The influence of guided sleeve height, drilling distance, and drilling key length on the accuracy of static Computer‐Assisted Implant Surgery
Objective The aim of this study was to evaluate the effect of guided sleeve height, drilling distance, and guided key height on accuracy of static Computer‐Assisted Implant Surgery (sCAIS). Materials and Methods Pre and post‐operative positions of implants placed in duplicate dental models were comp...
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| Veröffentlicht in: | Clinical implant dentistry and related research 2019-02, Vol.21 (1), p.101-107 |
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| creator | El Kholy, Karim Janner, Simone F. M. Schimmel, Martin Buser, Daniel |
| description | Objective
The aim of this study was to evaluate the effect of guided sleeve height, drilling distance, and guided key height on accuracy of static Computer‐Assisted Implant Surgery (sCAIS).
Materials and Methods
Pre and post‐operative positions of implants placed in duplicate dental models were compared and recorded after placement of implants according to a standardized treatment planning and execution sCAIS protocol. Guided sleeve heights: 2 mm, 4 mm, 6 mm and guided key heights: 1 mm and 3 mm were equally randomized in six test groups with varying implant lengths (10‐16 mm) and surgical drilling protocols. The mean crestal and apical three‐dimensional (3D) deviation, as well as the angular deviation were calculated for each group. Data was analyzed using multivariate analysis anova. P values less than .05 were considered statistically significant. All P values of post‐hoc tests were corrected for multiple testing using Bonferroni‐Holm's adjustment method.
Results
3D implant positioning accuracy was not significantly affected by the difference in sleeve height alone or by the implant length alone (P > .05). However, 3D and angular deviation values became significantly higher as the total drilling distance below the guided sleeve increased and significantly became lower as the guided key height above the sleeve increased. 18 mm drilling distance resulted in a significantly higher deviation, when compared to 14 mm or 16 mm drilling distances, irrespective of sleeve height or implant length (P |
| doi_str_mv | 10.1111/cid.12705 |
| format | Article |
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The aim of this study was to evaluate the effect of guided sleeve height, drilling distance, and guided key height on accuracy of static Computer‐Assisted Implant Surgery (sCAIS).
Materials and Methods
Pre and post‐operative positions of implants placed in duplicate dental models were compared and recorded after placement of implants according to a standardized treatment planning and execution sCAIS protocol. Guided sleeve heights: 2 mm, 4 mm, 6 mm and guided key heights: 1 mm and 3 mm were equally randomized in six test groups with varying implant lengths (10‐16 mm) and surgical drilling protocols. The mean crestal and apical three‐dimensional (3D) deviation, as well as the angular deviation were calculated for each group. Data was analyzed using multivariate analysis anova. P values less than .05 were considered statistically significant. All P values of post‐hoc tests were corrected for multiple testing using Bonferroni‐Holm's adjustment method.
Results
3D implant positioning accuracy was not significantly affected by the difference in sleeve height alone or by the implant length alone (P > .05). However, 3D and angular deviation values became significantly higher as the total drilling distance below the guided sleeve increased and significantly became lower as the guided key height above the sleeve increased. 18 mm drilling distance resulted in a significantly higher deviation, when compared to 14 mm or 16 mm drilling distances, irrespective of sleeve height or implant length (P < .01). 3 mm key height resulted in significantly less 3D deviation than 1 mm key height (P < .01).
