Accuracy of computer-guided oral implant placement and influencing factors_Journal of Biomedical Engineering

Authors：

CHEN Yunli ,  SU Baohui

College of Biomedical Engineering, Sichuan University, Chengdu 610065, P. R. China;

Corresponding author：

Keywords：

Computer-guided; Digital; Oral implant; Guide template; Accuracy

DOI：

10.7507/1001-5515.202110070

Video：

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With the development of computer and digital technology, the application of computer-aided technology has become a new trend in the field of oral implant. Computer-guided oral implant surgery has the advantages of being safer and more accurate than traditional implant surgery, and it can truly realize the concept of restoration-oriented implant. However, computer-guided oral implant surgery has various steps which cause deviations accumulation, so that some clinicians remain sceptical about the accuracy of the technology. Currently, due to the lack of a quantitative system for evaluating the accuracy of computer-guided oral implantation, the implant deviation in each step is still inconclusively in the stage of research and debate. The purpose of this paper is to summarize the advantages and disadvantages, research progress, accuracy and influencing factors of computer-guided oral implantation, aiming to provide a reference for improving implant accuracy and guiding clinical design and surgery.

Citation： CHEN Yunli, SU Baohui. Accuracy of computer-guided oral implant placement and influencing factors. Journal of Biomedical Engineering, 2022, 39(4): 841-847. doi: 10.7507/1001-5515.202110070 Copy

