beam CT and orthophos plus DS panoramic unit. Dentomaxillofac Radiol 32(4):229–234PubMedCrossRef
6.
go back to reference Ludlow JB, Ivanovic M (2008) Comparative dosimetry of dental CBCT devices and 64-slice ct for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106(1):106–114PubMedCrossRef Ludlow JB, Ivanovic M (2008) Comparative dosimetry of dental CBCT devices and 64-slice ct for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106(1):106–114PubMedCrossRef
7.
go back to reference Mah JK, Danforth RA, Bumann A, Hatcher D (2003) Radiation absorbed in maxillofacial imaging with a new dental computed tomography device. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 96(4):508–513PubMedCrossRef Mah JK, Danforth RA, Bumann A, Hatcher D (2003) Radiation absorbed in maxillofacial imaging with a new dental computed tomography device. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 96(4):508–513PubMedCrossRef
8.
go back to reference Dreiseidler T, Neugebauer J, Ritter L, Lingohr T, Rothamel D, Mischkowski RA, Zoller JE (2009) Accuracy of a newly developed integrated system for dental implant planning. Clin Oral Implants Res 20(11):1191–1199PubMedCrossRef Dreiseidler T, Neugebauer J, Ritter L, Lingohr T, Rothamel D, Mischkowski RA, Zoller JE (2009) Accuracy of a newly developed integrated system for dental implant planning. Clin Oral Implants Res 20(11):1191–1199PubMedCrossRef
9.
go back to reference Di Giacomo GA, Cury PR, de Araujo NS, Sendyk WR, Sendyk CL (2005) Clinical application of stereolithographic surgical guides for implant placement: preliminary results. J Periodontol 76(4):503–507PubMedCrossRef Di Giacomo GA, Cury PR, de Araujo NS, Sendyk WR, Sendyk CL (2005) Clinical application of stereolithographic surgical guides for implant placement: preliminary results. J Periodontol 76(4):503–507PubMedCrossRef
10.
go back to reference Ewers R, Schicho K, Truppe M, Seemann R, Reichwein A, Figl M, Wagner A (2004) Computer-aided navigation in dental implantology: 7 years of clinical experience. J Oral Maxillofac Surg 62(3):329–334PubMedCrossRef Ewers R, Schicho K, Truppe M, Seemann R, Reichwein A, Figl M, Wagner A (2004) Computer-aided navigation in dental implantology: 7 years of clinical experience. J Oral Maxillofac Surg 62(3):329–334PubMedCrossRef
11.
go back to reference Mupparapu M, Singer SR (2004) Implant imaging for the dentist. J Can Dent Assoc 70(1):32PubMed Mupparapu M, Singer SR (2004) Implant imaging for the dentist. J Can Dent Assoc 70(1):32PubMed
12.
go back to reference Wagner A, Wanschitz F, Birkfellner W, Zauza K, Klug C, Schicho K, Kainberger F, Czerny C, Bergmann H, Ewers R (2003) Computer-aided placement of endosseous oral implants in patients after ablative tumour surgery: assessment of accuracy. Clin Oral Implants Res 14(3):340–348PubMedCrossRef Wagner A, Wanschitz F, Birkfellner W, Zauza K, Klug C, Schicho K, Kainberger F, Czerny C, Bergmann H, Ewers R (2003) Computer-aided placement of endosseous oral implants in patients after ablative tumour surgery: assessment of accuracy. Clin Oral Implants Res 14(3):340–348PubMedCrossRef
13.
go back to reference Stopp S, Wolff T, Irlinger F, Lueth T (2008) A new method for printer calibration and contour accuracy manufacturing with 3D-print technology. Rapid Prototyping J 14(3):167–172CrossRef Stopp S, Wolff T, Irlinger F, Lueth T (2008) A new method for printer calibration and contour accuracy manufacturing with 3D-print technology. Rapid Prototyping J 14(3):167–172CrossRef
14.
go back to reference Stopp S, Deppe H, Lueth T (2007) Manufacturing drill templates for dental implantology using a 3D printer. In: Freysinger W, Weber S, Caversaccio M (eds) Computer aided surgery around the head cas-h 2007, 1st edn. Pro-Business, Innsbruck, pp 144–146 Stopp S, Deppe H, Lueth T (2007) Manufacturing drill templates for dental implantology using a 3D printer. In: Freysinger W, Weber S, Caversaccio M (eds) Computer aided surgery around the head cas-h 2007, 1st edn. Pro-Business, Innsbruck, pp 144–146
15.
go back to reference Schneider D, Marquardt P, Zwahlen M, Jung RE (2009) A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry. Clin Oral Implants Res 20(Suppl 4):73–86PubMedCrossRef Schneider D, Marquardt P, Zwahlen M, Jung RE (2009) A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry. Clin Oral Implants Res 20(Suppl 4):73–86PubMedCrossRef
16.
