Artificial intelligence and mixed reality for dental implant planning: A technical note

IF 3.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Clinical Implant Dentistry and Related Research Pub Date : 2024-06-28 DOI:10.1111/cid.13357

Francesco Guido Mangano, Kyung Ran Yang, Henriette Lerner, Oleg Admakin, Carlo Mangano

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Abstract

Aim

The aim of this work is to present a new protocol for implant surgical planning which involves the combined use of artificial intelligence (AI) and mixed reality (MR).

Methods

This protocol involves the acquisition of three-dimensional (3D) patient data through intraoral scanning (IOS) and cone beam computed tomography (CBCT). These data are loaded into AI software which automatically segments and aligns the patient's 3D models. These 3D models are loaded into MR software and used for planning implant surgery through holography. The files are then exported and used to design surgical guides via open-source software, which are 3D printed and used to prepare the implant sites through static computer-assisted implant surgery (s-CAIS). The case is finalized prosthetically through a fully digital protocol. The accuracy of implant positioning is verified by comparing the planned position with the actual position of the implants after surgery.

Results

As a proof of principle, the present protocol seems to be to be reliable and efficient when used for planning simple cases of s-CAIS in partially edentulous patients. The clinician can plan the implants in an authentic 3D environment without using any radiology-guided surgery software. The precision of implant placement seems clinically acceptable, with minor deviations.

Conclusions

The present study suggests that AI and MR technologies can be successfully used in s-CAIS for an authentic 3D planning. Further clinical studies are needed to validate this protocol.

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人工智能和混合现实技术用于牙科植入规划：技术说明。

目的：这项工作旨在提出一种新的种植手术规划方案，该方案涉及人工智能（AI）和混合现实（MR）的结合使用：该方案包括通过口内扫描（IOS）和锥形束计算机断层扫描（CBCT）获取患者的三维（3D）数据。这些数据被载入人工智能软件，该软件会自动分割和对齐患者的三维模型。这些三维模型被载入磁共振软件，通过全息成像技术用于规划种植手术。然后将文件导出，通过开源软件设计手术导板，并通过静态计算机辅助种植手术（s-CAIS）将导板三维打印出来，用于准备种植部位。病例最终通过全数字化方案完成修复。通过比较计划位置和术后种植体的实际位置，验证种植体定位的准确性：结果：作为一项原理验证，本方案用于规划部分无牙颌患者的简单 s-CAIS 病例时，似乎既可靠又高效。临床医生可以在真实的三维环境中规划种植体，而无需使用任何放射学引导的手术软件。种植体植入的精确度在临床上似乎是可以接受的，只有轻微的偏差：本研究表明，人工智能和磁共振技术可成功用于 s-CAIS 的真实三维规划。还需要进一步的临床研究来验证这一方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Implant Dentistry and Related Research 医学-牙科与口腔外科

CiteScore

6.00

自引率

13.90%

发文量

103

审稿时长

4-8 weeks

期刊介绍： The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal. The range of topics covered by the journals will include but be not limited to: New scientific developments relating to bone Implant surfaces and their relationship to the surrounding tissues Computer aided implant designs Computer aided prosthetic designs Immediate implant loading Immediate implant placement Materials relating to bone induction and conduction New surgical methods relating to implant placement New materials and methods relating to implant restorations Methods for determining implant stability A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.