“Three‐in‐one” patient‐specific surgical guides for simultaneous dental implants in fibula flap jaw reconstruction: A prospective case series
Background Conventional freehand immediate placement of dental implants is technically challenging in the jaw reconstructive surgery. Computer‐aided surgery might be the best solution, however, there has not been any standard approach to ensure the accuracy and efficiency of simultaneous dental impl...
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| Veröffentlicht in: | Clinical implant dentistry and related research 2021-02, Vol.23 (1), p.43-53 |
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| creator | Zhu, Wang‐yong Su, Yu‐xiong Pow, Edmond Ho Nang Yang, Wei‐fa Qin, Ling Choi, Wing Shan |
| description | Background
Conventional freehand immediate placement of dental implants is technically challenging in the jaw reconstructive surgery. Computer‐aided surgery might be the best solution, however, there has not been any standard approach to ensure the accuracy and efficiency of simultaneous dental implants in fibula flap jaw reconstruction.
Purpose
We aim to evaluate the clinical outcome of simultaneous dental implant in fibula flap using the “three‐in‐one” patient‐specific surgical guide (3‐in‐1‐PSSG) in an open‐label, prospective, single‐arm, and single‐center clinical trial.
Materials and Methods
A novel computer‐aided designed and three‐dimensional (3D) printed 3‐in‐1‐PSSG, which contains functions of fibula segmentation, surgical plate positioning and implant placement, was used to facilitate the reconstructive surgery and simultaneous dental implant placement. The intraoperative success of dental implant placement, implant survival rate and accuracy of dental implant placement were reported.
Results
From November 2018 to June 2020, 15 consecutive patients with 48 dental implants were enrolled in this study. Fifteen 3‐in‐1‐PSSGs were fabricated with a mean number of dental implants per guide of 3.2 ± 1.5. The intraoperative success rate of this approach was 14 out of 15. With an average follow‐up period of 40 weeks, the overall implant survival rate was 83.3% (40/48). Eight implants were removed due to two fibula flap failures. The mean deviation at the implant platform and implant apex were 2.8 mm (interquartile range [IQR]: 1.9‐3.4) and 3.2 mm (IQR: 2.0‐4.6), and the angular deviation was 2.5° (IQR: 1.1‐6.8).
Conclusions
Our preliminary data indicated that the 3D printed 3‐in‐1‐PSSG facilitated simultaneous dental implant in fibula flap jaw reconstruction with a favorable intraoperative success and short‐term clinical outcome. It might be a viable alternative to allow one‐step immediate oral rehabilitation in patients underwent jaw reconstruction with free flaps. Long‐term results with a larger sample size are warranted. |
| doi_str_mv | 10.1111/cid.12954 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2460769493</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2460769493</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4194-776afdfe125b1d93b2483f94e3f3e52e5eb95345eb9550968afea09449b262a3</originalsourceid><addsrcrecordid>eNp1kbtOHTEQhq0oUbgkBS8QWUpDigXf9mI6dHIBCYnm9Cuvdww-8noXew2i4xHo0iQvx5NgWEgRCRczo_Hn3zP6Edqj5IDmc6htf0CZLMU7tE1r0hQNI837XJeMF6SRcgvtxLghhFFa0Y9oi3PaENmQbfT74e7P-jIAPNzdW5_D6HP5F09qtuDn3IgTaGusxjGFC6uVwxfJ9hCxGQOOdkhuVh7GFHGfH-RrO0xO-Tli67GxXXIKG6cmvFE3OIAefZxD0rMd_RE-xlMYn36Y7TVgrSLgCMFC_IQ-GOUifH7Ju2j988d6dVKcnf86XR2fFVpQKYq6rpTpDVBWdrSXvGOi4UYK4IZDyaCETpZcPKeSyKpRBhSRQsiOVUzxXbS_yOYxrhLEuR1s1ODcslLLREXqSgrJM_r1P3QzpuDzcJmSLMvRmmXq20LpvFcMYNop2EGF25aS9smsNpvVPpuV2S8viqkboP9HvrqTgcMFuLEObt9Walen3xfJRz9qpSw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2492262172</pqid></control><display><type>article</type><title>“Three‐in‐one” patient‐specific surgical guides for simultaneous dental implants in fibula flap jaw reconstruction: A prospective case series</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Zhu, Wang‐yong ; Su, Yu‐xiong ; Pow, Edmond Ho Nang ; Yang, Wei‐fa ; Qin, Ling ; Choi, Wing Shan</creator><creatorcontrib>Zhu, Wang‐yong ; Su, Yu‐xiong ; Pow, Edmond Ho Nang ; Yang, Wei‐fa ; Qin, Ling ; Choi, Wing Shan</creatorcontrib><description>Background
Conventional freehand immediate placement of dental implants is technically challenging in the jaw reconstructive surgery. Computer‐aided surgery might be the best solution, however, there has not been any standard approach to ensure the accuracy and efficiency of simultaneous dental implants in fibula flap jaw reconstruction.