go back to reference Ito K, Gomi Y, Sato S, Arai Y, Shinoda K (2001) Clinical application of a new compact CT system to assess 3-D images for the preoperative treatment planning of implants in the posterior mandible a case report. Clin Oral Implants Res 12(5):539–542PubMedCrossRef Ito K, Gomi Y, Sato S, Arai Y, Shinoda K (2001) Clinical application of a new compact CT system to assess 3-D images for the preoperative treatment planning of implants in the posterior mandible a case report. Clin Oral Implants Res 12(5):539–542PubMedCrossRef
17.
go back to reference Lofthag-Hansen S, Grondahl K, Ekestubbe A (2009) Cone-beam CT for preoperative implant planning in the posterior mandible: visibility of anatomic landmarks. Clin Implant Dent Relat Res 11(3):246–255PubMedCrossRef Lofthag-Hansen S, Grondahl K, Ekestubbe A (2009) Cone-beam CT for preoperative implant planning in the posterior mandible: visibility of anatomic landmarks. Clin Implant Dent Relat Res 11(3):246–255PubMedCrossRef
18.
go back to reference Sato S, Arai Y, Shinoda K, Ito K (2004) Clinical application of a new cone-beam computerized tomography system to assess multiple two-dimensional images for the preoperative treatment planning of maxillary implants: case reports. Quintessence Int 35(7):525–528PubMed Sato S, Arai Y, Shinoda K, Ito K (2004) Clinical application of a new cone-beam computerized tomography system to assess multiple two-dimensional images for the preoperative treatment planning of maxillary implants: case reports. Quintessence Int 35(7):525–528PubMed
19.
go back to reference Sanna AM, Molly L, van Steenberghe D (2007) Immediately loaded CAD–CAM manufactured fixed complete dentures using flapless implant placement procedures: a cohort study of consecutive patients. J Prosthet Dent 97(6):331–339PubMedCrossRef Sanna AM, Molly L, van Steenberghe D (2007) Immediately loaded CAD–CAM manufactured fixed complete dentures using flapless implant placement procedures: a cohort study of consecutive patients. J Prosthet Dent 97(6):331–339PubMedCrossRef
20.
go back to reference Sohmura T, Kusumoto N, Otani T, Yamada S, Wakabayashi K, Yatani H (2009) CAD/CAM fabrication and clinical application of surgical template and bone model in oral implant surgery. Clin Oral Implants Res 20(1):87–93PubMedCrossRef Sohmura T, Kusumoto N, Otani T, Yamada S, Wakabayashi K, Yatani H (2009) CAD/CAM fabrication and clinical application of surgical template and bone model in oral implant surgery. Clin Oral Implants Res 20(1):87–93PubMedCrossRef
21.
go back to reference van Steenberghe D, Glauser R, Blomback U, Andersson M, Schutyser F, Pettersson A, Wendelhag I (2005) A computed tomographic scan-derived customized surgical template and fixed prosthesis for flapless surgery and immediate loading of implants in fully edentulous maxillae: a prospective multicenter study. Clin Implant Dent Relat Res 7(Suppl 1):S111–S120PubMedCrossRef van Steenberghe D, Glauser R, Blomback U, Andersson M, Schutyser F, Pettersson A, Wendelhag I (2005) A computed tomographic scan-derived customized surgical template and fixed prosthesis for flapless surgery and immediate loading of implants in fully edentulous maxillae: a prospective multicenter study. Clin Implant Dent Relat Res 7(Suppl 1):S111–S120PubMedCrossRef
22.
go back to reference Gebhardt A (2000) Industrielle rapid prototyping systeme Rapid prototyping—werkzeuge für die schnelle produktentstehung, 2nd edn. Hanser, Munich Gebhardt A (2000) Industrielle rapid prototyping systeme Rapid prototyping—werkzeuge für die schnelle produktentstehung, 2nd edn. Hanser, Munich
23.
go back to reference Wohlers T (2005) Rapid prototyping, tooling & manufacturing state of the industry. Fort Collins, Wohlers Wohlers T (2005) Rapid prototyping, tooling & manufacturing state of the industry. Fort Collins, Wohlers
24.
go back to reference Dimitrov D, Schreve K, de Beer N (2006) Advances in three dimensional printing—state of the art and future perspectives. Rapid Prototyping J 12(3):136–147CrossRef Dimitrov D, Schreve K, de Beer N (2006) Advances in three dimensional printing—state of the art and future perspectives. Rapid Prototyping J 12(3):136–147CrossRef
25.
