ACCURACY OF IMPLANTS POSITIONING WHEN USING A SURGICAL TEMPLATE
DOI:
https://doi.org/10.35220/2078-8916-2023-47-1.31Keywords:
implant, surgical template, osseointegration, accuracy, review.Abstract
Purpose of the study: to retrospectively analyze the accuracy of implant positioning during implantation using surgical templates and data from previous studies. Materials and methods of the study: A literature search was conducted using the electronic database PubMed to find studies related to the use of surgical templates during implant surgery. The search terms used were: "surgical template" OR "surgical guide" AND "implant". The search period covered the period from January 2012 to December 2022. The review included in vitro and in vivo studies. Literature reviews, abstracts, and technical articles without supporting clinical studies and data were excluded. Scientific novelty: Data on the accuracy of implant positioning during implantation using surgical templates were structured and clarified. Conclusions: In the course of the retrospective analysis, a sample of 24 scientific articles was formed. The majority of the analyzed studies demonstrate that surgical guides supported by teeth, bone, and mucosa have minimal deviations. Digital planning and placement of dental implants in the right place continues to outperform traditional manual techniques. Implant planning software based on cone beam computed tomography data allows for the selection of the virtually best location for an optical implant, taking into account the surrounding important anatomical components and future prosthetic requirements. At the same time, surgeons should be aware of the potential linear and angular deviations associated with the system, as important anatomical structures can be damaged if the minimum accepted deviations are ignored. Accuracy can be affected by factors such as bone density, mucosal thickness, surgical technique, jaw type, smoking habits, and implant length. More research is needed to determine how template manufacturing techniques, jaw types, and operator experience can affect accuracy.
References
Buser D., Bornstein M. M., Weber H. P. Early implant placement with simultaneous guided bone regeneration following single-tooth extraction in the esthetic zone: a cross-sectional, retrospective study in 45 subjects with a 2- to 4-year follow-up. Journal of Periodontology. 2008. Vol. 79, No. 9. P. 1773–1781.
Akça K, Iplikçioğlu H., Cehreli M. C. A surgical guide for accurate mesiodistal paralleling of implants in the posterior edentulous mandible. The Journal of Prosthetic Dentistry. 2002. Vol. 87, No. 2. P. 233–235.
Van de Wiele G., Teughels W., Vercruyssen M. The accuracy of guided surgery via mucosa-supported stereolithographic surgical templates in the hands of surgeons with little experience. Clinical Oral Implants Research. 2015. Vol. 26, No. 12. P. 1489–1494.
Cassetta M., Pompa G., Di Carlo S. The influence of smoking and surgical technique on the accuracy of mucosa-supported stereolithographic surgical guide in complete edentulous upper jaws. European Review for Medical and Pharmacological Sciences. 2012. Vol. 16, No. 11. P. 1546–1553.
Schnutenhaus S., Edelmann C., Rudolph H. 3D accuracy of implant positions in template-guided implant placement as a function of the remaining teeth and the surgical procedure: a retrospective study. Clinical Oral Investigations. 2018. Vol. 22, No. 6. P. 2363–2372.
Verhamme L. M., Meijer G. J., Boumans T. A clinically relevant accuracy study of computer-planned implant placement in the edentulous maxilla using mucosasupported surgical templates. Clinical Implant Dentistry and Related Research. 2015. Vol. 17, No. 2. P. 343–352.
Cristache C. M., Gurbanescu S. Accuracy evaluation of a stereolithographic surgical template for dental implant insertion using 3d superimposition protocol. International Journal of Dentistry. 2017. Vol. 2017. P. 4292081.
Sun Y., Luebbers H.-T., Agbaje J. O. Accuracy of dental implant placement using cbct-derived mucosasupported stereolithographic template. Clinical Implant Dentistry and Related Research. 2015. Vol. 17, No. 5. P. 862–870.
Cassetta M., Giansanti M., Di Mambro A., Stefanelli L. V. Accuracy of positioning of implants inserted using a mucosa-supported stereolithographic surgical guide in the edentulous maxilla and mandible. The International Journal of Oral & Maxillofacial Implants. 2014. Vol. 29, No. 5. P. 1071–1078.
Ochi M., Kanazawa M., Sato D. Factors affecting accuracy of implant placement with mucosa-supported stereolithographic surgical guides in edentulous mandibles. Computers in Biology and Medicine. 2013. Vol. 43, No. 11. P. 1653–1660.
