Evaluation of Deviations between Computer-Planned Implant Position and In Vivo Placement through 3D-Printed Guide: A CBCT Scan Analysis on Implant Inserted in Esthetic Area
Background: Implant rehabilitation in cases of monoedentulism in the esthetic area is a challenge for the clinician. The aim of our study was to test the diagnostic–therapeutic accuracy of computer-guided implant placement in the esthetic area. Methods: Postimplant surgery cone beam computed tomogra...
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| Format: | Article |
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MDPI AG
2022-05-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/12/11/5461 |
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| author | Mario Caggiano Alessandra Amato Alfonso Acerra Francesco D’Ambrosio Stefano Martina |
| author_facet | Mario Caggiano Alessandra Amato Alfonso Acerra Francesco D’Ambrosio Stefano Martina |
| author_sort | Mario Caggiano |
| collection | DOAJ |
| description | Background: Implant rehabilitation in cases of monoedentulism in the esthetic area is a challenge for the clinician. The aim of our study was to test the diagnostic–therapeutic accuracy of computer-guided implant placement in the esthetic area. Methods: Postimplant surgery cone beam computed tomography (CBCT) scans were retrospectively analyzed to assess the accuracy of computer-guided implant placement compared to the preoperative computer-digital planned implant position. We selectively enrolled CBCT scans of patients who underwent immediate or delayed implant placement of a single maxillary incisor, treated with computer-guided implant surgery through a tooth-supported digitally designed 3D printed guide. Our analysis consisted of three digital measurements: the mean deviation of the implant axis, and the mean mesiodistal implant deviation measured both at the apex and at the head of the implant. Results: A total of 95 implants were placed in 95 patients (60 Males, 35 Females; age from 27 to 45-year-old). Congruence analysis showed a mean deviation of implant axis of 1.04° ± 0.56° in sagittal projection, a mean mesiodistal implant deviation between adjacent teeth of 0.14 mm ± 0.07 mm at implant head level and 0.8 mm ± 0.3 mm at the apex in axial projection. Conclusions: computer-guided implant placement through a tooth-supported guide was extremely accurate in the esthetic area because the deviations between the real implant position and the preoperative planning was not clinically relevant. |
| first_indexed | 2024-03-10T01:31:07Z |
| format | Article |
| id | doaj.art-e843d168b22a4faead17271ff989ccd7 |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-10T01:31:07Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-e843d168b22a4faead17271ff989ccd72023-11-23T13:42:06ZengMDPI AGApplied Sciences2076-34172022-05-011211546110.3390/app12115461Evaluation of Deviations between Computer-Planned Implant Position and In Vivo Placement through 3D-Printed Guide: A CBCT Scan Analysis on Implant Inserted in Esthetic AreaMario Caggiano0Alessandra Amato1Alfonso Acerra2Francesco D’Ambrosio3Stefano Martina4Department of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, University of Salerno, 84084 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, University of Salerno, 84084 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, University of Salerno, 84084 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, University of Salerno, 84084 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, University of Salerno, 84084 Salerno, ItalyBackground: Implant rehabilitation in cases of monoedentulism in the esthetic area is a challenge for the clinician. The aim of our study was to test the diagnostic–therapeutic accuracy of computer-guided implant placement in the esthetic area. Methods: Postimplant surgery cone beam computed tomography (CBCT) scans were retrospectively analyzed to assess the accuracy of computer-guided implant placement compared to the preoperative computer-digital planned implant position. We selectively enrolled CBCT scans of patients who underwent immediate or delayed implant placement of a single maxillary incisor, treated with computer-guided implant surgery through a tooth-supported digitally designed 3D printed guide. Our analysis consisted of three digital measurements: the mean deviation of the implant axis, and the mean mesiodistal implant deviation measured both at the apex and at the head of the implant. Results: A total of 95 implants were placed in 95 patients (60 Males, 35 Females; age from 27 to 45-year-old). Congruence analysis showed a mean deviation of implant axis of 1.04° ± 0.56° in sagittal projection, a mean mesiodistal implant deviation between adjacent teeth of 0.14 mm ± 0.07 mm at implant head level and 0.8 mm ± 0.3 mm at the apex in axial projection. Conclusions: computer-guided implant placement through a tooth-supported guide was extremely accurate in the esthetic area because the deviations between the real implant position and the preoperative planning was not clinically relevant.https://www.mdpi.com/2076-3417/12/11/5461diagnostic accuracy of computer-guided implant placementCBCT analysis of implant placement accuracy in esthetic area |
| spellingShingle | Mario Caggiano Alessandra Amato Alfonso Acerra Francesco D’Ambrosio Stefano Martina Evaluation of Deviations between Computer-Planned Implant Position and In Vivo Placement through 3D-Printed Guide: A CBCT Scan Analysis on Implant Inserted in Esthetic Area Applied Sciences diagnostic accuracy of computer-guided implant placement CBCT analysis of implant placement accuracy in esthetic area |
| title | Evaluation of Deviations between Computer-Planned Implant Position and In Vivo Placement through 3D-Printed Guide: A CBCT Scan Analysis on Implant Inserted in Esthetic Area |
| title_full | Evaluation of Deviations between Computer-Planned Implant Position and In Vivo Placement through 3D-Printed Guide: A CBCT Scan Analysis on Implant Inserted in Esthetic Area |
| title_fullStr | Evaluation of Deviations between Computer-Planned Implant Position and In Vivo Placement through 3D-Printed Guide: A CBCT Scan Analysis on Implant Inserted in Esthetic Area |
| title_full_unstemmed | Evaluation of Deviations between Computer-Planned Implant Position and In Vivo Placement through 3D-Printed Guide: A CBCT Scan Analysis on Implant Inserted in Esthetic Area |
| title_short | Evaluation of Deviations between Computer-Planned Implant Position and In Vivo Placement through 3D-Printed Guide: A CBCT Scan Analysis on Implant Inserted in Esthetic Area |
| title_sort | evaluation of deviations between computer planned implant position and in vivo placement through 3d printed guide a cbct scan analysis on implant inserted in esthetic area |
| topic | diagnostic accuracy of computer-guided implant placement CBCT analysis of implant placement accuracy in esthetic area |
| url | https://www.mdpi.com/2076-3417/12/11/5461 |
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