go back to reference Dimitrov D, van Wijck W, Schreve K, de Beer N (2006) Investigating the achievable accuracy of three dimensional printing. Rapid Prototyping J 12(1):42–52CrossRef Dimitrov D, van Wijck W, Schreve K, de Beer N (2006) Investigating the achievable accuracy of three dimensional printing. Rapid Prototyping J 12(1):42–52CrossRef
26.
go back to reference Lambrecht JT, Berndt DC, Schumacher R, Zehnder M (2009) Generation of three-dimensional prototype models based on cone beam computed tomography. Int J Comput Assist Radiol Surg 4(2):175–180PubMedCrossRef Lambrecht JT, Berndt DC, Schumacher R, Zehnder M (2009) Generation of three-dimensional prototype models based on cone beam computed tomography. Int J Comput Assist Radiol Surg 4(2):175–180PubMedCrossRef
27.
go back to reference Shahbazian M, Jacobs R, Wyatt J, Willems G, Pattijn V, Dhoore E, C VANL, Vinckier F (2010) Accuracy and surgical feasibility of a CBCT-based stereolithographic surgical guide aiding autotransplantation of teeth: in vitro validation. J Oral Rehabil. doi:10.1111/j.1365-2842.2010.02107.x Shahbazian M, Jacobs R, Wyatt J, Willems G, Pattijn V, Dhoore E, C VANL, Vinckier F (2010) Accuracy and surgical feasibility of a CBCT-based stereolithographic surgical guide aiding autotransplantation of teeth: in vitro validation. J Oral Rehabil. doi:10.​1111/​j.​1365-2842.​2010.​02107.​x
28.
go back to reference Fortin T, Champleboux G, Bianchi S, Buatois H, Coudert JL (2002) Precision of transfer of preoperative planning for oral implants based on cone-beam CT-scan images through a robotic drilling machine. Clin Oral Implants Res 13(6):651–656PubMedCrossRef Fortin T, Champleboux G, Bianchi S, Buatois H, Coudert JL (2002) Precision of transfer of preoperative planning for oral implants based on cone-beam CT-scan images through a robotic drilling machine. Clin Oral Implants Res 13(6):651–656PubMedCrossRef
29.
go back to reference Kleinman A, Leyva F, Lozada J, Patel RD (2009) Loma Linda guide: a stereolithographically designed surgical template: technique paper. J Oral Implantol 35(5):238–244PubMedCrossRef Kleinman A, Leyva F, Lozada J, Patel RD (2009) Loma Linda guide: a stereolithographically designed surgical template: technique paper. J Oral Implantol 35(5):238–244PubMedCrossRef
30.
go back to reference Cheng AC, Tee-Khin N, Siew-Luen C, Lee H, Wee AG (2008) The management of a severely resorbed edentulous maxilla using a bone graft and a CAD/CAM-guided immediately loaded definitive implant prosthesis: a clinical report. J Prosthet Dent 99(2):85–90PubMedCrossRef Cheng AC, Tee-Khin N, Siew-Luen C, Lee H, Wee AG (2008) The management of a severely resorbed edentulous maxilla using a bone graft and a CAD/CAM-guided immediately loaded definitive implant prosthesis: a clinical report. J Prosthet Dent 99(2):85–90PubMedCrossRef
31.
go back to reference Kusumoto N, Sohmura T, Yamada S, Wakabayashi K, Nakamura T, Yatani H (2006) Application of virtual reality force feedback haptic device for oral implant surgery. Clin Oral Implants Res 17(6):708–713PubMedCrossRef Kusumoto N, Sohmura T, Yamada S, Wakabayashi K, Nakamura T, Yatani H (2006) Application of virtual reality force feedback haptic device for oral implant surgery. Clin Oral Implants Res 17(6):708–713PubMedCrossRef
33.
go back to reference Stievenart M, Malevez C (2010) Rehabilitation of totally atrophied maxilla by means of four zygomatic implants and fixed prosthesis: a 6–40-month follow-up. Int J Oral Maxillofac Surg 39(4):358–363PubMedCrossRef Stievenart M, Malevez C (2010) Rehabilitation of totally atrophied maxilla by means of four zygomatic implants and fixed prosthesis: a 6–40-month follow-up. Int J Oral Maxillofac Surg 39(4):358–363PubMedCrossRef
Metadata
Title
Accuracy of templates for navigated implantation made by rapid prototyping with DICOM datasets of cone beam computer tomography (CBCT)
Authors
Jochen Weitz
Herbert Deppe
Sebastian Stopp
Tim Lueth
Steffen Mueller
Bettina Hohlweg-Majert
Publication date
01-12-2011
Publisher
Springer-Verlag
Published in
Clinical Oral Investigations / Issue 6/2011
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-010-0468-9

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