1.	李晋蒙, 欧国敏. 计算机辅助设计种植导板精度及其影响因素. 华西口腔医学杂志, 2017, 35(1): 93-98.
2.	施文斌, 毛红. 数字化口腔种植技术及其临床应用. 石家庄: 河北科学技术出版社, 2019: 1-111.
3.	Kaewsiri D, Panmekiate S, Subbalenkha K, et al. The accuracy of static vs. dynamic computer-assisted implant surgery in single tooth space: a randomized controlled trial. Clin Oral Impl Res, 2019, 30: 505-514.
4.	Guzmán A M, Deglow E R, Zubizarreta-Macho A, et al. Accuracy of computer-aided dynamic navigation compared to computer-added static navigation for dental implant placement: an in vitro study. J Clin Med, 2019, 8: 2123.
5.	Parra-Tresserra A, Marquès-Guasch J, Ortega-Martínez J, et al. Current state of dynamic surgery. a literature review. Med Oral Patol Oral Cir Bucal, 2021, 26(5): e576-e581.
6.	Nagata K, Fuchigami K, Hoshi N, et al. Accuracy of guided surgery using the silicon impression and digital impression method for the mandibular free end: a comparative study. International Journal of Implant Dentistry, 2021, 7: 2.
7.	Murat S, Kamburoğlu K, Özen T. Accuracy of a newly developed cone-beam computerized tomography-aided surgical guidance system for dental implant placement: an ex vivo study. J Oral Implantol, 2012, 38(6): 706-712.
8.	Ravidà A, Barootchi S, Tattan M, et al. Clinical outcomes and cost effectiveness of computer-guided versus conventional implant-retained hybrid prostheses: a long-term retrospective analysis of treatment protocols. J Periodontol, 2018, 89(9): 1015-1024.
9.	Kiatkroekkrai P, Takolpuckdee C, Subbalekha K, et al. Accuracy of implant position when placed using static computer-assisted implant surgical guides manufactured with two different optical scanning techniques: a randomized clinical trial. Int J Oral Maxillofac Surg, 2020, 49(3): 377-383.
10.	Martelli N, Serrano Carole, Brink H, et al. Advantages and disadvantages of 3-dimensional printing in surgery: a systematic review. Surgery, 2016, 159(6): 1485-1500.
11.	Lin C C, Ishikawa M, Huang B H, et al. In vitro accuracy of static guided implant surgery measured by optical scan: examining the impact of operator experience. Appl Sci, 2020, 10: 2718.
12.	Franchina A, Stefanelli L V, Maltese F, et al. Validation of an intra-oral method versus cone beam computed tomography superimposition to assess the accuracy between planned and achieved dental implants: a randomized in vitro study. Int J Environ Res Public Health, 2020, 17: 9358.
13.	Skjerven H, Olsen-Bergem H, Rønold H J, et al. Comparison of postoperative intraoral scan versus cone beam computerised tomography to measure accuracy of guided implant placement-a prospective clinical study. Clin Oral Implants Res, 2019, 30(6): 531-541.
14.	Van Assche N, Vercruyssen M, Coucke W, et al. Accuracy of computer-aided implant placement. Clin Oral Implants Res, 2012, 23 Suppl 6(Suppl.6): 112-123.
15.	Tahmaseb A, Wu V, Wismeijer D, et al. The accuracy of static computer-aided implant surgery: a systematic review and meta-analysis. Clin Oral Implants Res, 2018, 29(Suppl.16): 416-435.
16.	Sigcho López D A, García I, Da Silva Salomao G, et al. Potential deviation factors affecting stereolothograpchic surgical guides: a systematic review. Implant Dentistry, 2019, 28(1): 68-73.
17.	Lin C C, Wu C Z, Huang M S, et al. Fully digital workflow for planning static guided implant surgery: a prospective accuracy study. J Clin Med, 2020, 9: 980.
18.	Vasak C, Strbac G D, Huber C D, et al. Evaluation of three different validation procedures regarding the accuracy of template-guided implant placement: an in vitro study. Clinical Implant Dentistry and Related Research, 2015, 17(1): 142-159.
19.	Jamjoom F Z, Kim D G, Mcglumphy E A, et al. Positional accuracy of a prosthetic treatment plan incorporated into a cone beam computed tomography scan using surface scan registration. J Prosthet Dent, 2018, 120(3): 367-374.
20.	Woo H W, Mai H N, Lee D H. Comparison of the accuracy of image registration methods for merging optical scan and radiographic data in edentulous jaws. J Prosthodont, 2020, 29(8): 707-711.
21.	Matta R E, Bergauer B, Adler W A, et al. The impact of the fabrication method on the three-dimensional accuracy of an implant surgery template. Journal of Cranio-Maxillofacial Surgery, 2017, 45(6): 804-808.
22.	Schnutenhaus S, Edelmann C, Rudolph H, et al. Does the macro design of an implant affect the accuracy of template-guided implantation? a prospective clinical study. International Journal of Implant Dentistry, 2021, 7(1): 42.
23.	Gjelvold B, Mahmood D J H, Wennerberg A. Accuracy of surgical guides from 2 different desktop 3D printers for computed tomography-guided surgery. The Journal of Prosthetic Dentistry, 2019, 121(3): 498-503.
24.	Chen L, Lin W S, Polido W D, et al. Accuracy, reproducibility, and dimensional stability of additively manufactured surgical templates. The Journal of Prosthetic Dentistry, 2019, 122(3): 309-314.
