Influence of bone condition on implant placement accuracy with computer-guided surgery
Tóm tắt
The impact of the jaw bone condition, such as bone quantity and quality in the implant placement site, affecting the accuracy of implant placement with computer-guided surgery (CGS) remains unclear. Therefore, this study aimed to evaluate the influence of bone condition, i.e., bone density, bone width, and cortical bone thickness at the crestal bone on the accuracy of implant placement with CGS. A total of 47 tissue-level implants from 25 patients placed in the posterior mandibular area were studied. Implant placement position was planned on the simulation software, Simplant® Pro 16, by superimposing preoperative computed tomography images with stereolithography data of diagnostic wax-up on the dental cast. Implant placement surgery was performed using the surgical guide plate to reflect the planned implant position. The post-surgical dental cast was scanned to determine the position of the placed implant. Linear and vertical deviations between planned and placed implants were calculated. Deviations at both platform and apical of the implant were measured in the bucco-lingual and mesio-distal directions. Intra- and inter-observer variabilities were calculated to ensure measurement reliability. Multiple linear regression analysis was employed to investigate the effect of the bone condition, such as density, width, and cortical bone thickness at the implant site area, on the accuracy of implant placement (α = 0.05). Intra- and inter-observer variabilities of these measurements showed excellent agreement (intra class correlation coefficient ± 0.90). Bone condition significantly influenced the accuracy of implant placement using CGS (p < 0.05). Both bone density and width were found to be significant predictors. Low bone density and/or narrow bucco-lingual width near the alveolar bone crest in the implant placement site might be a risk factor influencing the accuracy of implant placement with CGS.
Tài liệu tham khảo
D’haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer-guided implant surgery. Periodontol. 2017;73:121–33.
De Vico G, Ferraris F, Arcuri L, Guzzo F, Spinelli D. A novel workflow for computer guided implant surgery matching digital dental casts and CBCT scan. ORAL Implantol. 2016;9:33–48.
Colombo M, Mangano C, Mijiritsky E, Krebs M, Hauschild U, Fortin T. Clinical applications and effectiveness of guided implant surgery: a critical review based on randomized controlled trials. BMC Oral Health. 2017;17:1–9.
Tahmaseb A, Wu V, Wismeijer D, Coucke W, Evans C. The accuracy of static computer-aided implant surgery: a systematic review and meta-analysis. Clin Oral Implants Res. 2018;29:416–35.
De Santis D, Malchiodi L, Cucchi A, Cybulski A, Verlato G, Gelpi F, et al. The accuracy of computer-assisted implant surgery performed using fully guided templates versus pilot-drill guided templates. Biomed Res Int. 2019;2019:1.
Moon S-Y, Lee K-R, Kim S-G, Son M-K. Clinical problems of computer-guided implant surgery. Maxillofac Plast Reconstr Surg. 2016;38:15.
Vercruyssen M, Coucke W, Naert I, Jacobs R, Teughels W, Quirynen M. Depth and lateral deviations in guided implant surgery: an RCT comparing guided surgery with mental navigation or the use of a pilot-drill template. Clin Oral Implants Res. 2015;26:1315–20.
Zhou W, Liu Z, Song L, Ling Kuo C, Shafer DM. Clinical factors affecting the accuracy of guided implant surgery—a systematic review and meta-analysis. J Evid Based Dent Pract. 2018;18:28–40.
Cassetta M, Di Mambro A, Giansanti M, Stefanelli LV, Cavallini C. The intrinsic error of a stereolithographic surgical template in implant guided surgery. Int J Oral Maxillofac Surg. 2013;42:264–75.
Pozzi A, Polizzi G, Moy PK. Guided surgery with tooth-supported templates for single missing teeth: a critical review. Eur J Oral Implantol. 2016;9:S135–53.
Misch CE. Contemporary implant dentistry. 3rd ed. St Louis: Mosby; 2008. p. 178–97.
Jones A. Accuracy of mucosa supported guided dental implant surgery. Clin Case Rep. 2018;6:2131–9.
White SC, Pharaoh MJ. Oral radiology principles and interpretation. 7th ed. Missouri: Elsevier; 2017. p. 630–44.
Norton MR, Gamble C. Bone classification: an objective scale of bone density using the computerized tomography scan. Clin Oral Implants Res. 2001;12:79–84.
Sugiura T, Yamamoto K, Kawakami M, Horita S, Murakami K, Kirita T. Influence of bone parameters on peri-implant bone strain distribution in the posterior mandible. Med Oral Patol Oral Cir Bucal. 2015;20:e66–73.
Verhamme LM, Meijer GJ, Boumans T, Schutyser F, Bergé SJ, Maal TJJ. A clinically relevant validation method for implant placement after virtual planning. Clin Oral Implants Res. 2013;24:1265–72.
