Accuracy of Dental Implant Placement by a Novel In-House Model-Free and Zero-Setup Fully Guided Surgical Template Made of a Light-Cured Composite Resin (VARO Guide<sup>®</sup>): A Comparative In Vitro Study

Background: This in vitro study mainly aimed to compare VARO Guide<sup>®</sup> to the surgical guide fabricated by CAD/CAM (NAVI Guide<sup>®</sup>) in terms of accuracy and efficacy of the implant surgery held in the dentiform model. Methods: Twenty surgeons, 10 dentists in t...

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Main Authors: Young Woo Song, Jongseung Kim, Jang-Hyun Kim, Ji-Man Park, Ui-Won Jung, Jae-Kook Cha
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/14/14/4023
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author Young Woo Song
Jongseung Kim
Jang-Hyun Kim
Ji-Man Park
Ui-Won Jung
Jae-Kook Cha
author_facet Young Woo Song
Jongseung Kim
Jang-Hyun Kim
Ji-Man Park
Ui-Won Jung
Jae-Kook Cha
author_sort Young Woo Song
collection DOAJ
description Background: This in vitro study mainly aimed to compare VARO Guide<sup>®</sup> to the surgical guide fabricated by CAD/CAM (NAVI Guide<sup>®</sup>) in terms of accuracy and efficacy of the implant surgery held in the dentiform model. Methods: Twenty surgeons, 10 dentists in the beginner group and 10 dentists in the expert group, participated in the study. Each surgeon conducted fully guided surgery in dentiform models twice, once with VARO Guide<sup>®</sup> (VG surgery) and the other time with a conventional type of templates, NAVI Guide<sup>®</sup> (NG surgery). Based on the superimposition of presurgical and postsurgical STL files, the positional deviations between the virtually planned and actually placed implants and the time spent on presurgical preparation and surgical procedures were estimated and compared. Results: All dimensional deviations were similar between the two groups (<i>p</i> > 0.05), and there was no significant difference between the expert and beginner groups regardless of the guide system. The total procedure time (mean (median)) of the VG surgery (26.33 (28.58) min) was significantly shorter than that of the NG surgery (378.83 (379.35) min; <i>p</i> < 0.05). While the time spent only for the fully guided implant surgery (from the start of the surgical guide sitting onto the dentiform model to the final installation of the implant fixture) was comparable (<i>p</i> > 0.05), the presurgical preparation time spent on virtual implant planning and surgical guide fabrication in the VG surgery (19.63 (20.93) min) was significantly shorter compared to the NG surgery (372.93 (372.95) min; <i>p</i> < 0.05). Conclusions: Regardless of experience, both VG and NG surgery showed reliable positional accuracy; however, the total procedure time and the preparation time were much shorter in the VG surgery compared to the NG surgery.
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spelling doaj.art-8186c7ced5b4440dbe9b17269a70692c2023-11-22T04:18:32ZengMDPI AGMaterials1996-19442021-07-011414402310.3390/ma14144023Accuracy of Dental Implant Placement by a Novel In-House Model-Free and Zero-Setup Fully Guided Surgical Template Made of a Light-Cured Composite Resin (VARO Guide<sup>®</sup>): A Comparative In Vitro StudyYoung Woo Song0Jongseung Kim1Jang-Hyun Kim2Ji-Man Park3Ui-Won Jung4Jae-Kook Cha5Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul 03722, KoreaDepartment of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul 03722, KoreaDepartment of Prosthodontics, Yonsei University College of Dentistry, Seoul 03722, KoreaDepartment of Prosthodontics, Yonsei University College of Dentistry, Seoul 03722, KoreaDepartment of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul 03722, KoreaDepartment of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul 03722, KoreaBackground: This in vitro study mainly aimed to compare VARO Guide<sup>®</sup> to the surgical guide fabricated by CAD/CAM (NAVI Guide<sup>®</sup>) in terms of accuracy and efficacy of the implant surgery held in the dentiform model. Methods: Twenty surgeons, 10 dentists in the beginner group and 10 dentists in the expert group, participated in the study. Each surgeon conducted fully guided surgery in dentiform models twice, once with VARO Guide<sup>®</sup> (VG surgery) and the other time with a conventional type of templates, NAVI Guide<sup>®</sup> (NG surgery). Based on the superimposition of presurgical and postsurgical STL files, the positional deviations between the virtually planned and actually placed implants and the time spent on presurgical preparation and surgical procedures were estimated and compared. Results: All dimensional deviations were similar between the two groups (<i>p</i> > 0.05), and there was no significant difference between the expert and beginner groups regardless of the guide system. The total procedure time (mean (median)) of the VG surgery (26.33 (28.58) min) was significantly shorter than that of the NG surgery (378.83 (379.35) min; <i>p</i> < 0.05). While the time spent only for the fully guided implant surgery (from the start of the surgical guide sitting onto the dentiform model to the final installation of the implant fixture) was comparable (<i>p</i> > 0.05), the presurgical preparation time spent on virtual implant planning and surgical guide fabrication in the VG surgery (19.63 (20.93) min) was significantly shorter compared to the NG surgery (372.93 (372.95) min; <i>p</i> < 0.05). Conclusions: Regardless of experience, both VG and NG surgery showed reliable positional accuracy; however, the total procedure time and the preparation time were much shorter in the VG surgery compared to the NG surgery.https://www.mdpi.com/1996-1944/14/14/4023digital dentistryvirtual surgical planningguided implant surgeryintraoral scancone beam computed tomography
spellingShingle Young Woo Song
Jongseung Kim
Jang-Hyun Kim
Ji-Man Park
Ui-Won Jung
Jae-Kook Cha
Accuracy of Dental Implant Placement by a Novel In-House Model-Free and Zero-Setup Fully Guided Surgical Template Made of a Light-Cured Composite Resin (VARO Guide<sup>®</sup>): A Comparative In Vitro Study
Materials
digital dentistry
virtual surgical planning
guided implant surgery
intraoral scan
cone beam computed tomography
title Accuracy of Dental Implant Placement by a Novel In-House Model-Free and Zero-Setup Fully Guided Surgical Template Made of a Light-Cured Composite Resin (VARO Guide<sup>®</sup>): A Comparative In Vitro Study
title_full Accuracy of Dental Implant Placement by a Novel In-House Model-Free and Zero-Setup Fully Guided Surgical Template Made of a Light-Cured Composite Resin (VARO Guide<sup>®</sup>): A Comparative In Vitro Study
title_fullStr Accuracy of Dental Implant Placement by a Novel In-House Model-Free and Zero-Setup Fully Guided Surgical Template Made of a Light-Cured Composite Resin (VARO Guide<sup>®</sup>): A Comparative In Vitro Study
title_full_unstemmed Accuracy of Dental Implant Placement by a Novel In-House Model-Free and Zero-Setup Fully Guided Surgical Template Made of a Light-Cured Composite Resin (VARO Guide<sup>®</sup>): A Comparative In Vitro Study
title_short Accuracy of Dental Implant Placement by a Novel In-House Model-Free and Zero-Setup Fully Guided Surgical Template Made of a Light-Cured Composite Resin (VARO Guide<sup>®</sup>): A Comparative In Vitro Study
title_sort accuracy of dental implant placement by a novel in house model free and zero setup fully guided surgical template made of a light cured composite resin varo guide sup r sup a comparative in vitro study
topic digital dentistry
virtual surgical planning
guided implant surgery
intraoral scan
cone beam computed tomography
url https://www.mdpi.com/1996-1944/14/14/4023
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