25.	Herschdorfer L, Negreiros W M, Gallucci G O, et al. Comparison of the accuracy of implants placed with CAD-CAM surgical templates manufactured with various 3D printers: an in vitro study. J Prosthet Dent, 2021, 125(6): 905-910.
26.	Pieralli S, Spies B C, Hromadnik V, et al. How accurate is oral implant installation using surgical guides printed from a degradable and steam-sterilized biopolymer?. J Clin Med, 2020, 9(8): 2322.
27.	Henprasert P, Dawson D V, El-Kerdani T, et al. Comparison of the accuracy of implant position using surgical guides fabricated by additive and subtractive techniques. J Prosthodont, 2020, 29(6): 534-541.
28.	Chai J Y, Liu X Q, Schweyen R, et al. Accuracy of implant surgical guides fabricated using computer numerical control milling for edentulous Jaws:a pilot clinical trial. BMC Oral Health, 2020, 20: 288.
29.	Abduo J, Lau D. Effect of manufacturing technique on the accuracy of surgical guides for static computer-aided implant surgery. Int J Oral Maxillofac Implants, 2020, 35(5): 931-938.
30.	Revilla-León M, Sadeghpour M, Özcan M. An update on applications of 3D printing technologies used for processing polymers used in implant dentistry. Odontology, 2020, 108(3): 331-338.
31.	Mai H N, Lee D H. Effects of supporting conditions and anchor microscrew on the stabilization of the implant guide template during the drilling process: an in vitro study. The Journal of Prosthetic Dentistry, 2020, 124(6): 727.e1-727.e8.
32.	Lou F Z, Rao P C, Zhang M R, et al. Accuracy evaluation of partially guided and fully guided templates applied to implant surgery of anterior teeth: a randomized controlled trial. Clin Implant Dent Relat Res, 2021, 23(1): 117-130.
33.	Chen Y, Zhang X Q, Wang M X, et al. Accuracy of full-guided and half-guided surgical templates in anterior immediate and delayed implantation:a retrospective study. Materials, 2021, 14: 26.
34.	Abduo J, Lau D. Accuracy of static computer-assisted implant placement in anterior and posterior sites by clinicians new to implant dentistry: in vitro comparison of fully guided, pilot-guided, and freehand protocols. International Journal of Implant Dentistry, 2020, 6: 10.
35.	Schulz M C, Hofmann F, Range U, et al. Pilot-drill guided vs. full-guided implant insertion in artificial mandibles-a prospective laboratory study in fifth-year dental students. International Journal of Implant Dentistry, 2019, 5: 23.
36.	Younes F, Cosyn J, de Bruyckere T, et al. A randomized controlled study on the accuracy of free-handed,pilot-drill guided and fully guided implant surgery in partially edentulous patients. J Clin Periodontol, 2018, 45(6): 721-732.
37.	Lin C C, Ishikawa M, Maida T, et al. Stereolithographic surgical guide with a combination of tooth and bone support: accuracy of guided implant surgery in distal extension situation. J Clin Med, 2020, 9: 709.
38.	El Kholy K, Lazarin R, Janner S, et al. Influence of surgical guide support and implant site location on accuracy of static computer-assisted implant surgery. Clin Oral Implants Res, 2019, 30(11): 1067-1075.
39.	Tang T H, Huang Z L, Liao L M, et al. Factors that influence direction deviation in freehand implant placement. J Prosthodont, 2019, 28(5): 511-518.
40.	Zhou W, Liu Z, Song L, et al. Clinical factors affecting the accuracy of guided implant surgery-a systematic review and meta-analysis. J Evid Based Dent Pract, 2018, 18(1): 28-40.
41.	Vinci R, Manacorda M, Abundo R, et al. Accuracy of edentulous computer-aided implant surgery as compared to virtual planning: a retrospective multicenter study. J Clin Med, 2020, 9: 774.
42.	Schnutenhaus S, Brunken L, Edelmann C, et al. Alveolar ridge preservation and primary stability as influencing factors on the transfer accuracy of static guided implant placement: a prospective clinical trial. BMC Oral Health, 2020, 20: 178.
43.	Kivovics M, Pénzes D, Németh O, et al. The influence of surgical experience and bone density on the accuracy of static computer-assisted implant surgery in edentulous jaws using a mucosa-supported surgical template with a half-guided implant placement protocol-a randomized clinical study. Materials, 2020, 13: 5759.
44.	Rungcharassaeng K, Caruso J M, Kan J Y, et al. Accuracy of computer-guided surgery: a comparison of operator experience. J Prosthet Dent, 2015, 114(3): 407-413.
45.	El Kholy K, Janner S F M, Schimmel M, et al. The influence of guided sleeve height, drilling distance, and drilling key length on the accuracy of static computer-assisted implant surgery. Clin Implant Dent Relat Res, 2019, 21(1): 101-107.
46.	Lim J H, Bayarsaikhan E, Shin S H, et al. Effects of groove sealing of the posterior occlusal surface and offset of the internal surface on the internal fit and accuracy of implant placements using 3D-printed surgical guides:an in vitro study. Polymers, 2021, 13: 1236.

