Accuracy of Guided Implant Surgery in the Edentulous Jaw Using Desktop 3D-Printed Mucosal Supported Guides
Purpose: The aim of this in vitro study is to evaluate the accuracy of implant position using mucosal supported surgical guides, produced by a desktop 3D printer. Methods: Ninety implants (Bone Level Roxolid, 4.1 mm × 10 mm, Straumann, Villerat, Switzerland) were placed in fifteen mandibular casts (...
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| Format: | Article |
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MDPI AG
2021-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/3/391 |
| _version_ | 1797409139706560512 |
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| author | Rani D’haese Tom Vrombaut Geert Hommez Hugo De Bruyn Stefan Vandeweghe |
| author_facet | Rani D’haese Tom Vrombaut Geert Hommez Hugo De Bruyn Stefan Vandeweghe |
| author_sort | Rani D’haese |
| collection | DOAJ |
| description | Purpose: The aim of this in vitro study is to evaluate the accuracy of implant position using mucosal supported surgical guides, produced by a desktop 3D printer. Methods: Ninety implants (Bone Level Roxolid, 4.1 mm × 10 mm, Straumann, Villerat, Switzerland) were placed in fifteen mandibular casts (Bonemodels, Castellón de la Plana, Spain). A mucosa-supported guide was designed and printed for each of the fifteen casts. After placement of the implants, the location was assessed by scanning the cast and scan bodies with an intra-oral scanner (Primescan<sup>®</sup>, Dentsply Sirona, York, PA, USA). Two comparisons were performed: one with the mucosa as a reference, and one where only the implants were aligned. Angular, coronal and apical deviations were measured. Results: The mean implant angular deviation for tissue and implant alignment were 3.25° (SD 1.69°) and 2.39° (SD 1.42°) respectively, the coronal deviation 0.82 mm (SD 0.43 mm) and 0.45 mm (SD 0.31 mm) and the apical deviation 0.99 mm (SD 0.45 mm) and 0.71 mm (SD 0.43 mm). All three variables were significantly different between the tissue and implant alignment (<i>p</i> < 0.001). Conclusion: Based on the results of this study, we conclude that guided implant surgery using desktop 3D printed mucosa-supported guides has a clinically acceptable level of accuracy. The resilience of the mucosa has a negative effect on the guide stability and increases the deviation in implant position. |
| first_indexed | 2024-03-09T04:10:01Z |
| format | Article |
| id | doaj.art-ca09729f1a4448589fe90c8ad8a78f72 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T04:10:01Z |
| publishDate | 2021-01-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-ca09729f1a4448589fe90c8ad8a78f722023-12-03T14:02:12ZengMDPI AGJournal of Clinical Medicine2077-03832021-01-0110339110.3390/jcm10030391Accuracy of Guided Implant Surgery in the Edentulous Jaw Using Desktop 3D-Printed Mucosal Supported GuidesRani D’haese0Tom Vrombaut1Geert Hommez2Hugo De Bruyn3Stefan Vandeweghe4Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, BelgiumOral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, BelgiumOral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, BelgiumOral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, BelgiumOral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, BelgiumPurpose: The aim of this in vitro study is to evaluate the accuracy of implant position using mucosal supported surgical guides, produced by a desktop 3D printer. Methods: Ninety implants (Bone Level Roxolid, 4.1 mm × 10 mm, Straumann, Villerat, Switzerland) were placed in fifteen mandibular casts (Bonemodels, Castellón de la Plana, Spain). A mucosa-supported guide was designed and printed for each of the fifteen casts. After placement of the implants, the location was assessed by scanning the cast and scan bodies with an intra-oral scanner (Primescan<sup>®</sup>, Dentsply Sirona, York, PA, USA). Two comparisons were performed: one with the mucosa as a reference, and one where only the implants were aligned. Angular, coronal and apical deviations were measured. Results: The mean implant angular deviation for tissue and implant alignment were 3.25° (SD 1.69°) and 2.39° (SD 1.42°) respectively, the coronal deviation 0.82 mm (SD 0.43 mm) and 0.45 mm (SD 0.31 mm) and the apical deviation 0.99 mm (SD 0.45 mm) and 0.71 mm (SD 0.43 mm). All three variables were significantly different between the tissue and implant alignment (<i>p</i> < 0.001). Conclusion: Based on the results of this study, we conclude that guided implant surgery using desktop 3D printed mucosa-supported guides has a clinically acceptable level of accuracy. The resilience of the mucosa has a negative effect on the guide stability and increases the deviation in implant position.https://www.mdpi.com/2077-0383/10/3/391accuracydental implantsedentulous mandibulaguided surgery3D-printed surgical guideintra oral scan |
| spellingShingle | Rani D’haese Tom Vrombaut Geert Hommez Hugo De Bruyn Stefan Vandeweghe Accuracy of Guided Implant Surgery in the Edentulous Jaw Using Desktop 3D-Printed Mucosal Supported Guides Journal of Clinical Medicine accuracy dental implants edentulous mandibula guided surgery 3D-printed surgical guide intra oral scan |
| title | Accuracy of Guided Implant Surgery in the Edentulous Jaw Using Desktop 3D-Printed Mucosal Supported Guides |
| title_full | Accuracy of Guided Implant Surgery in the Edentulous Jaw Using Desktop 3D-Printed Mucosal Supported Guides |
| title_fullStr | Accuracy of Guided Implant Surgery in the Edentulous Jaw Using Desktop 3D-Printed Mucosal Supported Guides |
| title_full_unstemmed | Accuracy of Guided Implant Surgery in the Edentulous Jaw Using Desktop 3D-Printed Mucosal Supported Guides |
| title_short | Accuracy of Guided Implant Surgery in the Edentulous Jaw Using Desktop 3D-Printed Mucosal Supported Guides |
| title_sort | accuracy of guided implant surgery in the edentulous jaw using desktop 3d printed mucosal supported guides |
| topic | accuracy dental implants edentulous mandibula guided surgery 3D-printed surgical guide intra oral scan |
| url | https://www.mdpi.com/2077-0383/10/3/391 |
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