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BMC Oral Health
Published in: BMC Oral Health 1/2020

01-12-2020 | Digital Volume Tomography | Research article

Alveolar ridge preservation and primary stability as influencing factors on the transfer accuracy of static guided implant placement: a prospective clinical trial

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

Published in: BMC Oral Health | Issue 1/2020

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Abstract

Background

The aim of this prospective clinical study was to investigate differences between virtually planned and clinically achieved implant positions in completely template-guided implant placements as a function of the tooth area, the use of alveolar ridge preservation, the implant length and diameter, and the primary implant stability.

Methods

The accuracy of 48 implants was analyzed. The implants were placed in a completely template-guided manner. The data of the planned implant positions were superimposed on the actual clinical implant positions, followed by measurements of the 3D deviations in terms of the coronal (dc) and apical distance (da), height (h), angulation (ang), and statistical analysis.

Results

The mean dc was 0.7 mm (SD: 0.3), the mean da was 1.4 mm (SD: 0.6), the mean h was 0.3 mm (SD: 0.3), and the mean ang was 4.1° (SD: 2.1). The tooth area and the use of alveolar ridge preservation had no significant effect on the results in terms of the implant positions. The implant length had a significant influence on da (p = 0.02). The implant diameter had a significant influence on ang (p = 0.04), and the primary stability had a significant influence on h (p = 0.02).

Conclusion

Template-guided implant placement offers a high degree of accuracy independent of the tooth area, the use of measures for alveolar ridge preservation or the implant configuration.
A clinical benefit is therefore present, especially from a prosthetic point of view.

Trial registration

German Clinical Trial Register and the International Clinical Trials Registry Platform of the WHO: DRKS00005978; date of registration: 11/09/2015.
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Metadata
Title
Alveolar ridge preservation and primary stability as influencing factors on the transfer accuracy of static guided implant placement: a prospective clinical trial
Authors
Sigmar Schnutenhaus
Liesa Brunken
Cornelia Edelmann
Jens Dreyhaupt
Heike Rudolph
Ralph G. Luthardt
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2020
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-01155-x

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