1. 李晋蒙, 欧国敏. 计算机辅助设计种植导板精度及其影响因素. 华西口腔医学杂志, 2017, 35(1): 93-98.
2. 施文斌, 毛红. 数字化口腔种植技术及其临床应用. 石家庄: 河北科学技术出版社, 2019: 1-111.
3. Kaewsiri D, Panmekiate S, Subbalenkha K, et al. The accuracy of static vs. dynamic computer-assisted implant surgery in single tooth space: a randomized controlled trial. Clin Oral Impl Res, 2019, 30: 505-514.
4. Guzmán A M, Deglow E R, Zubizarreta-Macho A, et al. Accuracy of computer-aided dynamic navigation compared to computer-added static navigation for dental implant placement: an in vitro study. J Clin Med, 2019, 8: 2123.
5. Parra-Tresserra A, Marquès-Guasch J, Ortega-Martínez J, et al. Current state of dynamic surgery. a literature review. Med Oral Patol Oral Cir Bucal, 2021, 26(5): e576-e581.
6. Nagata K, Fuchigami K, Hoshi N, et al. Accuracy of guided surgery using the silicon impression and digital impression method for the mandibular free end: a comparative study. International Journal of Implant Dentistry, 2021, 7: 2.
7. Murat S, Kamburoğlu K, Özen T. Accuracy of a newly developed cone-beam computerized tomography-aided surgical guidance system for dental implant placement: an ex vivo study. J Oral Implantol, 2012, 38(6): 706-712.
8. Ravidà A, Barootchi S, Tattan M, et al. Clinical outcomes and cost effectiveness of computer-guided versus conventional implant-retained hybrid prostheses: a long-term retrospective analysis of treatment protocols. J Periodontol, 2018, 89(9): 1015-1024.
9. Kiatkroekkrai P, Takolpuckdee C, Subbalekha K, et al. Accuracy of implant position when placed using static computer-assisted implant surgical guides manufactured with two different optical scanning techniques: a randomized clinical trial. Int J Oral Maxillofac Surg, 2020, 49(3): 377-383.
10. Martelli N, Serrano Carole, Brink H, et al. Advantages and disadvantages of 3-dimensional printing in surgery: a systematic review. Surgery, 2016, 159(6): 1485-1500.
11. Lin C C, Ishikawa M, Huang B H, et al. In vitro accuracy of static guided implant surgery measured by optical scan: examining the impact of operator experience. Appl Sci, 2020, 10: 2718.
12. Franchina A, Stefanelli L V, Maltese F, et al. Validation of an intra-oral method versus cone beam computed tomography superimposition to assess the accuracy between planned and achieved dental implants: a randomized in vitro study. Int J Environ Res Public Health, 2020, 17: 9358.
13. Skjerven H, Olsen-Bergem H, Rønold H J, et al. Comparison of postoperative intraoral scan versus cone beam computerised tomography to measure accuracy of guided implant placement-a prospective clinical study. Clin Oral Implants Res, 2019, 30(6): 531-541.
14. Van Assche N, Vercruyssen M, Coucke W, et al. Accuracy of computer-aided implant placement. Clin Oral Implants Res, 2012, 23 Suppl 6(Suppl.6): 112-123.
15. Tahmaseb A, Wu V, Wismeijer D, et al. The accuracy of static computer-aided implant surgery: a systematic review and meta-analysis. Clin Oral Implants Res, 2018, 29(Suppl.16): 416-435.
16. Sigcho López D A, García I, Da Silva Salomao G, et al. Potential deviation factors affecting stereolothograpchic surgical guides: a systematic review. Implant Dentistry, 2019, 28(1): 68-73.
17. Lin C C, Wu C Z, Huang M S, et al. Fully digital workflow for planning static guided implant surgery: a prospective accuracy study. J Clin Med, 2020, 9: 980.
18. Vasak C, Strbac G D, Huber C D, et al. Evaluation of three different validation procedures regarding the accuracy of template-guided implant placement: an in vitro study. Clinical Implant Dentistry and Related Research, 2015, 17(1): 142-159.
19. Jamjoom F Z, Kim D G, Mcglumphy E A, et al. Positional accuracy of a prosthetic treatment plan incorporated into a cone beam computed tomography scan using surface scan registration. J Prosthet Dent, 2018, 120(3): 367-374.
20. Woo H W, Mai H N, Lee D H. Comparison of the accuracy of image registration methods for merging optical scan and radiographic data in edentulous jaws. J Prosthodont, 2020, 29(8): 707-711.
21. Matta R E, Bergauer B, Adler W A, et al. The impact of the fabrication method on the three-dimensional accuracy of an implant surgery template. Journal of Cranio-Maxillofacial Surgery, 2017, 45(6): 804-808.
22. Schnutenhaus S, Edelmann C, Rudolph H, et al. Does the macro design of an implant affect the accuracy of template-guided implantation? a prospective clinical study. International Journal of Implant Dentistry, 2021, 7(1): 42.
23. Gjelvold B, Mahmood D J H, Wennerberg A. Accuracy of surgical guides from 2 different desktop 3D printers for computed tomography-guided surgery. The Journal of Prosthetic Dentistry, 2019, 121(3): 498-503.
24. Chen L, Lin W S, Polido W D, et al. Accuracy, reproducibility, and dimensional stability of additively manufactured surgical templates. The Journal of Prosthetic Dentistry, 2019, 122(3): 309-314.
