Accuracy of dynamic navigation in implant surgery: A systematic review and meta‐analysis
Objective To assess the accuracy of dynamic computer‐assisted implant surgery. Materials and methods An electronic search up to March 2020 was conducted using PubMed, Embase, and the Cochrane Central Register of Controlled Trial to identify studies using dynamic navigation in implant surgery, and ad...
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| Vydáno v: | Clinical oral implants research Ročník 32; číslo 4; s. 383 - 393 |
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| Hlavní autoři: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Denmark
Wiley Subscription Services, Inc
01.04.2021
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| ISSN: | 0905-7161, 1600-0501, 1600-0501 |
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| Abstract | Objective
To assess the accuracy of dynamic computer‐assisted implant surgery.
Materials and methods
An electronic search up to March 2020 was conducted using PubMed, Embase, and the Cochrane Central Register of Controlled Trial to identify studies using dynamic navigation in implant surgery, and additional manual search was performed as well. Clinical trials and model studies were selected. The primary outcome was accuracy. A single‐arm meta‐analysis of continuous data was conducted. Meta‐regression was utilized for comparison on study design, guidance method, jaw, and systems.
Results
Ten studies, four randomized controlled trials (RCT) and six prospective studies, met the inclusion criteria. A total of 1,298 drillings and implants were evaluated. The meta‐analysis of the accuracy (five clinical trials and five model studies) revealed average global platform deviation, global apex deviation, and angular deviation were 1.02 mm, 95% CI (0.83, 1.21), 1.33 mm, 95% CI (0.98, 1.67), and 3.59°, 95% CI (2.09, 5.09). Meta‐regression shown no difference between model studies and clinical trials (p = .295, 0.336, 0.185), drilling holes and implant (p = .36, 0.279, 0.695), maxilla and mandible (p = .875, 0.632, 0.281), and five different systems (p = .762, 0.342, 0.336).
Conclusion
Accuracy of dynamic computer‐aided implant surgery reaches a clinically acceptable range and has potential in clinical usage, but more patient‐centered outcomes and socio‐economic benefits should be reported. |
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| AbstractList | ObjectiveTo assess the accuracy of dynamic computer‐assisted implant surgery.Materials and methodsAn electronic search up to March 2020 was conducted using PubMed, Embase, and the Cochrane Central Register of Controlled Trial to identify studies using dynamic navigation in implant surgery, and additional manual search was performed as well. Clinical trials and model studies were selected. The primary outcome was accuracy. A single‐arm meta‐analysis of continuous data was conducted. Meta‐regression was utilized for comparison on study design, guidance method, jaw, and systems.ResultsTen studies, four randomized controlled trials (RCT) and six prospective studies, met the inclusion criteria. A total of 1,298 drillings and implants were evaluated. The meta‐analysis of the accuracy (five clinical trials and five model studies) revealed average global platform deviation, global apex deviation, and angular deviation were 1.02 mm, 95% CI (0.83, 1.21), 1.33 mm, 95% CI (0.98, 1.67), and 3.59°, 95% CI (2.09, 5.09). Meta‐regression shown no difference between model studies and clinical trials (p = .295, 0.336, 0.185), drilling holes and implant (p = .36, 0.279, 0.695), maxilla and mandible (p = .875, 0.632, 0.281), and five different systems (p = .762, 0.342, 0.336).ConclusionAccuracy of dynamic computer‐aided implant surgery reaches a clinically acceptable range and has potential in clinical usage, but more patient‐centered outcomes and socio‐economic benefits should be reported. Objective To assess the accuracy of dynamic computer‐assisted implant surgery. Materials and methods An electronic search up to March 2020 was conducted using PubMed, Embase, and the Cochrane Central Register of Controlled Trial to identify studies using dynamic navigation in implant surgery, and additional manual search was performed as well. Clinical trials and model studies were selected. The primary outcome was accuracy. A single‐arm meta‐analysis of continuous data was conducted. Meta‐regression was utilized for comparison on study design, guidance method, jaw, and systems. Results Ten studies, four randomized controlled trials (RCT) and six prospective studies, met the inclusion criteria. A total of 1,298 drillings and implants were evaluated. The meta‐analysis of the accuracy (five clinical trials and five model studies) revealed average global platform deviation, global apex deviation, and angular deviation were 1.02 mm, 95% CI (0.83, 1.21), 1.33 mm, 95% CI (0.98, 1.67), and 3.59°, 95% CI (2.09, 5.09). Meta‐regression shown no difference between model studies and clinical trials (p = .295, 0.336, 0.185), drilling holes and implant (p = .36, 0.279, 0.695), maxilla and mandible (p = .875, 0.632, 0.281), and five different systems (p = .762, 0.342, 0.336). Conclusion Accuracy of dynamic computer‐aided implant surgery reaches a clinically acceptable range and has potential in clinical usage, but more patient‐centered outcomes and socio‐economic benefits should be reported. To assess the accuracy of dynamic computer-assisted implant surgery. An electronic search up to March 2020 was conducted using PubMed, Embase, and the Cochrane Central Register of Controlled Trial to identify studies using dynamic navigation in implant surgery, and additional manual search was performed as well. Clinical trials and model studies were selected. The primary outcome was accuracy. A single-arm meta-analysis of continuous data was conducted. Meta-regression was utilized for comparison on study design, guidance method, jaw, and systems. Ten studies, four randomized controlled trials (RCT) and six prospective studies, met the inclusion criteria. A total of 1,298 drillings and implants were evaluated. The