Comparison of Dental Surface Image Registration and Fiducial Marker Registration: An In Vivo Accuracy Study of Static Computer-Assisted Implant Surgery

This study compared the accuracy of static computer-assisted implant surgery (sCAIS) planned through dental surface image registration and fiducial marker registration. Stone models of 30 patients were converted into digital dental casts by using a desktop scanner. Cone-beam computed tomography (CBC...

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Main Authors: Yen-Ting Han, Wei-Chun Lin, Fang-Yu Fan, Chih-Long Chen, Chia-Cheng Lin, Hsin-Chung Cheng
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/18/4183
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author Yen-Ting Han
Wei-Chun Lin
Fang-Yu Fan
Chih-Long Chen
Chia-Cheng Lin
Hsin-Chung Cheng
author_facet Yen-Ting Han
Wei-Chun Lin
Fang-Yu Fan
Chih-Long Chen
Chia-Cheng Lin
Hsin-Chung Cheng
author_sort Yen-Ting Han
collection DOAJ
description This study compared the accuracy of static computer-assisted implant surgery (sCAIS) planned through dental surface image registration and fiducial marker registration. Stone models of 30 patients were converted into digital dental casts by using a desktop scanner. Cone-beam computed tomography (CBCT) was performed and superimposed to the digital dental casts with two methods: matching the dental surface images or matching the fiducial markers on a stereolithographic radiographic template. Following the implant planning, stereolithographic surgical guides were fabricated, and 56 fully guided implants were inserted by the same doctor. Deviations between planned and inserted implants were measured and compared using postoperative CBCT images. After adjustment for other potential influencing factors, compared with the fiducial marker registration group, significantly larger mean lateral deviations were noted in the dental surface registration group at both the implant platform and apex (<i>p</i> = 0.0188 and 0.0371, respectively). However, the mean lateral deviations for the dental surface registration (0.83 ± 0.51 mm at implant platform and 1.24 ± 0.68 mm at implant apex) were comparable to the literature. In conclusion, our findings indicate that although sCAIS planned using dental surface image registration was not statistically as accurate as that using fiducial marker registration, its accuracy was satisfactory for clinical use.
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spelling doaj.art-8889c4db45fd4e458f29547154db19292023-11-22T13:40:50ZengMDPI AGJournal of Clinical Medicine2077-03832021-09-011018418310.3390/jcm10184183Comparison of Dental Surface Image Registration and Fiducial Marker Registration: An In Vivo Accuracy Study of Static Computer-Assisted Implant SurgeryYen-Ting Han0Wei-Chun Lin1Fang-Yu Fan2Chih-Long Chen3Chia-Cheng Lin4Hsin-Chung Cheng5Department of Dentistry, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, TaiwanSchool of Dental Technology, College of Oral Medicine, Taipei Medical University, Taipei 110, TaiwanSchool of Dental Technology, College of Oral Medicine, Taipei Medical University, Taipei 110, TaiwanDepartment of Dentistry, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, TaiwanDepartment of Dentistry, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, TaiwanSchool of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei 110, TaiwanThis study compared the accuracy of static computer-assisted implant surgery (sCAIS) planned through dental surface image registration and fiducial marker registration. Stone models of 30 patients were converted into digital dental casts by using a desktop scanner. Cone-beam computed tomography (CBCT) was performed and superimposed to the digital dental casts with two methods: matching the dental surface images or matching the fiducial markers on a stereolithographic radiographic template. Following the implant planning, stereolithographic surgical guides were fabricated, and 56 fully guided implants were inserted by the same doctor. Deviations between planned and inserted implants were measured and compared using postoperative CBCT images. After adjustment for other potential influencing factors, compared with the fiducial marker registration group, significantly larger mean lateral deviations were noted in the dental surface registration group at both the implant platform and apex (<i>p</i> = 0.0188 and 0.0371, respectively). However, the mean lateral deviations for the dental surface registration (0.83 ± 0.51 mm at implant platform and 1.24 ± 0.68 mm at implant apex) were comparable to the literature. In conclusion, our findings indicate that although sCAIS planned using dental surface image registration was not statistically as accurate as that using fiducial marker registration, its accuracy was satisfactory for clinical use.https://www.mdpi.com/2077-0383/10/18/4183computer-assisted implant surgerydigital flow in dental surgeryaccuracyCT model registrationclinical research
spellingShingle Yen-Ting Han
Wei-Chun Lin
Fang-Yu Fan
Chih-Long Chen
Chia-Cheng Lin
Hsin-Chung Cheng
Comparison of Dental Surface Image Registration and Fiducial Marker Registration: An In Vivo Accuracy Study of Static Computer-Assisted Implant Surgery
Journal of Clinical Medicine
computer-assisted implant surgery
digital flow in dental surgery
accuracy
CT model registration
clinical research
title Comparison of Dental Surface Image Registration and Fiducial Marker Registration: An In Vivo Accuracy Study of Static Computer-Assisted Implant Surgery
title_full Comparison of Dental Surface Image Registration and Fiducial Marker Registration: An In Vivo Accuracy Study of Static Computer-Assisted Implant Surgery
title_fullStr Comparison of Dental Surface Image Registration and Fiducial Marker Registration: An In Vivo Accuracy Study of Static Computer-Assisted Implant Surgery
title_full_unstemmed Comparison of Dental Surface Image Registration and Fiducial Marker Registration: An In Vivo Accuracy Study of Static Computer-Assisted Implant Surgery
title_short Comparison of Dental Surface Image Registration and Fiducial Marker Registration: An In Vivo Accuracy Study of Static Computer-Assisted Implant Surgery
title_sort comparison of dental surface image registration and fiducial marker registration an in vivo accuracy study of static computer assisted implant surgery
topic computer-assisted implant surgery
digital flow in dental surgery
accuracy
CT model registration
clinical research
url https://www.mdpi.com/2077-0383/10/18/4183
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