Immediate implant placement in the posterior mandibular region was assisted by dynamic real-time navigation: a retrospective study
BMC Oral Health,
Год журнала:
2024,
Номер
24(1)
Опубликована: Фев. 9, 2024
Abstract
Background
Efficient
utilization
of
residual
bone
volume
and
the
prevention
inferior
alveolar
nerve
injury
are
critical
considerations
in
immediate
implant
placement
(IIP)
within
posterior
mandibular
region.
Addressing
these
challenges,
this
study
focuses
on
clinical
efficacy
accuracy
dynamic
real-time
navigation,
an
emerging
technology
designed
to
enhance
precision
implantation
procedures.
Methods
This
included
84
patients
with
130
implants
undergoing
Stratified
into
static
guide
plate,
freehand
groups,
indicators,
including
initial
stability,
distance
canal,
depth
placement,
various
deviations,
were
systematically
recorded.
Statistical
analysis,
employing
1-
or
2-way
ANOVA
Student’s
t-test,
allowed
for
a
comprehensive
evaluation
each
technique.
Results
All
successfully
placed
average
torque
22.53
±
5.93
N.cm.
In
navigation
group,
significantly
greater
compared
plate
groups
(
P
<
0.05).
Implant
deviation
was
smaller
both
group(
Additionally,
group
exhibited
reduced
root
angle
deviations
0.05),
highlighting
superior
navigation-assisted
placement.
Conclusions
It
is
more
advantageous
use
rather
than
free-hand
insertion
implantation.
Язык: Английский
Beyond Accuracy: Clinical Outcomes of Computer Assisted Implant Surgery
Clinical and Experimental Dental Research,
Год журнала:
2025,
Номер
11(3)
Опубликована: Май 16, 2025
ABSTRACT
Objectives
Computer
Assisted
Implant
Surgery
(CAIS)
with
different
technologies
and
modalities
is
becoming
increasingly
utilized
in
clinical
practice.
The
aim
of
this
White
Paper
was
to
synthesize
evidence,
reported
experience,
best
practices
regard
clinically
relevant
outcomes
static,
dynamic,
robotic
CAIS.
Materials
Methods
A
review
the
literature
compiled
existing
evidence
from
studies
up
November
2024,
which
later
discussed
synthesized
into
questions
a
panel
international
experts.
Results
There
overwhelming
for
superiority
CAIS
accuracy
implant
placement
some
limited
superior
esthetic
outcomes.
At
same
time,
related
primary
stability,
survival
rates,
intra‐
postoperative
complications,
marginal
bone
loss,
peri‐implant
tissue
health
appear
similar
between
guided
non‐guided
surgery,
while
efficiency
poorly
defined
studied.
importance
execution
comprehensive,
prosthetically
driven
treatment
plan
not
reflected
most
studies,
focus
mainly
on
assessment
procedures
rather
than
entire
workflows.
Such
inherent
limitations
available
research
might
conceal
potential
Conclusions
Guided
can
achieve
at
least
as
good
surgery.
Studies
that
assess
benefits
part
workflow,
isolated
procedures,
could
improve
our
understanding
these
technologies.
Язык: Английский
The Use of Dynamic Navigation Systems as a Component of Digital Dentistry
Journal of Dental Research,
Год журнала:
2023,
Номер
103(2), С. 119 - 128
Опубликована: Дек. 15, 2023
The
development
of
dynamic
navigation
system
(DNS)
has
facilitated
the
modern
digital
medicine.
In
field
dentistry,
cutting-edge
technology
is
garnering
widespread
recognition.
Based
on
principles
3-dimensional
visualization,
virtual
design,
and
precise
motion
tracking,
DNS
mainly
composed
a
computer,
tracking
system,
specialized
tracer
instruments,
software.
employs
workflow
that
begins
with
preoperative
data
acquisition
imaging
reconstruction,
followed
by
surgical
instrument
calibration
spatial
registration,
culminating
in
real-time
guided
operations.
Currently,
been
applied
broad
spectrum
dental
procedures,
encompassing
implants,
oral
maxillofacial
surgery
(such
as
tooth
extraction,
treatment
fractures,
tumors,
foreign
bodies,
orthognathic
surgery,
temporomandibular
joint
ankylosis
surgery),
intraosseous
anesthesia,
endodontic
(including
root
canal
therapy
surgery).
These
applications
benefit
from
its
enhancements
direct
precision,
efficiency,
safety,
procedural
adaptability.
However,
adoption
not
without
substantial
upfront
costs,
required
comprehensive
training,
additional
preparatory
time,
increased
radiation
exposure.
Despite
challenges,
ongoing
advancements
are
poised
to
broaden
utility
substantially
strengthen
dentistry.
Язык: Английский
A socket shield technique: Preparation of the shield under oral microscopy
Peixin He,
Siyi Duan,
Li Li
и другие.
Journal of Prosthetic Dentistry,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 1, 2025
The
socket
shield
technique
has
been
used
to
enhance
the
esthetics
of
immediately
placed
implant-supported
prostheses
in
esthetic
zone.
