A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing

Abstract Background Virtual implant planning systems integrate (cone beam-) computed tomography data to assess bone quantity and virtual models for the design of the implant-retained prosthesis and drill guides. Five commercially available systems for virtual implant planning were examined regarding...

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Main Authors: Florian Kernen, Jaap Kramer, Laura Wanner, Daniel Wismeijer, Katja Nelson, Tabea Flügge
Format: Article
Language:English
Published: BMC 2020-09-01
Series:BMC Oral Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12903-020-01208-1
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author Florian Kernen
Jaap Kramer
Laura Wanner
Daniel Wismeijer
Katja Nelson
Tabea Flügge
author_facet Florian Kernen
Jaap Kramer
Laura Wanner
Daniel Wismeijer
Katja Nelson
Tabea Flügge
author_sort Florian Kernen
collection DOAJ
description Abstract Background Virtual implant planning systems integrate (cone beam-) computed tomography data to assess bone quantity and virtual models for the design of the implant-retained prosthesis and drill guides. Five commercially available systems for virtual implant planning were examined regarding the modalities of integration of radiographic data, virtual dental models and the design of drill guides for guided implant surgery. The purpose of this review was to describe the limitations of these available systems regarding the import of imaging data and the design and fabrication of a drill guide. Methods The following software systems were examined regarding the import of imaging data and the export of the virtual implant planning for the design and fabrication of a drill guide with the help of two clinical situations requiring dental implant therapy: coDiagnostiX™, DentalWings, Canada (CDX); Simplant Pro™, Dentsply, Sweden (SIM); Smop™, Swissmeda, Switzerland (SMP); NobelClinician™, Nobel Biocare, Switzerland (NC); Implant Studio, 3Shape, Denmark (IST). Assessment criteria included data formats and management as well as the workflow for the design and production of drill guides. Results All systems have a DICOM-interface (“Digital Imaging and Communication in Medicine”) for the import of radiographic data. Imaging artefacts could be reduced but not eliminated by manual data processing. The import of virtual dental models in a universal format (STL: Standard Tesselation Language) was possible with three systems; one system could only be used with a proprietary data format. All systems display three-dimensional surface models or two-dimensional cross-sections with varying orientation for virtual implant planning. Computer aided design and manufacturing (CAD/CAM) of drill guides may be performed by the user with the help of default parameters or solely by the provider of the software and thus without the influence of the clinician. Conclusion Data bases of commonly used implant systems are available in all tested software, however not all systems allow to plan and execute fully guided implant placement. An individual design and in-house manufacturing of the drill guide is only available in some software systems. However, at the time of publication most recent software versions showed flexibility in individual design and in-house manufacturing of drill guides.
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spelling doaj.art-8aa036abed8b44749fa695c8e958459d2022-12-21T23:57:54ZengBMCBMC Oral Health1472-68312020-09-0120111010.1186/s12903-020-01208-1A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturingFlorian Kernen0Jaap Kramer1Laura Wanner2Daniel Wismeijer3Katja Nelson4Tabea Flügge5Department of Oral and Maxillofacial Surgery, Translational Implantology, Medical Center – University of Freiburg, Faculty of Medicine, University of FreiburgDepartment of Oral and Maxillofacial Surgery, Translational Implantology, Medical Center – University of Freiburg, Faculty of Medicine, University of FreiburgDepartment of Oral and Maxillofacial Surgery, Translational Implantology, Medical Center – University of Freiburg, Faculty of Medicine, University of FreiburgDepartment of Oral Implantology, Academisch Centrum Tandheelkunde Amsterdam (ACTA)Department of Oral and Maxillofacial Surgery, Translational Implantology, Medical Center – University of Freiburg, Faculty of Medicine, University of FreiburgDepartment of Oral and Maxillofacial Surgery, Translational Implantology, Medical Center – University of Freiburg, Faculty of Medicine, University of FreiburgAbstract Background Virtual implant planning systems integrate (cone beam-) computed tomography data to assess bone quantity and virtual models for the design of the implant-retained prosthesis and drill guides. Five commercially available systems for virtual implant planning were examined regarding the modalities of integration of radiographic data, virtual dental models and the design of drill guides for guided implant surgery. The purpose of this review was to describe the limitations of these available systems regarding the import of imaging data and the design and fabrication of a drill guide. Methods The following software systems were examined regarding the import of imaging data and the export of the virtual implant planning for the design and fabrication of a drill guide with the help of two clinical situations requiring dental implant therapy: coDiagnostiX™, DentalWings, Canada (CDX); Simplant Pro™, Dentsply, Sweden (SIM); Smop™, Swissmeda, Switzerland (SMP); NobelClinician™, Nobel Biocare, Switzerland (NC); Implant Studio, 3Shape, Denmark (IST). Assessment criteria included data formats and management as well as the workflow for the design and production of drill guides. Results All systems have a DICOM-interface (“Digital Imaging and Communication in Medicine”) for the import of radiographic data. Imaging artefacts could be reduced but not eliminated by manual data processing. The import of virtual dental models in a universal format (STL: Standard Tesselation Language) was possible with three systems; one system could only be used with a proprietary data format. All systems display three-dimensional surface models or two-dimensional cross-sections with varying orientation for virtual implant planning. Computer aided design and manufacturing (CAD/CAM) of drill guides may be performed by the user with the help of default parameters or solely by the provider of the software and thus without the influence of the clinician. Conclusion Data bases of commonly used implant systems are available in all tested software, however not all systems allow to plan and execute fully guided implant placement. An individual design and in-house manufacturing of the drill guide is only available in some software systems. However, at the time of publication most recent software versions showed flexibility in individual design and in-house manufacturing of drill guides.http://link.springer.com/article/10.1186/s12903-020-01208-1Guided implant surgeryComputer-assisted surgeryComputer-aided designVirtual implant planning
spellingShingle Florian Kernen
Jaap Kramer
Laura Wanner
Daniel Wismeijer
Katja Nelson
Tabea Flügge
A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing
BMC Oral Health
Guided implant surgery
Computer-assisted surgery
Computer-aided design
Virtual implant planning
title A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing
title_full A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing
title_fullStr A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing
title_full_unstemmed A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing
title_short A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing
title_sort review of virtual planning software for guided implant surgery data import and visualization drill guide design and manufacturing
topic Guided implant surgery
Computer-assisted surgery
Computer-aided design
Virtual implant planning
url http://link.springer.com/article/10.1186/s12903-020-01208-1
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