meta-analysis of the accuracy (five clinical trials and five model studies) revealed average global platform deviation, global apex deviation, and angular deviation were 1.02 mm, 95% CI (0.83, 1.21), 1.33 mm, 95% CI (0.98, 1.67), and 3.59°, 95% CI (2.09, 5.09). Meta-regression shown no difference between model studies and clinical trials (p = .295, 0.336, 0.185), drilling holes and implant (p = .36, 0.279, 0.695), maxilla and mandible (p = .875, 0.632, 0.281), and five different systems (p = .762, 0.342, 0.336). Accuracy of dynamic computer-aided implant surgery reaches a clinically acceptable range and has potential in clinical usage, but more patient-centered outcomes and socio-economic benefits should be reported. To assess the accuracy of dynamic computer-assisted implant surgery.OBJECTIVETo assess the accuracy of dynamic computer-assisted implant surgery.An electronic search up to March 2020 was conducted using PubMed, Embase, and the Cochrane Central Register of Controlled Trial to identify studies using dynamic navigation in implant surgery, and additional manual search was performed as well. Clinical trials and model studies were selected. The primary outcome was accuracy. A single-arm meta-analysis of continuous data was conducted. Meta-regression was utilized for comparison on study design, guidance method, jaw, and systems.MATERIALS AND METHODSAn electronic search up to March 2020 was conducted using PubMed, Embase, and the Cochrane Central Register of Controlled Trial to identify studies using dynamic navigation in implant surgery, and additional manual search was performed as well. Clinical trials and model studies were selected. The primary outcome was accuracy. A single-arm meta-analysis of continuous data was conducted. Meta-regression was utilized for comparison on study design, guidance method, jaw, and systems.Ten studies, four randomized controlled trials (RCT) and six prospective studies, met the inclusion criteria. A total of 1,298 drillings and implants were evaluated. The meta-analysis of the accuracy (five clinical trials and five model studies) revealed average global platform deviation, global apex deviation, and angular deviation were 1.02 mm, 95% CI (0.83, 1.21), 1.33 mm, 95% CI (0.98, 1.67), and 3.59°, 95% CI (2.09, 5.09). Meta-regression shown no difference between model studies and clinical trials (p = .295, 0.336, 0.185), drilling holes and implant (p = .36, 0.279, 0.695), maxilla and mandible (p = .875, 0.632, 0.281), and five different systems (p = .762, 0.342, 0.336).RESULTSTen studies, four randomized controlled trials (RCT) and six prospective studies, met the inclusion criteria. A total of 1,298 drillings and implants were evaluated. The meta-analysis of the accuracy (five clinical trials and five model studies) revealed average global platform deviation, global apex deviation, and angular deviation were 1.02 mm, 95% CI (0.83, 1.21), 1.33 mm, 95% CI (0.98, 1.67), and 3.59°, 95% CI (2.09, 5.09). Meta-regression shown no difference between model studies and clinical trials (p = .295, 0.336, 0.185), drilling holes and implant (p = .36, 0.279, 0.695), maxilla and mandible (p = .875, 0.632, 0.281), and five different systems (p = .762, 0.342, 0.336).Accuracy of dynamic computer-aided implant surgery reaches a clinically acceptable range and has potential in clinical usage, but more patient-centered outcomes and socio-economic benefits should be reported.CONCLUSIONAccuracy of dynamic computer-aided implant surgery reaches a clinically acceptable range and has potential in clinical usage, but more patient-centered outcomes and socio-economic benefits should be reported. |
| Author | Zhang, Chu‐Nan Zhu, Yu Shi, Jun‐Yu Wei, Shi‐Min Wei, Jian‐Xu Lai, Hong‐Chang |
| Author_xml | – sequence: 1 givenname: Shi‐Min surname: Wei fullname: Wei, Shi‐Min organization: Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology – sequence: 2 givenname: Yu surname: Zhu fullname: Zhu, Yu organization: Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology – sequence: 3 givenname: Jian‐Xu surname: Wei fullname: Wei, Jian‐Xu organization: Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology – sequence: 4 givenname: Chu‐Nan surname: Zhang fullname: Zhang, Chu‐Nan organization: Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology – sequence: 5 givenname: Jun‐Yu surname: Shi fullname: Shi, Jun‐Yu email: SJY0511@hotmail.com organization: Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology – sequence: 6 givenname: Hong‐Chang orcidid: 0000-0002-6922-2918 surname: Lai fullname: Lai, Hong‐Chang email: lhc9@hotmail.com organization: Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33540465$$D View this record in MEDLINE/PubMed |
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| Keywords | image-guided surgery computer-assisted surgery dental implants dynamic navigation tooth implants |
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To assess the accuracy of dynamic computer‐assisted implant surgery.
Materials and methods
An electronic search up to March 2020 was conducted using... To assess the accuracy of dynamic computer-assisted implant surgery. An electronic search up to March 2020 was conducted using PubMed, Embase, and the Cochrane... ObjectiveTo assess the accuracy of dynamic computer‐assisted implant surgery.Materials and methodsAn electronic search up to March 2020 was conducted using... To assess the accuracy of dynamic computer-assisted implant surgery.OBJECTIVETo assess the accuracy of dynamic computer-assisted implant surgery.An electronic... |
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| SubjectTerms | Accuracy Clinical trials Computer-Aided Design computer‐assisted surgery Dental Implantation, Endosseous Dental Implants Dental surgery Deviation Drilling dynamic navigation Humans image‐guided surgery Jaw Mandible Mandible - surgery Maxilla Meta-analysis Model accuracy Model testing Surgery Surgery, Computer-Assisted tooth implants |
| Title | Accuracy of dynamic navigation in implant surgery: A systematic review and meta‐analysis |
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