Enhancing Implant Position Accuracy in Guided Implantology: The Role of Drill Play Under Lateral Forces

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Clinical and Experimental Dental Research Pub Date : 2024-12-15 DOI:10.1002/cre2.70056
Vasilios Alevizakos, Yannick Stryga, Constantin von See
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Abstract

Objectives

This study investigates the impact of drill play on the precision of implant positioning under lateral forces in guided implantology.

Materials and Methods

An in vitro experiment was conducted using artificial bone blocks and the SIC Invent-guided surgery implant system. Custom drill guides were designed, and 3D-printed, using three sleeve types: sleeveless, a big sleeve, and a small sleeve. Drillings were performed with varying lateral forces, and deviations in angle, depth, and position were measured.

Results

Sleeveless guides showed the highest variability in deviations, with a maximum deviation of 3.92 mm under extreme lateral forces. Big sleeve guides provided the most consistent precision, with deviations ranging from 0.42 to 1.33 mm. Small sleeve guides showed moderate precision, with deviations from 0.14 to 2.17 mm. Higher lateral forces generally increased deviations across all guide types.

Conclusions

Drill play significantly affects the precision of guided implant drilling, with lateral forces causing deviations from the planned implant position. Big sleeve guides offer better precision under lateral loads compared to sleeveless and small sleeve guides. Strict adherence to the drilling protocol is essential to minimize errors and ensure optimal implant positioning.

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在引导种植中提高种植体位置的准确性:钻头在侧向力作用下的作用。
目的:探讨在侧力引导下,钻孔对种植体定位精度的影响。材料与方法:采用人工骨块和SIC inventi引导下的手术种植体系统进行体外实验。定制钻头导向设计和3d打印,使用三种套筒类型:无袖,大套筒和小套筒。在不同的侧向力下进行钻井,并测量角度、深度和位置的偏差。结果:无袖导具的偏差变异性最大,在极端侧力作用下最大偏差为3.92 mm。大套筒导轨提供了最一致的精度,偏差范围为0.42至1.33 mm。小套筒导轨精度适中,偏差在0.14 ~ 2.17 mm之间。较高的侧向力通常会增加所有导轨类型的偏差。结论:钻孔效果会显著影响引导种植体钻孔的精度,侧向力会导致种植体偏离计划位置。与无袖和小套筒导轨相比,大套筒导轨在横向载荷下提供更好的精度。严格遵守钻孔协议对于减少错误和确保最佳植入物定位至关重要。
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来源期刊
Clinical and Experimental Dental Research
Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.30
自引率
5.60%
发文量
165
审稿时长
26 weeks
期刊介绍: Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.
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