Conclusion
Decreasing the drilling distance below the guided sleeve, by using shorter sleeve heights or shorter implants can significantly increase the accuracy of sCAIS.</description><identifier>ISSN: 1523-0899</identifier><identifier>EISSN: 1708-8208</identifier><identifier>DOI: 10.1111/cid.12705</identifier><identifier>PMID: 30589502</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Accuracy ; computer assisted ; computer‐aided ; Data processing ; Dental implants ; Dental materials ; Dental prosthetics ; Dentistry ; Deviation ; digital workflow ; Drilling ; free drilling distance ; guided surgery ; implant ; implant surgery ; implantology ; Multivariate analysis ; Protocol (computers) ; Statistical analysis ; Surgery ; Surgical implants ; surgical techniques ; Transplants & implants</subject><ispartof>Clinical implant dentistry and related research, 2019-02, Vol.21 (1), p.101-107</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4195-63a06b8e423856dddd9368e4c2622a3ea03300ac6739c7b1c7375c6d6d272ea83</citedby><cites>FETCH-LOGICAL-c4195-63a06b8e423856dddd9368e4c2622a3ea03300ac6739c7b1c7375c6d6d272ea83</cites><orcidid>0000-0002-6426-1774</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcid.12705$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcid.12705$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30589502$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>El Kholy, Karim</creatorcontrib><creatorcontrib>Janner, Simone F. M.</creatorcontrib><creatorcontrib>Schimmel, Martin</creatorcontrib><creatorcontrib>Buser, Daniel</creatorcontrib><title>The influence of guided sleeve height, drilling distance, and drilling key length on the accuracy of static Computer‐Assisted Implant Surgery</title><title>Clinical implant dentistry and related research</title><addtitle>Clin Implant Dent Relat Res</addtitle><description>Objective
The aim of this study was to evaluate the effect of guided sleeve height, drilling distance, and guided key height on accuracy of static Computer‐Assisted Implant Surgery (sCAIS).
Materials and Methods
Pre and post‐operative positions of implants placed in duplicate dental models were compared and recorded after placement of implants according to a standardized treatment planning and execution sCAIS protocol. Guided sleeve heights: 2 mm, 4 mm, 6 mm and guided key heights: 1 mm and 3 mm were equally randomized in six test groups with varying implant lengths (10‐16 mm) and surgical drilling protocols. The mean crestal and apical three‐dimensional (3D) deviation, as well as the angular deviation were calculated for each group. Data was analyzed using multivariate analysis anova. P values less than .05 were considered statistically significant. All P values of post‐hoc tests were corrected for multiple testing using Bonferroni‐Holm's adjustment method.
Results
3D implant positioning accuracy was not significantly affected by the difference in sleeve height alone or by the implant length alone (P > .05). However, 3D and angular deviation values became significantly higher as the total drilling distance below the guided sleeve increased and significantly became lower as the guided key height above the sleeve increased. 18 mm drilling distance resulted in a significantly higher deviation, when compared to 14 mm or 16 mm drilling distances, irrespective of sleeve height or implant length (P < .01). 3 mm key height resulted in significantly less 3D deviation than 1 mm key height (P < .01).
Conclusion
Decreasing the drilling distance below the guided sleeve, by using shorter sleeve heights or shorter implants can significantly increase the accuracy of sCAIS.</description><subject>Accuracy</subject><subject>computer assisted</subject><subject>computer‐aided</subject><subject>Data processing</subject><subject>Dental implants</subject><subject>Dental materials</subject><subject>Dental prosthetics</subject><subject>Dentistry</subject><subject>Deviation</subject><subject>digital workflow</subject><subject>Drilling</subject><subject>free drilling distance</subject><subject>guided surgery</subject><subject>implant</subject><subject>implant surgery</subject><subject>implantology</subject><subject>Multivariate analysis</subject><subject>Protocol (computers)</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Surgical implants</subject><subject>surgical techniques</subject><subject>Transplants & implants</subject><issn>1523-0899</issn><issn>1708-8208</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kctO3DAUhq2qFVDooi9QWeqmlQj4QuxkiaaUjoTEArqOPPaZjMFJBjumyq5vQJ-xT9IDA1RC4mx80efvHPkn5CNnBxzr0Hp3wIVm5RuywzWrikqw6i3uSyELVtX1Nnmf0hVjgnPFt8i2ZGVVl0zskLvLFVDfL0OG3gIdlrTN3oGjKQDcAl2Bb1fjPnXRh-D7ljqfRoPoPjW9-399DRMN0Lfjig49HVFqrM3R2OneiU9Gb-ls6NZ5hPj395_jlFCEfebdOph-pBc5thCnPfJuaUKCD4_rLvn5_eRy9qM4Oz-dz47PCnvE67JQ0jC1qOBIyKpUDquWCo9WKCGMBMOkZMxYpWVt9YJbLXVplVNOaAGmkrvky8a7jsNNhjQ2nU8WAs4CQ06NwI9iSpZaI_r5BXo15NjjdEhppXEexpH6uqFsHFKKsGzW0XcmTg1nzX1KDabUPKSE7KdHY1504J7Jp1gQONwAv3yA6XVTM5t_2yj_AZdOnPE</recordid><startdate>201902</startdate><enddate>201902</enddate><creator>El Kholy, Karim</creator><creator>Janner, Simone F. M.