Purpose
We aim to evaluate the clinical outcome of simultaneous dental implant in fibula flap using the “three‐in‐one” patient‐specific surgical guide (3‐in‐1‐PSSG) in an open‐label, prospective, single‐arm, and single‐center clinical trial.
Materials and Methods
A novel computer‐aided designed and three‐dimensional (3D) printed 3‐in‐1‐PSSG, which contains functions of fibula segmentation, surgical plate positioning and implant placement, was used to facilitate the reconstructive surgery and simultaneous dental implant placement. The intraoperative success of dental implant placement, implant survival rate and accuracy of dental implant placement were reported.
Results
From November 2018 to June 2020, 15 consecutive patients with 48 dental implants were enrolled in this study. Fifteen 3‐in‐1‐PSSGs were fabricated with a mean number of dental implants per guide of 3.2 ± 1.5. The intraoperative success rate of this approach was 14 out of 15. With an average follow‐up period of 40 weeks, the overall implant survival rate was 83.3% (40/48). Eight implants were removed due to two fibula flap failures. The mean deviation at the implant platform and implant apex were 2.8 mm (interquartile range [IQR]: 1.9‐3.4) and 3.2 mm (IQR: 2.0‐4.6), and the angular deviation was 2.5° (IQR: 1.1‐6.8).
Conclusions
Our preliminary data indicated that the 3D printed 3‐in‐1‐PSSG facilitated simultaneous dental implant in fibula flap jaw reconstruction with a favorable intraoperative success and short‐term clinical outcome. It might be a viable alternative to allow one‐step immediate oral rehabilitation in patients underwent jaw reconstruction with free flaps. Long‐term results with a larger sample size are warranted.</description><identifier>ISSN: 1523-0899</identifier><identifier>EISSN: 1708-8208</identifier><identifier>DOI: 10.1111/cid.12954</identifier><identifier>PMID: 33180980</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>computer‐aided design and additive manufacture ; Dental Implantation, Endosseous ; Dental Implants ; Dental materials ; Dental prosthetics ; Dentistry ; Deviation ; Fibula ; Fibula - surgery ; Free Tissue Flaps - surgery ; Humans ; Jaw ; jaw reconstruction ; Patients ; patient‐specific surgical guide ; photopolymer ; Plastic surgery ; Prospective Studies ; Reconstructive surgery ; Rehabilitation ; Segmentation ; simultaneous dental implant ; Success ; Surgical implants ; Surgical instruments ; Survival ; Three dimensional printing</subject><ispartof>Clinical implant dentistry and related research, 2021-02, Vol.23 (1), p.43-53</ispartof><rights>2020 Wiley Periodicals LLC</rights><rights>2020 Wiley Periodicals LLC.</rights><rights>2021 Wiley Periodicals LLC</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4194-776afdfe125b1d93b2483f94e3f3e52e5eb95345eb9550968afea09449b262a3</citedby><cites>FETCH-LOGICAL-c4194-776afdfe125b1d93b2483f94e3f3e52e5eb95345eb9550968afea09449b262a3</cites><orcidid>0000-0001-6173-6167 ; 0000-0002-7536-4277 ; 0000-0001-7143-3370 ; 0000-0003-2640-8437 ; 0000-0001-6047-3705 ; 0000-0002-4422-5258</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.12954$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcid.12954$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33180980$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Wang‐yong</creatorcontrib><creatorcontrib>Su, Yu‐xiong</creatorcontrib><creatorcontrib>Pow, Edmond Ho Nang</creatorcontrib><creatorcontrib>Yang, Wei‐fa</creatorcontrib><creatorcontrib>Qin, Ling</creatorcontrib><creatorcontrib>Choi, Wing Shan</creatorcontrib><title>“Three‐in‐one” patient‐specific surgical guides for simultaneous dental implants in fibula flap jaw reconstruction: A prospective case series</title><title>Clinical implant dentistry and related research</title><addtitle>Clin Implant Dent Relat Res</addtitle><description>Background
