Potential Deviation Factors Affecting Stereolithographic Surgical Guides: A Systematic Review.

3区 医学 Q1 Dentistry Implant Dentistry Pub Date : 2019-02-01 DOI:10.1097/ID.0000000000000853
Diego Antonio Sigcho López, Iván García, Gustavo Da Silva Salomao, Dalva Cruz Laganá
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引用次数: 25

Abstract

Objective: The aim of this study was to review potential deviation factors in stereolithographic surgical guides for dental implantology, warnings, and limitations of the system.

Methods: An electronic search in databases EMBASE, the Cochrane Library, and PubMed were conducted by 3 researchers to collect information on the accuracy of static computer-guided implant placement to summarize and analyze the overall accuracy. The latter included a search for correlations between factors such as support (teeth/mucosa/bone), number of templates, use of fixation pins, jaw, template production, guiding system, and guided implant placement in articles related to guided surgery with stereolithographic static systems. Studies published between 2012 and 2017 were reviewed.

Results: From 761 identified articles, a total of 24 articles were reviewed, which included 2767 dental implants. Data from studies analysis had shown a mean deviation of 3.08 degrees in angular position, 1.14 at the entry point, and 1.46 at apex position. Involved deviation factors were related to planning, laboratory, and surgical phases.

Conclusion: Guided surgery may have a limited precision as technique, which surgeons need to be aware in the planning process. This review suggests some security measures in guided surgery process.

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影响立体光刻手术指南的潜在偏差因素:系统综述。
目的:本研究的目的是回顾植牙手术指南中潜在的偏差因素、警告和该系统的局限性。方法:3名研究人员对EMBASE、Cochrane Library和PubMed数据库进行电子检索,收集静态计算机引导种植体放置的准确性信息,总结分析总体准确性。后者包括搜索支撑(牙齿/粘膜/骨骼)、模板数量、固定钉的使用、颌骨、模板制作、引导系统和引导种植体放置等因素之间的相关性,这些因素与立体光刻静态系统引导手术相关。回顾了2012年至2017年发表的研究。结果:在检索到的761篇文献中,共检索到24篇,其中种植体2767篇。研究分析的数据显示,角位置的平均偏差为3.08度,入口位置的平均偏差为1.14度,顶点位置的平均偏差为1.46度。涉及的偏差因素与计划、实验室和手术阶段有关。结论:引导手术作为一种技术,其精确性是有限的,这是外科医生在计划手术时需要注意的。本文综述了引导手术过程中的一些安全措施。
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来源期刊
Implant Dentistry
Implant Dentistry 医学-牙科与口腔外科
CiteScore
4.00
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Cessation. Implant Dentistry, an interdisciplinary forum for general practitioners, specialists, educators, and researchers, publishes relevant clinical, educational, and research articles that document current concepts of oral implantology in sections on biomaterials, clinical reports, oral and maxillofacial surgery, oral pathology, periodontics, prosthodontics, and research. The journal includes guest editorials, letters to the editor, book reviews, abstracts of current literature, and news of sponsoring societies.
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