Accuracy of Microimplant Placement Using a 3D Guide Plate for Orthodontic Anchorage

This study aimed to design a three-dimensional (3D) guide plate using computer-aided design and a 3D printing system for precise implantation of microimplants for orthodontic treatment and investigate the accuracy and feasibility of a 3D guide plate in clinical practice. A total of 30 microimplants...

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Main Authors: Fangyong Zhu, Lian Ji, Chen Zhou, Yannan Cao, Zhifei Chen, Xiangbing Wu, Jianming Zou, Yufeng Gao
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
Series:Applied Bionics and Biomechanics
Online Access:http://dx.doi.org/10.1155/2023/9060046
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author Fangyong Zhu
Lian Ji
Chen Zhou
Yannan Cao
Zhifei Chen
Xiangbing Wu
Jianming Zou
Yufeng Gao
author_facet Fangyong Zhu
Lian Ji
Chen Zhou
Yannan Cao
Zhifei Chen
Xiangbing Wu
Jianming Zou
Yufeng Gao
author_sort Fangyong Zhu
collection DOAJ
description This study aimed to design a three-dimensional (3D) guide plate using computer-aided design and a 3D printing system for precise implantation of microimplants for orthodontic treatment and investigate the accuracy and feasibility of a 3D guide plate in clinical practice. A total of 30 microimplants were placed in 15 patients in the Department of Stomatology, Affiliated Hospital of Jiangnan University. Before surgery, DICOM data from cone-beam computed tomography (CBCT) scans and STereoLithography data from the 3D model scan were imported to 3Shape Dental System. Data fitting and matching were performed, and 3D guide plates were designed primarily focusing on the thickness of guide plates, amount of concave compensation, and dimensions of the ring. Assist implantation method was used to place the microimplants, and postoperative CBCT images were used to evaluate the position and implantation angle. The feasibility of placing microimplants and precise implantation guided by the 3D guide plate. CBCT data before and after the placement of microimplants were compared. Regarding the secure positioning of microimplants based on CBCT data, 26 implants were categorized as Grade i, four as Grade ii, and none as Grade iii. No loosening of microimplants 1 and 3 months after surgery was reported. The implantation of microimplants is more accurate under the guidance of a 3D guide plate. This technology can achieve accurate implant positioning, thus ensuring safety, stability, and improved success rates after implantation.
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spelling doaj.art-c9627fcc01414e9198f246f98165dc0f2023-07-04T00:00:03ZengHindawi LimitedApplied Bionics and Biomechanics1754-21032023-01-01202310.1155/2023/9060046Accuracy of Microimplant Placement Using a 3D Guide Plate for Orthodontic AnchorageFangyong Zhu0Lian Ji1Chen Zhou2Yannan Cao3Zhifei Chen4Xiangbing Wu5Jianming Zou6Yufeng Gao7Department of StomatologyDepartment of StomatologyDepartment of StomatologyDepartment of StomatologyDepartment of StomatologyDepartment of StomatologyDepartment of StomatologyDepartment of StomatologyThis study aimed to design a three-dimensional (3D) guide plate using computer-aided design and a 3D printing system for precise implantation of microimplants for orthodontic treatment and investigate the accuracy and feasibility of a 3D guide plate in clinical practice. A total of 30 microimplants were placed in 15 patients in the Department of Stomatology, Affiliated Hospital of Jiangnan University. Before surgery, DICOM data from cone-beam computed tomography (CBCT) scans and STereoLithography data from the 3D model scan were imported to 3Shape Dental System. Data fitting and matching were performed, and 3D guide plates were designed primarily focusing on the thickness of guide plates, amount of concave compensation, and dimensions of the ring. Assist implantation method was used to place the microimplants, and postoperative CBCT images were used to evaluate the position and implantation angle. The feasibility of placing microimplants and precise implantation guided by the 3D guide plate. CBCT data before and after the placement of microimplants were compared. Regarding the secure positioning of microimplants based on CBCT data, 26 implants were categorized as Grade i, four as Grade ii, and none as Grade iii. No loosening of microimplants 1 and 3 months after surgery was reported. The implantation of microimplants is more accurate under the guidance of a 3D guide plate. This technology can achieve accurate implant positioning, thus ensuring safety, stability, and improved success rates after implantation.http://dx.doi.org/10.1155/2023/9060046
spellingShingle Fangyong Zhu
Lian Ji
Chen Zhou
Yannan Cao
Zhifei Chen
Xiangbing Wu
Jianming Zou
Yufeng Gao
Accuracy of Microimplant Placement Using a 3D Guide Plate for Orthodontic Anchorage
Applied Bionics and Biomechanics
title Accuracy of Microimplant Placement Using a 3D Guide Plate for Orthodontic Anchorage
title_full Accuracy of Microimplant Placement Using a 3D Guide Plate for Orthodontic Anchorage
title_fullStr Accuracy of Microimplant Placement Using a 3D Guide Plate for Orthodontic Anchorage
title_full_unstemmed Accuracy of Microimplant Placement Using a 3D Guide Plate for Orthodontic Anchorage
title_short Accuracy of Microimplant Placement Using a 3D Guide Plate for Orthodontic Anchorage
title_sort accuracy of microimplant placement using a 3d guide plate for orthodontic anchorage
url http://dx.doi.org/10.1155/2023/9060046
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