Conventional freehand immediate placement of dental implants is technically challenging in the jaw reconstructive surgery. Computer‐aided surgery might be the best solution, however, there has not been any standard approach to ensure the accuracy and efficiency of simultaneous dental implants in fibula flap jaw reconstruction.
Purpose
We aim to evaluate the clinical outcome of simultaneous dental implant in fibula flap using the “three‐in‐one” patient‐specific surgical guide (3‐in‐1‐PSSG) in an open‐label, prospective, single‐arm, and single‐center clinical trial.
Materials and Methods
A novel computer‐aided designed and three‐dimensional (3D) printed 3‐in‐1‐PSSG, which contains functions of fibula segmentation, surgical plate positioning and implant placement, was used to facilitate the reconstructive surgery and simultaneous dental implant placement. The intraoperative success of dental implant placement, implant survival rate and accuracy of dental implant placement were reported.
Results
From November 2018 to June 2020, 15 consecutive patients with 48 dental implants were enrolled in this study. Fifteen 3‐in‐1‐PSSGs were fabricated with a mean number of dental implants per guide of 3.2 ± 1.5. The intraoperative success rate of this approach was 14 out of 15. With an average follow‐up period of 40 weeks, the overall implant survival rate was 83.3% (40/48). Eight implants were removed due to two fibula flap failures. The mean deviation at the implant platform and implant apex were 2.8 mm (interquartile range [IQR]: 1.9‐3.4) and 3.2 mm (IQR: 2.0‐4.6), and the angular deviation was 2.5° (IQR: 1.1‐6.8).
Conclusions
Our preliminary data indicated that the 3D printed 3‐in‐1‐PSSG facilitated simultaneous dental implant in fibula flap jaw reconstruction with a favorable intraoperative success and short‐term clinical outcome. It might be a viable alternative to allow one‐step immediate oral rehabilitation in patients underwent jaw reconstruction with free flaps. Long‐term results with a larger sample size are warranted.</description><subject>computer‐aided design and additive manufacture</subject><subject>Dental Implantation, Endosseous</subject><subject>Dental Implants</subject><subject>Dental materials</subject><subject>Dental prosthetics</subject><subject>Dentistry</subject><subject>Deviation</subject><subject>Fibula</subject><subject>Fibula - surgery</subject><subject>Free Tissue Flaps - surgery</subject><subject>Humans</subject><subject>Jaw</subject><subject>jaw reconstruction</subject><subject>Patients</subject><subject>patient‐specific surgical guide</subject><subject>photopolymer</subject><subject>Plastic surgery</subject><subject>Prospective Studies</subject><subject>Reconstructive surgery</subject><subject>Rehabilitation</subject><subject>Segmentation</subject><subject>simultaneous dental implant</subject><subject>Success</subject><subject>Surgical implants</subject><subject>Surgical instruments</subject><subject>Survival</subject><subject>Three dimensional