Influence of guide support on the accuracy of static Computer-Assisted Implant Surgery (sCAIS) in partially edentulous cases using a keyless guiding system: an in vitro study DOI Creative Commons
David Kasradze,

Ričardas Kubilius

BMC Oral Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: April 13, 2025

To evaluate the influence of guide support on accuracy sCAIS using a keyless guiding system in different cases partial edentulism. Sixty polyamide models partially edentulous maxillae, simulating anterior and posterior single-tooth gaps as well distal extended areas, were fabricated. Full-arch, 2-teeth, 4-teeth supported surgical guides used to place implants at FDI 15, 17, 21, 26 sites Model A 12, 22, 15 B. In total, 210 replica placed 120 seven implantation sites. Three-dimensional crestal apical, angular vertical deviations from planned implant positions compared Kruskal-Wallis H test with Dunn's procedure for multiple pairwise comparisons. Overall median 3D apical 2-teeth (0.62 mm [0.45-0.84], 0.92 [0.69-1.25]) (0.65 [0.52-0.81], 1.01 [0.8-1.26]) significalty lower full-arch group (0.86 [0.63-0.98], 1.26 [0.98-1.52]) values p < 0.017. (2.61° [1.71-3.75], 0.32 [0.15-0.44]) significantly compare (3.22° [2.25-4.41], 0.46 [0.24-0.62]). subgroup analysis, exhibited higher support, whereas 21 site. The all groups did not exceed recommended safety margins. Statistically significant differences found between groups, varying across Not applicable.

Language: Английский

The Influence of Guiding Concept on the Accuracy of Static Computer-Assisted Implant Surgery in Partially Edentulous Cases: An In Vitro Study DOI Creative Commons
David Kasradze,

Ričardas Kubilius

Medicina, Journal Year: 2025, Volume and Issue: 61(4), P. 617 - 617

Published: March 28, 2025

Background and Objectives: Static Computer-Assisted Implant Surgery (sCAIS) can be performed with different drill guiding systems. This study aimed to compare the accuracy of two concepts sCAIS in partially edentulous cases. Materials Methods: Forty polyamide models maxillae seven implantation sites were fabricated. In total, 140 replica implants placed keyless (KL) drill-key (DK) systems using static, full-arch, tooth-supported surgical guides. Three-dimensional crestal apical, angular vertical deviations from planned implant positions compared Mann–Whitney U Kruskal–Wallis H tests. Intergroup homogeneity variance was examined Levene’s test assess precision. Results: Overall median 3D apical KL group significantly higher DK (0.86 mm [0.63–0.98] vs. 0.72 [0.52–0.89], p = 0.006 1.26 [0.98–1.52] 1.13 [0.70–1.45], 0.012). subgroup analysis, a system showed (p 0.029), < 0.001) extended anterior area, proximal posterior single-tooth gap distal site free-end situation. Contrarily, lower 0.007), 0.001), 0.003) gap, 0.007) situation 0.019) Conclusions: The both did not exceed recommended safety margins. Statistically significant differences found between concepts. Guiding superior varied across implantation.

Language: Английский

Citations

1
Factors affecting stability of surgical guides in mandibular unilateral distal extension situation: An in vitro study DOI
Esraa Anwer Elnadoury,

Yousria Gaweesh,

Shaimaa Abu El Sadat

et al.

Journal of Prosthodontics, Journal Year: 2025, Volume and Issue: unknown

Published: March 4, 2025

Unilateral tooth-supported guides reported less effective implant placement than bilateral guides. Therefore, this study evaluated the effect of guide design, replaced tooth location, and applied forces on deviation stability mandibular unilateral Ten epoxy resin models with soft tissue simulated material were used. For each model, three surgical designs generated: a fully extended guide, two fixation pins, one pin. Two sleeves incorporated in for premolar molar. Forces from buccal oral directions (0.1 N, 1 2.5 5 N). An intraoral scanner captured resulting displacement. Virtual implants added to scan (470 virtual implants) measure their original planned position. Surgical pins showed least vertical (0.38 ± 0.27 mm, p<0.001) (0.52 0.25 p<0.001). Guide design has small medium size all measurements(p<0.001). Force direction significantly large (η2 = 0.15, magnitude greatly affects angular 0.34, A larger was detected molar location (0.59 0.48 mm Incorporating into enhances minimizes deviation. However, during guided surgery have substantial impact, exceeding influence design.

Language: Английский

Citations

0
Influence of guide support on the accuracy of static Computer-Assisted Implant Surgery (sCAIS) in partially edentulous cases using a keyless guiding system: an in vitro study DOI Creative Commons
David Kasradze,

Ričardas Kubilius

BMC Oral Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: April 13, 2025

To evaluate the influence of guide support on accuracy sCAIS using a keyless guiding system in different cases partial edentulism. Sixty polyamide models partially edentulous maxillae, simulating anterior and posterior single-tooth gaps as well distal extended areas, were fabricated. Full-arch, 2-teeth, 4-teeth supported surgical guides used to place implants at FDI 15, 17, 21, 26 sites Model A 12, 22, 15 B. In total, 210 replica placed 120 seven implantation sites. Three-dimensional crestal apical, angular vertical deviations from planned implant positions compared Kruskal-Wallis H test with Dunn's procedure for multiple pairwise comparisons. Overall median 3D apical 2-teeth (0.62 mm [0.45-0.84], 0.92 [0.69-1.25]) (0.65 [0.52-0.81], 1.01 [0.8-1.26]) significalty lower full-arch group (0.86 [0.63-0.98], 1.26 [0.98-1.52]) values p < 0.017. (2.61° [1.71-3.75], 0.32 [0.15-0.44]) significantly compare (3.22° [2.25-4.41], 0.46 [0.24-0.62]). subgroup analysis, exhibited higher support, whereas 21 site. The all groups did not exceed recommended safety margins. Statistically significant differences found between groups, varying across Not applicable.

Language: Английский

Citations

0