Weinberg SM, Scott NM, Neiswanger K, Marazita ML. Intraobserver error associated with measurements of the hand. Am J Hum Biol. 2005;17:368–71.
Voracek M, Manning J, Dressler S. Repeatability and interobserver error of digit ratio (2D:4D) measurements made by experts. Am J Hum Biol. 2007;19:145–6.
Poeschl PW, Schmidt N, Guevara-Rojas G, Seemann R, Ewers R, Zipko HT, et al. Comparison of cone-beam and conventional multislice computed tomography for image-guided dental implant planning. Clin Oral Investig. 2013;17:317–24.
Islamian JP, Garoosi I, Abdollahi Fard K, Abdollahi MR. Comparison between the MDCT and the DXA scanners in the evaluation of BMD in the lumbar spine densitometry. Egypt J Radiol Nucl Med. 2016;47:961–7.
Parsa A, Ibrahim N, Hassan B, van der Stelt P, Wismeijer D. Bone quality evaluation at dental implant site using multislice CT, micro-CT, and cone beam CT. Clin Oral Implants Res. 2015;26:e1–7.
Silva IMDCC, De Freitas DQ, Ambrosano GMB, Bóscolo FN, Almeida SM. Bone density: comparative evaluation of Hounsfield units in multislice and cone-beam computed tomography. Braz Oral Res. 2012;26:550–6.
Juodzbalys G, Kubilius M. Clinical and radiological classification of the jawbone anatomy in endosseous dental implant treatment. J Oral Maxillofac Res. 2013;4:1–17.
Miyamoto I, Tsuboi Y, Wada E, Suwa H, Iizuka T. Influence of cortical bone thickness and implant length on implant stability at the time of surgery - clinical, prospective, biomechanical, and imaging study. Bone. 2005;37:776–80.
Chatvaratthana K, Thaworanunta S, Seriwatanachai D, Wongsirichat N. Correlation between the thickness of the crestal and buccolingual cortical bone at varying depths and implant stability quotients. PLoS One. 2017;12:1–14.
Ozan O, Orhan K, Turkyilmaz I. Correlation between bone density and angular deviation of implants placed using CT-generated surgical guides. J Craniofac Surg. 2011;22:1755–61.
Ochi M, Kanazawa M, Sato D, Kasugai S, Hirano S, Minakuchi S. Factors affecting accuracy of implant placement with mucosa-supported stereolithographic surgical guides in edentulous mandibles. Comput Biol Med. 2013;43:1653–60.
Fokas G, Vaughn VM, Scarfe WC, Bornstein MM. Accuracy of linear measurements on CBCT images related to presurgical implant treatment planning: a systematic review. Clin Oral Implants Res. 2018;29:393–415.
Younes F, Cosyn J, De Bruyckere T, Cleymaet R, Bouckaert E, Eghbali A. A randomized controlled study on the accuracy of free-handed, pilot-drill guided and fully guided implant surgery in partially edentulous patients. J Clin Periodontol. 2018;45(6):721–32.
Varga E, Antal M, Major L, Kiscsatári R, Braunitzer G, Piffkó J. Guidance means accuracy: A randomized clinical trial on freehand versus guided dental implantation. Clin Oral Implants Res. 2020:1–14.
Behneke A. Factors influencing transfer accuracy of cone beam CT-derived template-based implant placement. Clin Oral Implants Res. 2011;23:416–23.
Son K, Huang M-Y, Lee K-B. A method to evaluate the accuracy of dental implant placement without postoperative radiography after computer-guided implant surgery: a dental technique. J Prosthet Dent. 2019;123:1–6.
Pyo S-W, Lim Y-J, Koo K-T, Lee J. Methods used to assess the 3D accuracy of dental implant positions in computer-guided implant placement: a review. J Clin Med. 2019;8:54.
von See C, Wagner MEH, Schumann P, Lindhorst D, Gellrich NC, Stoetzer M. Non-radiological method for three-dimensional implant position evaluation using an intraoral scan method. Clin Oral Implants Res. 2014;25:1091–3.
Tang T, Liao L, Huang Z, Gu X, Zhang X. Accuracy of the evaluation of implant position using a completely digital registration method compared with a radiographic method. J Prosthet Dent. 2019;122:537–42.
Vercruyssen M, Laleman I, Jacobs R, Quirynen M. Computer-supported implant planning and guided surgery: a narrative review. Clin Oral Implants Res. 2015;26:69–76.
Mora MA, Chenin DL, Arce RM. Software tools and surgical guides in dental-implant-guided surgery. Dent Clin N Am. 2014;58:597–626.
Derksen W, Wismeijer D, Flügge T, Hassan B, Tahmaseb A. The accuracy of computer-guided implant surgery with tooth-supported, digitally designed drill guides based on CBCT and intraoral scanning. A prospective cohort study. Clin Oral Implants Res. 2019;30:1005–15.