However,
rarely
clinical
practice
because
high
technical
sensitivity,
limited
field
view,
and
risk
intraoperative
postoperative
complications.
A
is
presented
for
carefully
preparing
labial
shields
under
oral
microscopy,
which
can
reduce
surgical
difficulty
improve
precision
preparation.
Язык: Английский
Image-guided photogrammetry accuracy: In vitro evaluation of an implant-supported complete arch digital scanning technology
Journal of Prosthetic Dentistry,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 1, 2025
Complete
arch
digital
scanning
with
intraoral
scanners
(IOSs)
for
implant-supported
fixed
dental
prostheses
(FDPs)
is
controversial
current
technologies,
and
accuracy
consistency
are
insufficient.
Stereophotogrammetry
(SPG)
may
capture
precise
implant
coordinates
but
unrelated
to
the
patient
anatomy.
Conclusive
data
comparing
IOS
versus
SPG
lacking.
The
purpose
of
this
in
vitro
study
was
investigate
a
novel
image-guided
photogrammetry
(IGP)
navigation
technology
complete
an
artificial
intelligence
(AI)
driven
workflow
superimpose
on
preoperative
sets.
After
ethical
approval
had
been
received
use
human-derived
data,
casts
actual
patients
4
6
implants
were
selected
from
archive.
Digital
scans
made
IGP
coordinate
measuring
machine
(CMM)
generate
standard
tessellation
language
(STL)
test
reference
files
each
cast,
which
then
superimposed
best-fit
algorithm.
For
position,
linear
along
x-
(longitudinal),
y-
(lateral),
z-
(vertical)
axes
(ΔX,
ΔY,
ΔZ)
angular
(ΔANGLE)
deviations
calculated.
Three-dimensional
(3D)
deviation
(ΔEUC)
measured
as
Euclidean
distance.
Sample
size
calculated
assuming
ΔEUC
primary
endpoint,
significance
level
of.05,
n=84
ensure
minimum
expected
difference
120
µm
(standard
150
µm),
power
of.95.
A
univariate
descriptive
analysis
variables
performed
stratified
by
number
(4
6).
An
independent
samples
t
used
assess
whether
ΔANGLE
differed
significantly
based
6)
position
(anterior
posterior
4-implant
casts)
anterior,
intermediate,
6-implant
(α=.05).
total
26
casts,
mandibular
(n=16)
maxillary
(n=10)
(n=15)
or
(n=11)
implants,
investigated.
126
positions
captured
compared
respective
references
(n=26
test,
n=26
files).
Mean
deviations,
deviation,
range,
75
percentiles
ΔX
(-0.05
±29.95;
-75.17
-
68.00;
22,00
ΔY
(0.01
±31.65;
-68.0
93.93;
19,18
ΔZ
(-0.02
±12.95;
-39.0
43.5;
6,76
(43.02
±26.24;
3.41
190.23;
58,21
(0.43
±0.22;
0.03
0.86;
0,61
degrees).
Lower
found
(P=.017),
(P=.003).
Implant
did
not
affect
accuracy,
exception
anteriors
worse
than
posteriors
intermediate
(P=.009).
Image-guided
feasible
3D
lower
those
conventional
SPG.
Linear
close
0
about
0.4
degrees,
being
more
accurate.
anterior
that
showed
higher
casts.
Even
though
investigated,
allowing
outcomes
be
generalized
caution,
trials
needed
validate
its
clinical
performance.
Язык: Английский
Effects of socket‐shield therapy on inter‐implant papilla preservation between upper central and lateral incisors: A case series with 3–5 year follow‐up
Journal of Esthetic and Restorative Dentistry,
Год журнала:
2023,
Номер
36(1), С. 144 - 152
Опубликована: Окт. 18, 2023
Abstract
Objective
Despite
significant
progress
within
implant
prosthetic
therapy,
preserving
the
papilla
between
two
adjacent
implants
in
esthetic
zone,
particularly
central
and
lateral
incisors,
remains
challenging.
This
case
series
aims
to
report
a
preservation
approach
upper
central‐lateral
incisor
using
socket‐shield
technique.
Clinical
Considerations
Six
patients
with
natural
dentition
received
unilateral
different
socket
shield
configurations.
The
outcomes
were
clinically
assessed
after
3–5
years
of
follow‐up.
Post‐operative
fill
was
evaluated
on
intraoral
images
compared
baseline
characteristics
contralateral
papilla.
Papilla
height
preserved
all
cases,
minimal
alterations
observed.
Conclusions
Within
limitations
present
series,
technique
demonstrated
favorable
midterm
studies
are
warranted
validate
these
results.
Significance
seems
promising
inter‐implant
implants.
