ACCURACY OF GUIDED IMPLANT INSERTION IN MANDIBULAR FREE-END SADDLE AREAS USING STEREOLITHOGRAPHIC SURGICAL STENT
Abd Alkader, W., Fahmy, M., ElAshwah, A. (2020). ACCURACY OF GUIDED IMPLANT INSERTION IN MANDIBULAR FREE-END SADDLE AREAS USING STEREOLITHOGRAPHIC SURGICAL STENT. EKB Journal Management System, 45(1), 117-122. doi: 10.21608/adjalexu.2020.79975
Waleed M. Abd Alkader; Magued H. Fahmy; Adham A. ElAshwah. "ACCURACY OF GUIDED IMPLANT INSERTION IN MANDIBULAR FREE-END SADDLE AREAS USING STEREOLITHOGRAPHIC SURGICAL STENT". EKB Journal Management System, 45, 1, 2020, 117-122. doi: 10.21608/adjalexu.2020.79975
Abd Alkader, W., Fahmy, M., ElAshwah, A. (2020). 'ACCURACY OF GUIDED IMPLANT INSERTION IN MANDIBULAR FREE-END SADDLE AREAS USING STEREOLITHOGRAPHIC SURGICAL STENT', EKB Journal Management System, 45(1), pp. 117-122. doi: 10.21608/adjalexu.2020.79975
Abd Alkader, W., Fahmy, M., ElAshwah, A. ACCURACY OF GUIDED IMPLANT INSERTION IN MANDIBULAR FREE-END SADDLE AREAS USING STEREOLITHOGRAPHIC SURGICAL STENT. EKB Journal Management System, 2020; 45(1): 117-122. doi: 10.21608/adjalexu.2020.79975

ACCURACY OF GUIDED IMPLANT INSERTION IN MANDIBULAR FREE-END SADDLE AREAS USING STEREOLITHOGRAPHIC SURGICAL STENT

Alexandria Dental Journal
Article 20, Volume 45, Issue 1, April 2020, Page 117-122  XML PDF (591.84 K)
Document Type: Original Article
DOI: 10.21608/adjalexu.2020.79975
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Authors
Waleed M. Abd Alkader email 1; Magued H. Fahmy2; Adham A. ElAshwah2
1Instructor in Oral and Maxillofacial surgery Department, Alexandria Police Hospital.
2Professor in Oral and Maxillofacial surgery Department, Faculty of Dentistry, Alexandria University.
Abstract
Introduction: The success of implant therapy depends primarily on appropriate treatment planning and properly performed implant placement surgery.Guided implant surgery (template based guided cavity preparation and guided implant insertion) is effective to guide the implant placement.This can be achieved by means of a surgical guide Stent.Stents are designed in conventional methods or stereolithography which allows the fabrication of surgical guides from 3D computer generated models for precise placement of the implants.
Objectives: Assess the accuracy of stereolithographic surgical stent to orientate implant insertion in mandibular free-end saddle areas.
Materials and methods: A total of 12 implants will be placed in patients having mandibular free end- saddle areas selected from the outpatient section of the department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, after virtual implant planning with implant studio software, the implants will be inserted using stereolithographical  design of surgical stent then measuring the deviation between the planned implant position before the surgery and the actual position of placed implant after surgical procedure.
Results:Evaluation of the accuracy of placement was done by measuring the overall deviations between virtually planned and surgically placed dental implants.The mean of total angular difference in implant with stereolithographic stent were 10.9 ± 9.4°.While The Mean of total coronal differences in stereolithographic guided implant were 0.96 mm ± 0.7 mm.The Mean of total apical differences in stereolithographic guided implant were 1.8 ± 1.3 mm
Conclusions: The stereolithographic surgical template was sufficiently accurate in transferring the planned implant position to the surgical field relative to the implant angulation and point of entrance.
Keywords
Implant studio; stereolithography; guided implant surgery; surgical stents
References
  1. Shotwell JL, Billy EJ, Wang HL, Oh TJ. Implant surgical guide fabrication for partially edentulous patients. J Prosthet Dent 2005;93:294-7.
  2. Akca K, Iplikcio H. Evaluation of the effect of the residual bone angulation on implant-supported fixed prosthesis in mandibular posterior edentulism. Part II: 3-D finite element stress analysis. Implant Dent 2001;10:238-45.
  3. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent 2003;90:121-324.
  4. Breanemark PI, Adell R, Breine U, Hansson BO, Lindstrom J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg 1969;3:81-100.
  5. Wismeijer D, Casentini P, Chiapasco M. Pre-operative assessment and prosthetic planning: The edentulous patient. In: Wismekjer D, Buser D, Belser U (eds). ITI treatment guide. Berlin, Germany: Quintessence Publishing; 2010. p.13-34.
  6. Engelman MJ, Sorensen JA, Moy P. Optimum placement of osseointegrated implants. J Prosthet Dent. 1988;59:467– 473.
  7. American Dental Association and U.S. Department of Health and Human Services. The selection of patients for dental radiographic examinations. Chicago: American Dental Association; 2004.
  8. William C, Allan G. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc 2006;72:75-80.
  9. Mischkowski RA, Zinser MJ, Neugebauer J, Kübler AC, Zöller JE. Comparison of static and dynamic computerassisted guidance methods in implantology. Int J Comput Dent 2006;9:23-3575.
  10. 1Yong LT, Moy PK.Complications of computer-aideddesign/computer-aided-machining-guided (NobelGuide) surgical implant placement: an evaluation of early clinical results. Clin Implant Dent Relat Res 2008;10:123-7.
