Journal Of Clinical Periodontology,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 2, 2024
ABSTRACT
Aim
This
study
aimed
to
evaluate
the
efficiency
of
and
discrepancies
between
planned
final
implant
positions
using
dynamic
computer‐assisted
surgery
(d‐CAIS)
autonomous
robotic
(r‐CAIS)
in
clinical
practice.
Materials
Methods
The
included
83
patients,
who
received
135
implants
December
2022
March
2024
(r‐CAIS
group:
43
patients
with
71
implants;
d‐CAIS
40
64
implants).
Cone‐beam
computed
tomography
scans
taken
before
after
assessed
linear
angular
deviations
groups
both
2D
3D
spaces.
duration
was
also
analysed.
Results
deviation
r‐CAIS
3.61°
±
1.65°
versus
1.62°
0.93°
(
p
<
0.001),
platform
1.12
0.51
mm
0.50
0.19
0.001)
apex
1.36
0.57
0.58
0.21
0.001).
group
experienced
significantly
longer
drilling
placement
times
compared
(10.6
3.8
vs.
8.3
3.4
min,
0.01),
while
preparation
time
showed
no
statistical
difference
(7.2
3.3
6.2
2.7
>
0.05).
Conclusions
system
demonstrated
higher
accuracy
than
navigation
partially
edentulous
patients.
This
clinical
report
presents
the
use
of
a
minimally
invasive,
robot-assisted
windowing
surgery
for
extraction
median
impacted
mandibular
tooth.
The
highlights
precision
and
safety
afforded
by
robotic
assistance
in
performing
complex
dental
procedures.
However,
this
case
also
critically
examines
challenges
associated
with
systems,
including
high
costs,
prolonged
setup
times,
need
specialized
training.
financial
burden
learning
curve
robotic-assisted
are
discussed
context
their
implications
widespread
adoption.
A
24-year-old
male
patient,
good
general
health,
was
diagnosed
tooth,
as
confirmed
cone-beam
computed
tomography
(CBCT)
scans.
Preoperative
vitro
simulations
utilizing
system
were
conducted
to
establish
optimal
surgical
parameters
validate
approach.
then
performed
under
local
anesthesia.
total
operative
time
approximately
90
min,
no
major
complications
reported.
Postoperative
imaging
at
six
months
successful
healing,
patient
expressed
satisfaction
outcome.
underscores
potential
achieve
precise
outcomes
while
minimizing
trauma.
Robot-assisted
has
been
demonstrated
be
feasible
technique
managing
cases,
such
teeth.
approach
enhances
visualization,
ensures
safety,
improves
accuracy,
supporting
its
invasive
alternative
both
maxillofacial
surgeries.
further
research
address
burden,
curve,
long-term
Future
studies
should
focus
on
cost-effectiveness,
comparative
efficacy,
development
more
accessible
systems
ensure
broader
Clinical Implant Dentistry and Related Research,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 15, 2024
ABSTRACT
Background
The
learning
curve
effect
of
dynamic
computer‐assisted
implant
surgery
(D‐CAIS)
was
observed
among
inexperienced
novice
surgeons.
curves
can
provide
valuable
information
for
surgeons
and
valid
comparisons
between
new
conventional
techniques.
Recently,
robotic
(R‐CAIS)
has
shown
promise
as
a
novel
dental
surgical
technique
both
partially
edentulous
patients.
However,
its
remains
unknown.
Purpose
aim
this
study
to
explore
the
placement
with
task‐autonomous
system
young
dentists
different
specialties.
Methods
Materials
Four
(mean
age:
25.3
±
1.5
years
at
beginning
their
first
attempt)
equal
representation
males
females
specialties
participated
in
study.
None
participants
had
prior
experience
R‐CAIS.
Each
operator
placed
eight
implants
over
attempts
using
semi‐active
system.
Among
implants,
four
were
straight
lateral
incisor
30°‐tilted
premolar
implants.
each
quadrant
maxillary
mandibular
jaw
modules.
operation
time
recorded.
Coronal,
apical,
angular
deviations
planned
actual
sites
measured
by
merging
preoperative
postoperative
cone‐beam
computed
tomography
(CBCT)
scans.
data
analyzed
repeated‐measures
ANOVA
(
α
=
0.05).
Results
mean
associated
number
p
<
0.01).
taken
second
attempt
significantly
shorter
than
that
(33.26
vs.
30.47
min;
0.001)
then
it
plateaued.
Three‐dimensional
(3D)
0.31),
coronal
deviation
0.26),
apical
0.06)
did
not
differ
attempts.
values
standard
3D
deviation,
0.71
0.31
mm,
0.72
0.30
0.94
0.58°,
respectively.
Neither
position
>
0.59)
nor
tilt
angle
(straight
or
30°‐tilted,
0.85)
related
accuracy.
Conclusions
Dentists
quickly
learned
basic
workflow
R‐CAIS
thus
facilitated
clinicians
mastery
on
modules,
leading
comparable
operating
speed
high
precision.
Moreover,
accuracy
tilted
maxilla
mandible
satisfactory.
Journal Of Clinical Periodontology,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 2, 2024
ABSTRACT
Aim
This
study
aimed
to
evaluate
the
efficiency
of
and
discrepancies
between
planned
final
implant
positions
using
dynamic
computer‐assisted
surgery
(d‐CAIS)
autonomous
robotic
(r‐CAIS)
in
clinical
practice.
Materials
Methods
The
included
83
patients,
who
received
135
implants
December
2022
March
2024
(r‐CAIS
group:
43
patients
with
71
implants;
d‐CAIS
40
64
implants).
Cone‐beam
computed
tomography
scans
taken
before
after
assessed
linear
angular
deviations
groups
both
2D
3D
spaces.
duration
was
also
analysed.
Results
deviation
r‐CAIS
3.61°
±
1.65°
versus
1.62°
0.93°
(
p
<
0.001),
platform
1.12
0.51
mm
0.50
0.19
0.001)
apex
1.36
0.57
0.58
0.21
0.001).
group
experienced
significantly
longer
drilling
placement
times
compared
(10.6
3.8
vs.
8.3
3.4
min,
0.01),
while
preparation
time
showed
no
statistical
difference
(7.2
3.3
6.2
2.7
>
0.05).
Conclusions
system
demonstrated
higher
accuracy
than
navigation
partially
edentulous
patients.