printing</subject><issn>1523-0899</issn><issn>1708-8208</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kbtOHTEQhq0oUbgkBS8QWUpDigXf9mI6dHIBCYnm9Cuvdww-8noXew2i4xHo0iQvx5NgWEgRCRczo_Hn3zP6Edqj5IDmc6htf0CZLMU7tE1r0hQNI837XJeMF6SRcgvtxLghhFFa0Y9oi3PaENmQbfT74e7P-jIAPNzdW5_D6HP5F09qtuDn3IgTaGusxjGFC6uVwxfJ9hCxGQOOdkhuVh7GFHGfH-RrO0xO-Tli67GxXXIKG6cmvFE3OIAefZxD0rMd_RE-xlMYn36Y7TVgrSLgCMFC_IQ-GOUifH7Ju2j988d6dVKcnf86XR2fFVpQKYq6rpTpDVBWdrSXvGOi4UYK4IZDyaCETpZcPKeSyKpRBhSRQsiOVUzxXbS_yOYxrhLEuR1s1ODcslLLREXqSgrJM_r1P3QzpuDzcJmSLMvRmmXq20LpvFcMYNop2EGF25aS9smsNpvVPpuV2S8viqkboP9HvrqTgcMFuLEObt9Walen3xfJRz9qpSw</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Zhu, Wang‐yong</creator><creator>Su, Yu‐xiong</creator><creator>Pow, Edmond Ho Nang</creator><creator>Yang, Wei‐fa</creator><creator>Qin, Ling</creator><creator>Choi, Wing Shan</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><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/0000-0001-6173-6167</orcidid><orcidid>https://orcid.org/0000-0002-7536-4277</orcidid><orcidid>https://orcid.org/0000-0001-7143-3370</orcidid><orcidid>https://orcid.org/0000-0003-2640-8437</orcidid><orcidid>https://orcid.org/0000-0001-6047-3705</orcidid><orcidid>https://orcid.org/0000-0002-4422-5258</orcidid></search><sort><creationdate>202102</creationdate><title>“Three‐in‐one” patient‐specific surgical guides for simultaneous dental implants in fibula flap jaw reconstruction: A prospective case series</title><author>Zhu, Wang‐yong ; Su, Yu‐xiong ; Pow, Edmond Ho Nang ; Yang, Wei‐fa ; Qin, Ling ; Choi, Wing Shan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4194-776afdfe125b1d93b2483f94e3f3e52e5eb95345eb9550968afea09449b262a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>computer‐aided design and additive manufacture</topic><topic>Dental Implantation, Endosseous</topic><topic>Dental Implants</topic><topic>Dental materials</topic><topic>Dental prosthetics</topic><topic>Dentistry</topic><topic>Deviation</topic><topic>Fibula</topic><topic>Fibula - surgery</topic><topic>Free Tissue Flaps - surgery</topic><topic>Humans</topic><topic>Jaw</topic><topic>jaw reconstruction</topic><topic>Patients</topic><topic>patient‐specific surgical guide</topic><topic>photopolymer</topic><topic>Plastic surgery</topic><topic>Prospective Studies</topic><topic>Reconstructive surgery</topic><topic>Rehabilitation</topic><topic>Segmentation</topic><topic>simultaneous dental implant</topic><topic>Success</topic><topic>Surgical implants</topic><topic>Surgical instruments</topic><topic>Survival</topic><topic>Three dimensional printing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Wang‐yong</creatorcontrib><creatorcontrib>Su, Yu‐xiong</creatorcontrib><creatorcontrib>Pow, Edmond Ho Nang</creatorcontrib><creatorcontrib>Yang, Wei‐fa</creatorcontrib><creatorcontrib>Qin, Ling</creatorcontrib><creatorcontrib>Choi, Wing Shan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><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>Zhu, Wang‐yong</au><au>Su, Yu‐xiong</au><au>Pow, Edmond Ho Nang</au><au>Yang, Wei‐fa</au><au>Qin, Ling</au><au>Choi, Wing Shan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“Three‐in‐one” patient‐specific surgical guides for simultaneous dental implants in fibula flap jaw reconstruction: A prospective case series</atitle><jtitle>Clinical implant dentistry and related research</jtitle><addtitle>Clin Implant Dent Relat Res</addtitle><date>2021-02</date><risdate>2021</risdate><volume>23</volume><issue>1</issue><spage>43</spage><epage>53</epage><pages>43-53</pages><issn>1523-0899</issn><eissn>1708-8208</eissn><abstract>Background
Conventional freehand immediate placement of dental implants is technically challenging in the jaw reconstructive surgery. Computer‐aided surgery might be the best solution, however, there has not been any standard approach to ensure the accuracy and efficiency of simultaneous dental implants in fibula flap jaw reconstruction.