</creator><creator>Schimmel, Martin</creator><creator>Buser, Daniel</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6426-1774</orcidid></search><sort><creationdate>201902</creationdate><title>The influence of guided sleeve height, drilling distance, and drilling key length on the accuracy of static Computer‐Assisted Implant Surgery</title><author>El Kholy, Karim ; Janner, Simone F. M. ; Schimmel, Martin ; Buser, Daniel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4195-63a06b8e423856dddd9368e4c2622a3ea03300ac6739c7b1c7375c6d6d272ea83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Accuracy</topic><topic>computer assisted</topic><topic>computer‐aided</topic><topic>Data processing</topic><topic>Dental implants</topic><topic>Dental materials</topic><topic>Dental prosthetics</topic><topic>Dentistry</topic><topic>Deviation</topic><topic>digital workflow</topic><topic>Drilling</topic><topic>free drilling distance</topic><topic>guided surgery</topic><topic>implant</topic><topic>implant surgery</topic><topic>implantology</topic><topic>Multivariate analysis</topic><topic>Protocol (computers)</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Surgical implants</topic><topic>surgical techniques</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>El Kholy, Karim</creatorcontrib><creatorcontrib>Janner, Simone F. M.</creatorcontrib><creatorcontrib>Schimmel, Martin</creatorcontrib><creatorcontrib>Buser, Daniel</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical implant dentistry and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>El Kholy, Karim</au><au>Janner, Simone F. M.</au><au>Schimmel, Martin</au><au>Buser, Daniel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The influence of guided sleeve height, drilling distance, and drilling key length on the accuracy of static Computer‐Assisted Implant Surgery</atitle><jtitle>Clinical implant dentistry and related research</jtitle><addtitle>Clin Implant Dent Relat Res</addtitle><date>2019-02</date><risdate>2019</risdate><volume>21</volume><issue>1</issue><spage>101</spage><epage>107</epage><pages>101-107</pages><issn>1523-0899</issn><eissn>1708-8208</eissn><abstract>Objective
The aim of this study was to evaluate the effect of guided sleeve height, drilling distance, and guided key height on accuracy of static Computer‐Assisted Implant Surgery (sCAIS).
Materials and Methods
Pre and post‐operative positions of implants placed in duplicate dental models were compared and recorded after placement of implants according to a standardized treatment planning and execution sCAIS protocol. Guided sleeve heights: 2 mm, 4 mm, 6 mm and guided key heights: 1 mm and 3 mm were equally randomized in six test groups with varying implant lengths (10‐16 mm) and surgical drilling protocols. The mean crestal and apical three‐dimensional (3D) deviation, as well as the angular deviation were calculated for each group. Data was analyzed using multivariate analysis anova. P values less than .05 were considered statistically significant. All P values of post‐hoc tests were corrected for multiple testing using Bonferroni‐Holm's adjustment method.
Results
3D implant positioning accuracy was not significantly affected by the difference in sleeve height alone or by the implant length alone (P > .05). However, 3D and angular deviation values became significantly higher as the total drilling distance below the guided sleeve increased and significantly became lower as the guided key height above the sleeve increased. 18 mm drilling distance resulted in a significantly higher deviation, when compared to 14 mm or 16 mm drilling distances, irrespective of sleeve height or implant length (P < .01). 3 mm key height resulted in significantly less 3D deviation than 1 mm key height (P < .01).
Conclusion
Decreasing the drilling distance below the guided sleeve, by using shorter sleeve heights or shorter implants can significantly increase the accuracy of sCAIS.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>30589502</pmid><doi>10.1111/cid.12705</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6426-1774</orcidid></addata></record> |
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| ispartof | Clinical implant dentistry and related research, 2019-02, Vol.21 (1), p.101-107 |
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| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Accuracy computer assisted computer‐aided Data processing Dental implants Dental materials Dental prosthetics Dentistry Deviation digital workflow Drilling free drilling distance guided surgery implant implant surgery implantology Multivariate analysis Protocol (computers) Statistical analysis Surgery Surgical implants surgical techniques Transplants & implants |
| title | The influence of guided sleeve height, drilling distance, and drilling key length on the accuracy of static Computer‐Assisted Implant Surgery |
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