25. Herschdorfer L, Negreiros W M, Gallucci G O, et al. Comparison of the accuracy of implants placed with CAD-CAM surgical templates manufactured with various 3D printers: an in vitro study. J Prosthet Dent, 2021, 125(6): 905-910.
26. Pieralli S, Spies B C, Hromadnik V, et al. How accurate is oral implant installation using surgical guides printed from a degradable and steam-sterilized biopolymer?. J Clin Med, 2020, 9(8): 2322.
27. Henprasert P, Dawson D V, El-Kerdani T, et al. Comparison of the accuracy of implant position using surgical guides fabricated by additive and subtractive techniques. J Prosthodont, 2020, 29(6): 534-541.
28. Chai J Y, Liu X Q, Schweyen R, et al. Accuracy of implant surgical guides fabricated using computer numerical control milling for edentulous Jaws:a pilot clinical trial. BMC Oral Health, 2020, 20: 288.
29. Abduo J, Lau D. Effect of manufacturing technique on the accuracy of surgical guides for static computer-aided implant surgery. Int J Oral Maxillofac Implants, 2020, 35(5): 931-938.
30. Revilla-León M, Sadeghpour M, Özcan M. An update on applications of 3D printing technologies used for processing polymers used in implant dentistry. Odontology, 2020, 108(3): 331-338.
31. Mai H N, Lee D H. Effects of supporting conditions and anchor microscrew on the stabilization of the implant guide template during the drilling process: an in vitro study. The Journal of Prosthetic Dentistry, 2020, 124(6): 727.e1-727.e8.
32. Lou F Z, Rao P C, Zhang M R, et al. Accuracy evaluation of partially guided and fully guided templates applied to implant surgery of anterior teeth: a randomized controlled trial. Clin Implant Dent Relat Res, 2021, 23(1): 117-130.
33. Chen Y, Zhang X Q, Wang M X, et al. Accuracy of full-guided and half-guided surgical templates in anterior immediate and delayed implantation:a retrospective study. Materials, 2021, 14: 26.
34. Abduo J, Lau D. Accuracy of static computer-assisted implant placement in anterior and posterior sites by clinicians new to implant dentistry: in vitro comparison of fully guided, pilot-guided, and freehand protocols. International Journal of Implant Dentistry, 2020, 6: 10.
35. Schulz M C, Hofmann F, Range U, et al. Pilot-drill guided vs. full-guided implant insertion in artificial mandibles-a prospective laboratory study in fifth-year dental students. International Journal of Implant Dentistry, 2019, 5: 23.
36. Younes F, Cosyn J, de Bruyckere T, et al. A randomized controlled study on the accuracy of free-handed,pilot-drill guided and fully guided implant surgery in partially edentulous patients. J Clin Periodontol, 2018, 45(6): 721-732.
37. Lin C C, Ishikawa M, Maida T, et al. Stereolithographic surgical guide with a combination of tooth and bone support: accuracy of guided implant surgery in distal extension situation. J Clin Med, 2020, 9: 709.
38. El Kholy K, Lazarin R, Janner S, et al. Influence of surgical guide support and implant site location on accuracy of static computer-assisted implant surgery. Clin Oral Implants Res, 2019, 30(11): 1067-1075.
39. Tang T H, Huang Z L, Liao L M, et al. Factors that influence direction deviation in freehand implant placement. J Prosthodont, 2019, 28(5): 511-518.
40. Zhou W, Liu Z, Song L, et al. Clinical factors affecting the accuracy of guided implant surgery-a systematic review and meta-analysis. J Evid Based Dent Pract, 2018, 18(1): 28-40.
41. Vinci R, Manacorda M, Abundo R, et al. Accuracy of edentulous computer-aided implant surgery as compared to virtual planning: a retrospective multicenter study. J Clin Med, 2020, 9: 774.
42. Schnutenhaus S, Brunken L, Edelmann C, et al. Alveolar ridge preservation and primary stability as influencing factors on the transfer accuracy of static guided implant placement: a prospective clinical trial. BMC Oral Health, 2020, 20: 178.
43. Kivovics M, Pénzes D, Németh O, et al. The influence of surgical experience and bone density on the accuracy of static computer-assisted implant surgery in edentulous jaws using a mucosa-supported surgical template with a half-guided implant placement protocol-a randomized clinical study. Materials, 2020, 13: 5759.
44. Rungcharassaeng K, Caruso J M, Kan J Y, et al. Accuracy of computer-guided surgery: a comparison of operator experience. J Prosthet Dent, 2015, 114(3): 407-413.
45. El Kholy K, Janner S F M, Schimmel M, et al. The influence of guided sleeve height, drilling distance, and drilling key length on the accuracy of static computer-assisted implant surgery. Clin Implant Dent Relat Res, 2019, 21(1): 101-107.
46. Lim J H, Bayarsaikhan E, Shin S H, et al. Effects of groove sealing of the posterior occlusal surface and offset of the internal surface on the internal fit and accuracy of implant placements using 3D-printed surgical guides:an in vitro study. Polymers, 2021, 13: 1236.

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Accuracy of computer-guided oral implant placement and influencing factors

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