Purpose
We aim to evaluate the clinical outcome of simultaneous dental implant in fibula flap using the “three‐in‐one” patient‐specific surgical guide (3‐in‐1‐PSSG) in an open‐label, prospective, single‐arm, and single‐center clinical trial.
Materials and Methods
A novel computer‐aided designed and three‐dimensional (3D) printed 3‐in‐1‐PSSG, which contains functions of fibula segmentation, surgical plate positioning and implant placement, was used to facilitate the reconstructive surgery and simultaneous dental implant placement. The intraoperative success of dental implant placement, implant survival rate and accuracy of dental implant placement were reported.
Results
From November 2018 to June 2020, 15 consecutive patients with 48 dental implants were enrolled in this study. Fifteen 3‐in‐1‐PSSGs were fabricated with a mean number of dental implants per guide of 3.2 ± 1.5. The intraoperative success rate of this approach was 14 out of 15. With an average follow‐up period of 40 weeks, the overall implant survival rate was 83.3% (40/48). Eight implants were removed due to two fibula flap failures. The mean deviation at the implant platform and implant apex were 2.8 mm (interquartile range [IQR]: 1.9‐3.4) and 3.2 mm (IQR: 2.0‐4.6), and the angular deviation was 2.5° (IQR: 1.1‐6.8).
Conclusions
Our preliminary data indicated that the 3D printed 3‐in‐1‐PSSG facilitated simultaneous dental implant in fibula flap jaw reconstruction with a favorable intraoperative success and short‐term clinical outcome. It might be a viable alternative to allow one‐step immediate oral rehabilitation in patients underwent jaw reconstruction with free flaps. Long‐term results with a larger sample size are warranted.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>33180980</pmid><doi>10.1111/cid.12954</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-6173-6167</orcidid><orcidid>https://orcid.org/0000-0002-7536-4277</orcidid><orcidid>https://orcid.org/0000-0001-7143-3370</orcidid><orcidid>https://orcid.org/0000-0003-2640-8437</orcidid><orcidid>https://orcid.org/0000-0001-6047-3705</orcidid><orcidid>https://orcid.org/0000-0002-4422-5258</orcidid></addata></record> |
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| identifier | ISSN: 1523-0899 |
| ispartof | Clinical implant dentistry and related research, 2021-02, Vol.23 (1), p.43-53 |
| issn | 1523-0899 1708-8208 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | computer‐aided design and additive manufacture Dental Implantation, Endosseous Dental Implants Dental materials Dental prosthetics Dentistry Deviation Fibula Fibula - surgery Free Tissue Flaps - surgery Humans Jaw jaw reconstruction Patients patient‐specific surgical guide photopolymer Plastic surgery Prospective Studies Reconstructive surgery Rehabilitation Segmentation simultaneous dental implant Success Surgical implants Surgical instruments Survival Three dimensional printing |
| title | “Three‐in‐one” patient‐specific surgical guides for simultaneous dental implants in fibula flap jaw reconstruction: A prospective case series |
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