D’haese R., Vrombaut T., Hommez G. Accuracy of guided implant surgery in the edentulous jaw using desktop 3d-printed mucosal supported guides. Journal of Clinical Medicine. 2021. Vol. 10, No. 3. P. 391.
Turbush S. K., Turkyilmaz I. Accuracy of three different types of stereolithographic surgical guide in implant placement: an in vitro study. The Journal of Prosthetic Dentistry. 2012. Vol. 108, No. 3. P. 181–188.
Nagata K., Fuchigami K., Hoshi N. 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. Vol. 7, No. 1. P. 2.
Cunha R. M., Souza F. Á., Hadad H. Accuracy evaluation of computer-guided implant surgery associated with prototyped surgical guides. The Journal of Prosthetic Dentistry. 2021. Vol. 125, No. 2. P. 266–272.
Sun Y., Luebbers H.-T., Agbaje J. O. Accuracy of a dedicated bone-supported surgical template for dental implant placement with direct visual control. Journal of Healthcare Engineering. 2015. Vol. 6, No. 4. P. 779–789.
Özden Yüce M., Günbay T., Güniz Baksı B. Clinical benefits and effectiveness of static computer-aided implant surgery compared with conventional freehand method for single-tooth implant placement. Journal of Stomatology, Oral and Maxillofacial Surgery. 2020. Vol. 121, No. 5. P. 534–538.
Liu X., Liu J., Feng H., Pan S. Accuracy of a milled digital implant surgical guide: an in vitro study. The Journal of Prosthetic Dentistry. 2022. Vol. 127, No. 3. P. 453–461.
Tallarico M., Martinolli M., Kim Y. Accuracy of computer-assisted template-based implant placement using two different surgical templates designed with or without metallic sleeves: a randomized controlled trial. Dentistry Journal. 2019. Vol. 7, No. 2. P. 41.
Park J.-Y., Song Y. W., Park S.-H. Clinical factors influencing implant positioning by guided surgery using a nonmetal sleeve template in the partially edentulous ridge: multiple regression analysis of a prospective cohort. Clinical Oral Implants Research. 2020. Vol. 31, No. 12. P. 1187–1198.
Talmazov G., Bencharit S., Waldrop T. C., Ammoun R. Accuracy of implant placement position using nondental open-source software: an in vitro study. Journal of Prosthodontics: Official Journal of the American College of Prosthodontists. 2020. Vol. 29, No. 7. P. 604–610. 21. Rodrigues J. M. M., Santos P. L., Mendonça G. Assessment of deviations of implants installed with prototyped surgical guide and conventional guide: in vitro study. European Journal of Dentistry. 2022. 2022. Vol. 17, No. 1. P. 39–45.
Song Y. W., Kim J., Kim J.-H. Accuracy of dental implant placement by a novel in-house model-free and zero-setup fully guided surgical template made of a lightcured composite resin (varo guide®): a comparative in vitro study. Materials (Basel, Switzerland). 2021. Vol. 14, No. 14. P. 4023.
Kim M.-J., Jeong J. Y., Ryu J. Accuracy of digital surgical guides for dental implants. Maxillofacial Plastic and Reconstructive Surgery. 2022. Vol. 44, No. 1. P. 35.
Henprasert P., Dawson D. V., El-Kerdani T. Comparison of the accuracy of implant position using surgical guides fabricated by additive and subtractive techniques. Journal of Prosthodontics: Official Journal of the American College of Prosthodontists. 2020. Vol. 29, No. 6. P. 534–541.
Herschdorfer L., Negreiros W. M., Gallucci G. O., Hamilton A. Comparison of the accuracy of implants placed with cad-cam surgical templates manufactured with various 3d printers: an in vitro study. The Journal of Prosthetic Dentistry. 2021. Vol. 125, No. 6. P. 905–910. 26. Etajuri E. A., Suliman E., Mahmood W. A. A. Deviation of dental implants placed using a novel 3d-printed surgical guide: an in vitro study. Dental and Medical Problems. 2020. Vol. 57, No. 4. P. 359–362.
Toyoshima T., Tanaka H., Sasaki M. Accuracy of implant surgery with surgical guide by inexperienced clinicians: an in vitro study. Clinical and Experimental Dental Research. 2015. Vol. 1, No. 1. P. 10–17.
Cushen S. E., Turkyilmaz I. Impact of operator experience on the accuracy of implant placement with stereolithographic surgical templates: an in vitro study. The Journal of Prosthetic Dentistry. 2013. Vol. 109, No. 4. P. 248–254.