Accuracy of miniscrew surgical guides assessed from cone-beam computed tomography and digital models

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Název: Accuracy of miniscrew surgical guides assessed from cone-beam computed tomography and digital models
Autoři: Jung Yul Cha, Jong Tae Park, Hyung Seog Yu, Ji Young Kim, Mi Ju Bae, Hee Jin Kim, Chung Ju Hwang
Přispěvatelé: Mi-Ju Bae, Ji-Young Kim, Jong-Tae Park, Jung-Yul Cha, Hee-Jin Kim, Hyung-Seog Yu, Chung-Ju Hwang, Kim, Ji Young, Kim, Hee Jin, Park, Jong Tae, Yu, Hyung Seog, Cha, Jung Yul, Hwang, Chung Ju
Zdroj: American Journal of Orthodontics and Dentofacial Orthopedics. 143:893-901
Informace o vydavateli: Elsevier BV, 2013.
Rok vydání: 2013
Témata: Maxilla/diagnostic imaging, Image Processing, Tooth Root/diagnostic imaging, Bone Screws, Computer-Aided Design, Patient Care Planning, Imaging, User-Computer Interface, 03 medical and health sciences, Imaging, Three-Dimensional, 0302 clinical medicine, Maxilla/surgery, Three-Dimensional/methods, Computer-Assisted/methods, Cadaver, Image Processing, Computer-Assisted, Maxilla, Orthodontic Anchorage Procedures, Humans, Tooth Root, Radiography, Bitewing, Cone-Beam Computed Tomography/methods, Orthodontic Anchorage Procedures/instrumentation, Equipment Design, Bitewing/methods, Cone-Beam Computed Tomography, Models, Dental, 3. Good health, Radiography, Surgery, Computer-Assisted, Orthodontic Anchorage Procedures/methods, Surgery, Dental Models
Popis: Several methods are available to enhance the precision of miniscrew placement. The use of surgical guides based on cone-beam computed tomography is indicated especially in patients with risky or difficult anatomic situations. The purpose of this study was to evaluate the accuracy of miniscrew placement by using surgical guides developed with computer-aided design and manufacturing techniques.Miniscrews were placed in cadaver maxillae using stereolithographic computer-aided design and manufacturing techniques with assistance from surgical guides (surgical guide group, n = 25) or periapical x-rays (control group, n = 20). Insertion sites were selected using a 3-dimensional surgical planning program by fusing maxillary digital model images and cone-beam computed tomography images. Deviations between actual and planned placements were measured as 3-dimensional angular deviations and distance (coronal and apical) deviations.In the surgical guide group, the angular deviation was a median of 3.14° (range, 1.02°-10.9°), and the mesiodistal deviations in the coronal and apical areas were medians of 0.29 mm (range, 0.03-0.73 mm) and 0.21 mm (range, 0.03-0.97 mm), respectively. The deviations differed significantly between operators in the control group, but not in the surgical guide group. In the surgical guide group, there was no root damage from miniscrew placement, and 84% of the miniscrews were placed without contacting adjacent anatomic structures. In the control group, 50% of the miniscrews were placed between the roots (P
Druh dokumentu: Article
Jazyk: English
ISSN: 0889-5406
DOI: 10.1016/j.ajodo.2013.02.018
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/23726340
https://pubmed.ncbi.nlm.nih.gov/23726340/
https://www.ncbi.nlm.nih.gov/pubmed/23726340
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87113
https://www.sciencedirect.com/science/article/pii/S0889540613002606
https://yonsei.pure.elsevier.com/en/publications/accuracy-of-miniscrew-surgical-guides-assessed-from-cone-beam-com
Rights: Elsevier TDM
CC BY NC ND
Přístupové číslo: edsair.doi.dedup.....df2eb9fd0e4ef219ffdee37a8f7ef5d2
Databáze: OpenAIRE
Popis
Abstrakt:Several methods are available to enhance the precision of miniscrew placement. The use of surgical guides based on cone-beam computed tomography is indicated especially in patients with risky or difficult anatomic situations. The purpose of this study was to evaluate the accuracy of miniscrew placement by using surgical guides developed with computer-aided design and manufacturing techniques.Miniscrews were placed in cadaver maxillae using stereolithographic computer-aided design and manufacturing techniques with assistance from surgical guides (surgical guide group, n = 25) or periapical x-rays (control group, n = 20). Insertion sites were selected using a 3-dimensional surgical planning program by fusing maxillary digital model images and cone-beam computed tomography images. Deviations between actual and planned placements were measured as 3-dimensional angular deviations and distance (coronal and apical) deviations.In the surgical guide group, the angular deviation was a median of 3.14° (range, 1.02°-10.9°), and the mesiodistal deviations in the coronal and apical areas were medians of 0.29 mm (range, 0.03-0.73 mm) and 0.21 mm (range, 0.03-0.97 mm), respectively. The deviations differed significantly between operators in the control group, but not in the surgical guide group. In the surgical guide group, there was no root damage from miniscrew placement, and 84% of the miniscrews were placed without contacting adjacent anatomic structures. In the control group, 50% of the miniscrews were placed between the roots (P
ISSN:08895406
DOI:10.1016/j.ajodo.2013.02.018