Influence of implant macrodesign and insertion connection technology on the accuracy of static computer-assisted implant surgery.
Options
BORIS DOI
Publisher DOI
PubMed ID
31429184
Description
OBJECTIVE
The aim of this study was to evaluate the effect of three different macrodesigns and two different insertion devices on the accuracy of static computer-assisted implant surgery (sCAIS).
MATERIALS AND METHODS
Ninety implant replicas with three different macrodesigns: Soft tissue level (TL), bone level (BL), and bone level tapered (BLT) were placed in 30 dental models with two implant insertion devices: Guided adapter and guided screwed-in mount. Preoperative and postoperative positions of implants were compared and the mean angular deviation, crestal, and apical three-dimensional (3D) deviation were calculated for each implant macrodesign and each insertion device. Data were analyzed using analysis of variance, post hoc t-tests and Bonferroni-Holm's adjustment method. P values less than .05 were considered statistically significant.
RESULTS
BLT implants had lower mean 3D deviation values at the crest and the apex when compared with 3D deviations with BL and TL implants (P < .05). Also, BLT implants had lower angular deviations, when compared with BL and TL Implants, however, angular deviations were not statistically significant (P > .05). Considering the insertion device method, no significant differences were noted between insertion devices irrespective of the deviation analyzed.
CONCLUSION
The macrodesign of dental implants may have an influence on the accuracy of sCAIS, with tapered designs offering slightly better positional accuracy than parallel-walled macrodesigns independent on the method of insertion used.
The aim of this study was to evaluate the effect of three different macrodesigns and two different insertion devices on the accuracy of static computer-assisted implant surgery (sCAIS).
MATERIALS AND METHODS
Ninety implant replicas with three different macrodesigns: Soft tissue level (TL), bone level (BL), and bone level tapered (BLT) were placed in 30 dental models with two implant insertion devices: Guided adapter and guided screwed-in mount. Preoperative and postoperative positions of implants were compared and the mean angular deviation, crestal, and apical three-dimensional (3D) deviation were calculated for each implant macrodesign and each insertion device. Data were analyzed using analysis of variance, post hoc t-tests and Bonferroni-Holm's adjustment method. P values less than .05 were considered statistically significant.
RESULTS
BLT implants had lower mean 3D deviation values at the crest and the apex when compared with 3D deviations with BL and TL implants (P < .05). Also, BLT implants had lower angular deviations, when compared with BL and TL Implants, however, angular deviations were not statistically significant (P > .05). Considering the insertion device method, no significant differences were noted between insertion devices irrespective of the deviation analyzed.
CONCLUSION
The macrodesign of dental implants may have an influence on the accuracy of sCAIS, with tapered designs offering slightly better positional accuracy than parallel-walled macrodesigns independent on the method of insertion used.
Date of Publication
2019-10
Publication Type
Article
Subject(s)
Keyword(s)
accuracy computer-aided computer-assisted digital guided surgery implant implant design implant surgery implantology
Language(s)
en
Contributor(s)
Rousson, Dominique |
Series
Clinical implant dentistry and related research
Publisher
Wiley
ISSN
1708-8208
Access(Rights)
restricted