Top

Clinical Oral Investigations

Published in:

01-07-2018 | Original Article

3D accuracy of implant positions in template-guided implant placement as a function of the remaining teeth and the surgical procedure: a retrospective study

Authors: Sigmar Schnutenhaus, Cornelia Edelmann, Heike Rudolph, Jens Dreyhaupt, Ralph G. Luthardt

Published in: Clinical Oral Investigations | Issue 6/2018

Abstract

Objective

The aim of this study was to investigate differences between the virtually planned and clinically achieved implant positions in completely template-guided implantations as a function of the type of edentulous space, the residual natural dentition, and the surgical implementation.

Materials and methods

Fifty-six patient cases with a total of 122 implants were evaluated retrospectively. The implantations were completely template-based. The data of the planned implant positions were overlaid with the actual clinical implant positions, followed by measurements of the 3D deviations in terms of coronal (x_c) and apical distance, height (x_h), and angulation (ang) and statistical analysis.

Results

The mean x_c was 1.2 mm (SD 0.7 mm); the mean x_a was 1.8 mm (SD 0.9 mm), the mean x_h was 0.8 mm (SD 0.7 mm); and the mean ang was 4.8° (SD 3.1). The type of edentulous space and the jaw (maxilla/mandible) had no significant effect on the results in terms of implant positions. The presence of an adjacent natural tooth at the time of implantation had a significant influence on x_h (p = 0.04) and ang (p = 0.05). No significant differences were found regarding the surgical approach for any of the parameters examined.

Conclusion

The results of our study are in the same range as those of other studies. Template-guided implantation offers a high degree of accuracy even in the presence of different configurations of the residual dentition or different surgical approaches. A clinical benefit is therefore present, especially from a prosthetic point of view.

Clinical relevance

The clinically achievable accuracy can be described as sufficient for further prosthetic treatment, given the intrinsic and methodological tolerances, making prosthetic rehabilitation safe and predictable.

Park C, Raigrodski AJ, Rosen J, Spiekerman C, London RM (2009) Accuracy of implant placement using precision surgical guides with varying occlusogingival heights: an in vitro study. J Prosthet Dent 101(6):372–381. https://doi.org/10.1016/S0022-3913(09)60080-9 CrossRefPubMed

Behneke A, Burwinkel M, Behneke N (2012) Factors influencing transfer accuracy of cone beam CT-derived template-based implant placement. Clin Oral Implants Res 23(4):416–423. https://doi.org/10.1111/j.1600-0501.2011.02337.x CrossRefPubMed

Nickenig HJ, Wichmann M, Hamel J, Schlegel KA, Eitner S (2010) Evaluation of the difference in accuracy between implant placement by virtual planning data and surgical guide templates versus the conventional free-hand method - a combined in vivo - in vitro technique using cone-beam CT (part II). J Craniomaxillofac Surg 38(7):488–493. https://doi.org/10.1016/j.jcms.2009.10.023 CrossRefPubMed

Rungcharassaeng K, Caruso JM, Kan JYK, Schutyser F, Boumans T (2015) Accuracy of computer-guided surgery: a comparison of operator experience. J Prosthet Dent 114(3):407–413. https://doi.org/10.1016/j.prosdent.2015.04.004 CrossRefPubMedPubMedCentral

Vercruyssen M, Cox C, Coucke W, Naert I, Jacobs R, Quirynen M (2014) A randomized clinical trial comparing guided implant surgery (bone- or mucosa-supported) with mental navigation or the use of a pilot-drill template. J Clin Periodontol 41(7):717–723. https://doi.org/10.1111/jcpe.12231 CrossRefPubMed

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):73–86. https://doi.org/10.1111/j.1600-0501.2009.01788.x CrossRefPubMed

Tahmaseb A, Wismeijer D, Coucke W, Derksen W (2014) Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants 29(Suppl):25–42. https://doi.org/10.11607/jomi.2014suppl.g1.2 CrossRefPubMed

Reyes A, Turkyilmaz I, Prihoda TJ (2015) Accuracy of surgical guides made from conventional and a combination of digital scanning and rapid prototyping techniques. J Prosthet Dent 113(4):295–303. https://doi.org/10.1016/j.prosdent.2014.09.018 CrossRefPubMed

Kernen F et al (2015) Accuracy of three-dimensional printed templates for guided implant placement based on matching a surface scan with CBCT. Clin Implant Dent Relat Res

10.

Kuhl S et al (2015) Technical accuracy of printed surgical templates for guided implant surgery with the coDiagnostiX software. Clin Implant Dent Relat Res 17(Suppl 1):e177–e182. https://doi.org/10.1111/cid.12152 CrossRefPubMed

11.

Geng W, Liu C, Su Y, Li J, Zhou Y (2015) Accuracy of different types of computer-aided design/computer-aided manufacturing surgical guides for dental implant placement. Int J Clin Exp Med 8(6):8442–8449PubMedPubMedCentral

12.

Turbush SK, Turkyilmaz I (2012) Accuracy of three different types of stereolithographic surgical guide in implant placement: an in vitro study. J Prosthet Dent 108(3):181–188. https://doi.org/10.1016/S0022-3913(12)60145-0 CrossRefPubMed

13.

Raico Gallardo YN et al (2016) Accuracy comparison of guided surgery for dental implants according to the tissue of support: a systematic review and meta-analysis. Clin Oral Implants Res

14.