Язык: Английский
Effect of Sagittal Root Position, Angle, and Bone Thickness on Peri-implant Tissue Phenotype and Bone Level in Socket Shield Technique: A Retrospective Case Series
Journal of Oral Implantology,
Год журнала:
2024,
Номер
50(4), С. 308 - 316
Опубликована: Авг. 1, 2024
There
were
only
a
few
studies
investigating
the
effect
of
sagittal
root
position
(SRP),
angle
(SRA),
and
buccal
bone
thickness
(BBT)
on
peri-implant
tissues
using
socket
shield
technique
(SST).
This
retrospective
case
series
aimed
to
evaluate
SRP,
SRA,
BBT
in
cases
examine
these
anatomical
factors
tissue
phenotype
level.
Data
from
27
patients
(14
women,
13
men)
treated
with
SST
maxillary
esthetic
region
between
July
2019
September
2021
included.
Clinical
indices
(modified
plaque
bleeding
indices,
probing
depth,
keratinized
mucosa
width,
mucosal
thickness)
periapical
radiographic
recordings
(marginal
level)
taken
immediately
after
permanent
prosthesis
placement
1
year
later
used.
Cone
beam
computerized
tomography
images
used
BBT,
SRA
before
implant
horizontal
vertical
levels
prosthetic
rehabilitation.
The
data
divided
into
groups
based
(<1
≥1
mm)
values
(<10°
≥10°).
no
significant
differences
1-year
clinical
<10°
≥10°
groups.
However,
higher
loss
was
found
group
(P
=
.01,
d
0.53).
or
<1
mm
In
conclusion,
showed
level,
but
affected
level
cases.
Язык: Английский
Modified Surgical Guide for Root Sectioning in the Socket Shield Technique—In Vitro Study
Journal of Esthetic and Restorative Dentistry,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 3, 2024
ABSTRACT
Objective
This
in
vitro
study
aimed
to
evaluate
the
effectiveness
of
a
printed
surgical
guide
for
root
sectioning
socket‐shield
technique.
Materials
and
Methods
A
typodont
model
maxilla
with
augmented
filler
was
used
upper
right
central
incisor,
CBCT
images
were
obtained.
Two
types
vertical
guides
tested:
one
buccal
sleeve
(Group
A,
n
=
10)
another
orientation
slit
B,
10).
Control
group
(
performed
freehand
cuts
on
models.
After
crown
cutting
diamond
burs,
conducted
using
an
ultrasonic
tip
guides.
Mean
standard
deviation
calculated
remaining
length,
width,
volume.
Data
analyzed
Kruskal–Wallis
test
Dunn's
post
hoc
test.
Results
Statistical
analysis
showed
significant
differences
width
between
control
(2.0
mm)
both
Groups
(2.655
mm;
p
<
0.0001)
B
(2.460
0.0001).
Group
(5.585
also
difference
remnant
compared
(13.880
0.0043).
did
not
differ
significantly
from
each
other.
Conclusions
The
socket
shield
technique
is
safe
effective,
this
add
improvements
through
introduction
guides,
facilitating
section,
which
critical
phase
so
that
parameters
are
requisite
success
achieved
terms
volume
remnant.
Both
guided
techniques
effectively
facilitated
sectioning,
maintaining
satisfactory
thickness
length.
Clinical
Significance
Sectioning
challenging
correct
angulation
remove
palatal
portion
Therefore,
modifying
use
presented
it
possible
prevent
damage
soft
tissues
plan
surgery
help
cone
beam
computed
tomography
(CBCT)
scans
apex
maintain
greater
than
1.5
mm,
making
more
predictable.
Язык: Английский
Single Teeth and Partial Implant Rehabilitations Using Ultra-Hydrophilic Multi-Zone Anodized Surface Implants: A Retrospective Study with 1-Year Follow-Up
Journal of Clinical Medicine,
Год журнала:
2024,
Номер
14(1), С. 66 - 66
Опубликована: Дек. 26, 2024
Background/Objectives:
In
the
last
decades,
dental
implant
surfaces
have
been
evolving
to
increase
success
and
survival
rates.
More
studies
evaluating
outcomes
with
implants
ultra-hydrophilic
multi-zone
anodized
are
necessary.
The
aim
of
this
study
is
evaluate
short-term
outcome
conical
connection
for
support
single
teeth
partial
rehabilitations.
Methods:
retrospective
study,
patients
received
parallel-walled
a
gradually
surface.
primary
measure
was
survival.
Secondary
measures
were
marginal
bone
loss
mechanical
biological
complications.
This
included
253
surfaces,
placed
in
145
(71
males
74
females;
average
age:
55.8
years).
Sixty
presented
comorbidities,
19
smoking
habits.
Results:
Ten
(15
implants)
lost
follow-up.
Two
failed
two
patients,
resulting
cumulative
rate
99.2%,
98.5%
100%
females,
respectively,
99.1%
rehabilitations,
respectively.
0.52
mm
at
1
year,
0.60
0.42
0.50
complications
4.8%
3.2%
patient
levels,
Biological
occurred
one
(0.7%)
(0.4%).
Conclusions:
These
results
indicate
that
use
rehabilitations
viable
short
term.
Язык: Английский