  11. Balshi SF, Wolfinger GJ, Balshi TJ. Surgical planning and prosthesis construction using computed tomography, CAD/CAM technology, and the Internet for immediate loading of dental implants. J Esthet Restor Dent 2006;18:312-23.
  12. Lal K, White GS, Morea DN, Wright RF. Use of stereolithographic templates for surgical and prosthodontic implant planning and placement. Part II. A clinical report. J Prosthodont 2006;15:117-22.
  13. Amorfini L, Storelli S, Romeo E.Rehabilitation of a dentate mandible requiring a full arch rehabilitation. Immediate loading of a fixed complete denture on 8 implants placed with a bone-supported surgical computer-planned guide: a case report. J Oral Implantol 2011;37:106-13.
  14. Parein AM, Eckert SE, Wollan P, Keller EE. Implant reconstruction in the posterior mandible: a long-term retrospective study. J Prosthet Dent 1997;78:34-42.
  15. Marchack CB. CAD/CAM-guided implant surgery and fabrication of an immediately loaded prosthesis for a partially edentulous patient. The Journal of prosthetic dentistry. 2007;97:389-94.
  16. Naziri E, Schramm A, Wilde F. Accuracy of computerassisted implant placement with insertion templates. GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW. 2016;5:Doc15.
  17. Ersoy AE, Turkyilmaz I, Ozan O, McGlumphy EA. Reliability of implant placement with stereolithographic surgical guides generated from computed tomography: clinical data from 94 implants. J Periodontol. 2008;79:1339-45.
  18. Nikzad S, Azari A. A novel stereolithographic surgical guide template for planning treatment involving a mandibular dental implant. J Oral Maxillofac Surg. 2008;66:1446-54.
  19. Bolender CL. Indications and contraindications for different types of implant therapy. J Dent Educ 1988;52:757-9.
  20. Dhanrajani PJ, Al-Rafee MA. Single-tooth implant restorations: a retrospective study. Implant Dent. 2005;14:125-30.
  21. Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants. 2005;20:569-77.
  22. Balshi TJ, Wolfinger GJ. Two-implant-supported single molar replacement: interdental space requirements and comparison to alternative options. Int J Periodontics Restorative Dent. 1997;17:426-35.
  23. Holahan CM, Koka S, Kennel KA, Weaver AL, Assad DA, Regennitter FJ, et al. Effect of osteoporotic status on the survival of titanium dental implants. Int J Oral Maxillofac Implants. 2008;23:905-10.
  24. Clementini M, Rossetti PH, Penarrocha D, Micarelli C, Bonachela WC, Canullo L. Systemic risk factors for periimplant bone loss: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2014;43:323-34.
  25. Cassetta M, Sofan AA, Altieri F, Barbato E. Evaluation of alveolar cortical bone thickness and density for orthodontic mini-implant placement. J Clin Exp Dent. 2013;5:e245-52.
  26. Bornstein MM, Scarfe WC, Vaughn VM, Jacobs R. Cone beam computed tomography in implant dentistry: a systematic review focusing on guidelines, indications, and radiation dose risks. Int J Oral Maxillofac Implants. 2014;29:55-77.
  27. Chasioti E, Sayed M, Drew H. Novel techniques with the aid of a staged CBCT guided surgical protocol. Case Rep Dent. 2015; 8:39-76.
  28. Mello LA, Garcia RR, Leles JL, Leles CR, Silva MA. Impact of cone-beam computed tomography on implant planning and on prediction of implant size. Braz Oral Res. 2014;28:46-53.
  29. Di Giacomo GA, Cury PR, de Araujo NS, Sendyk WR, Sendyk CL. Clinical application of stereolithographic surgical guides for implant placement: preliminary results. J Periodontol. 2005;76:503-7.
  30. Valente F, Schiroli G, Sbrenna A. Accuracy of computeraided oral implant surgery: a clinical and radiographic study. Int J Oral Maxillofac Implants. 2009;24:234-42.
  31. Farley NE, Kennedy K, McGlumphy EA, Clelland NL. Split-mouth comparison of the accuracy of computergenerated and conventional surgical guides. Int J Oral Maxillofac Implants. 2013;28:563-72.
  32. Schneider D, Marquardt P, Zwahlen M, Jung RE. A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry. Clin Oral Implants Res. 2009;20:73-86.
  33. D'Haese J, Van De Velde T, Komiyama A, Hultin M, De Bruyn H. Accuracy and complications using computerdesigned stereolithographic surgical guides for oral rehabilitation by means of dental implants: a review of the literature. Clin Implant Dent Relat Res 2012; 14: 321-35e.
  34. Dreiseidler T, Neugebauer J, Ritter L, Lingohr T, Rothamel D, Mischkowski RA, et al. Accuracy of a newly developed integrated system for dental implant planning. Clin Oral Implants Res. 2009;20:1191-9.
  35. Viegas VN, Dutra V, Pagnoncelli RM, de Oliveira MG. Transference of virtual planning and planning over biomedical prototypes for dental implant placement using guided surgery. Clin Oral Implants Res. 2010;21:290-5.
  36. Bruno V, Badino M, Riccitiello F, Spagnuolo G, Amato M. Computer Guided Implantology Accuracy and Complications. Case Rep Dent. 2013;54:70-42.
  37. Pozzi A, Tallarico M, Marchetti M, Scarfo B, Esposito M. Computer-guided versus free-hand placement of immediately loaded dental 97 implants: 1- year post-loading results of a multicentre randomised controlled trial. Eur J Oral Implantol. 2014;7:229-42.
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