Behneke A, Burwinkel M, Knierim K, Behneke N (2012) Accuracy assessment of cone beam computed tomography-derived laboratory-based surgical templates on partially edentulous patients. Clin Oral Implants Res 23(2):137–143. https://doi.org/10.1111/j.1600-0501.2011.02176.x CrossRefPubMed

15.

Zhao XZ, Xu WH, Tang ZH, Wu MJ, Zhu J, Chen S (2014) Accuracy of computer-guided implant surgery by a CAD/CAM and laser scanning technique. Chin J Dent Res 17(1):31–36PubMed

16.

Naziri E, Schramm A, Wilde F (2016) Accuracy of computer-assisted implant placement with insertion templates. GMS Interdiscip Plast Reconstr Surg DGPW. 5: p. Doc15

17.

Beretta M, Poli PP, Maiorana C (2014) Accuracy of computer-aided template-guided oral implant placement: a prospective clinical study. J Periodontal Implant Sci 44(4):184–193. https://doi.org/10.5051/jpis.2014.44.4.184 CrossRefPubMedPubMedCentral

18.

Alzoubi F, Massoomi N, Nattestad A (2016) Accuracy assessment of immediate and delayed implant placements using CAD/CAM surgical guides. J Oral Implantol

19.

Scherer U, Stoetzer M, Ruecker M, Gellrich NC, von See C (2015) Template-guided vs. non-guided drilling in site preparation of dental implants. Clin Oral Investig 19(6):1339–1346. https://doi.org/10.1007/s00784-014-1346-7 CrossRefPubMed

20.

Schnutenhaus S, Edelmann C, Rudolph H, Luthardt RG (2016) Retrospective study to determine the accuracy of template-guided implant placement using a novel nonradiologic evaluation method. Oral Surg Oral Med Oral Pathol Oral Radiol 121(4):e72–e79. https://doi.org/10.1016/j.oooo.2015.12.012 CrossRefPubMed

21.

Cohen J (1988) Statistical power analysis for the behavioral sciences. 2nd ed, vol xxi. L. Erlbaum Associates, Hillsdale 567 p

22.

Vercruyssen M et al (2008) The use of CT scan based planning for oral rehabilitation by means of implants and its transfer to the surgical field: a critical review on accuracy. J Oral Rehabil 35(6):454–474. https://doi.org/10.1111/j.1365-2842.2007.01816.x CrossRefPubMed

23.

Schneider D, Schober F, Grohmann P, Hammerle CHF, Jung RE (2015) In-vitro evaluation of the tolerance of surgical instruments in templates for computer-assisted guided implantology produced by 3-D printing. Clin Oral Implants Res 26(3):320–325. https://doi.org/10.1111/clr.12327 CrossRefPubMed

24.

Van Assche N, van Steenberghe D, Quirynen M, Jacobs R (2010) Accuracy assessment of computer-assisted flapless implant placement in partial edentulism. J Clin Periodontol 37(4):398–403. https://doi.org/10.1111/j.1600-051X.2010.01535.x CrossRefPubMed

25.

Ersoy AE, Turkyilmaz I, Ozan O, McGlumphy EA (2008) Reliability of implant placement with stereolithographic surgical guides generated from computed tomography: clinical data from 94 implants. J Periodontol 79(8):1339–1345. https://doi.org/10.1902/jop.2008.080059 CrossRefPubMed

26.

Arisan V, Karabuda ZC, Ozdemir T (2010) Accuracy of two stereolithographic guide systems for computer-aided implant placement: a computed tomography-based clinical comparative study. J Periodontol 81(1):43–51. https://doi.org/10.1902/jop.2009.090348 CrossRefPubMed

27.

Platzer S, Bertha G, Heschl A, Wegscheider WA, Lorenzoni M (2013) Three-dimensional accuracy of guided implant placement: indirect assessment of clinical outcomes. Clin Implant Dent Relat Res 15(5):724–734. https://doi.org/10.1111/j.1708-8208.2011.00406.x PubMed

28.

Cassetta M, Giansanti M, di Mambro A, Calasso S, Barbato E (2013) Accuracy of two stereolithographic surgical templates: a retrospective study. Clin Implant Dent Relat Res 15(3):448–459. https://doi.org/10.1111/j.1708-8208.2011.00369.x CrossRefPubMed

Title: 3D accuracy of implant positions in template-guided implant placement as a function of the remaining teeth and the surgical procedure: a retrospective study
Authors: Sigmar Schnutenhaus
Cornelia Edelmann
Heike Rudolph
Jens Dreyhaupt
Ralph G. Luthardt
Publication date: 01-07-2018
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 6/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2339-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

3D accuracy of implant positions in template-guided implant placement as a function of the remaining teeth and the surgical procedure: a retrospective study

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

Please log in to get access to this content

Other articles of this Issue 6/2018

MI Varnish and MI Paste Plus in a caries prevention and remineralization study: a randomized controlled trial

A comparison of cell survival and heat shock protein expression after radiation in normal dermal fibroblasts, microvascular endothelial cells, and different head and neck squamous carcinoma cell lines

Effect of nanostructured zirconium dioxide incorporation in an experimental adhesive resin

Effect of flapless ridge preservation with two different alloplastic materials in sockets with buccal dehiscence defects—volumetric and linear changes

Long-term effect of intensive prevention on dental health of primary school children by socioeconomic status

The effect of dental treatment on oral health-related quality of life in adolescents