Analysis of accuracy and operation time of domestic digital dynamic navigation and static guide in oral implant surgery

doi:10.19438/j.cjoms.2021.02.010

Abstract

Abstract: PURPOSE: To evaluate the accuracy and operation time of domestic digital dynamic navigation and digital static guide in oral implant surgery. METHODS: Patients who were subjected to implant surgery at Department of Implantology, Affiliated Hospital of Qingdao University from September, 2018 to December, 2019 were selected. The patients were randomly divided into digital dynamic navigation group (n=21) and static guide group (n=19). The operation time of 2 groups was recorded, the linear deviation of the entry, apex point and angle in 2 groups were measured as well. The data was statistically analyzed using SPSS 25.0 software package. RESULTS: The average operation time of group 1 was 23.2 min, and that of group 2 was 14.5 min. The mean (SD) discrepancies of group 1 were (0.74±0.3) mm for entry point and (0.78±0.31) mm at the apex, the mean angle discrepancy was (2.45±1.26)° from actual vs planned implant positions. The mean (SD) discrepancies of group 2 were (0.79±0.39) mm for entry point and (0.78±0.35) mm at the apex, the mean angle discrepancy was (2.44±1.07)° from actual vs planned implant positions. There was no significant difference between the 2 groups in the measurement of the entry, apex point and angle of implants(P>0.05). CONCLUSIONS: There is no significant difference between the domestic dynamic navigation system and the static guide in the accuracy of assisting oral implant surgery. The operation time of the former in single tooth loss cases is longer than that of the latter. The indications of dynamic navigation are wider than that of static navigation, and need to be chosen according to specific conditions.

Key words: Oral implant, Dynamic navigation, Static guide, Accuracy, Operation time

CLC Number:

R782.1

WU Yu-peng, MEI Dong-mei, ZHANG Qi, WANG Wen-xue, ZHAO Bao-dong. Analysis of accuracy and operation time of domestic digital dynamic navigation and static guide in oral implant surgery[J]. China Journal of Oral and Maxillofacial Surgery, 2021, 19(2): 151-155.

References

[1] McDermott NE, Chuang SK, Woo VV, et al. Complications of dental implants: identification, frequency, and associated risk factors[J]. Int J Oral Maxillofac Implants, 2003,18(6): 848-855.
[2] Özden Yüce M, Günbay T, Güniz Baksi B, et al.Clinical benefits and effectiveness of static computer-aided implant surgery compared with conventional freehand method for single-tooth implant placement[J]. J Stomatol Oral Maxillofac Surg, 2020, 121(5):534-538.
[3] Tahmaseb A, Wu V, Wismeijer D, et al.The accuracy of static computer-aided implant surgery: a systematic review and meta-analysis[J]. Clin Oral Implants Res, 2018, 29(Suppl 16): 416-435.
[4] Kramer FJ, Baethge C, Swennen G, et al.Navigated vs. conventional implant insertion for maxillary single tooth replacement[J]. Clin Oral Implants Res, 2005, 16(1): 60-68.
[5] Vercruyssen M, Cox C, Coucke W, et al.A randomized clinical trial comparing guided implant surgery (bone- or mucosa-supported) with mental navigation or the use of a pilot-drill template[J]. J Clin Periodontol, 2014, 41(7): 717-723.
[6] Esposito M, Cannizzaro G, Bozzoli P, et al.Efficacy of prophylactic antibiotics for dental implants: a multicentre placebo-controlled randomised clinical trial[J]. Eur J Oral Implantol, 2008,1(1): 23-31.
[7] 薛飞. 手术导航系统及其关键技术研究[D]. 西安: 西安电子科技大学, 2007.
[8] 郭跃华, 周汉新. 手术机器人的发展与现状[J]. 中华外科杂志, 2005, 54(1): 67-69.
[9] 郝颖明. 外科手术计算机辅助导航技术[J]. 生物医学工程学杂志, 2004, 21(2): 306-310.
[10] Clarke JV, Deakin AH, Nicol AC, et al.Measuring the positional accuracy of computer assisted surgical tracking systems[J]. Comput Aided Surg, 2010, 15(1-3): 13-18.
[11] Vercruyssen M, Laleman I, Jacobs R, et al.Computer-supported implant planning and guided surgery: a narrative review[J]. Clin Oral Implants Res, 2015, 26(Suppl 11): 69-76.
[12] Hoffmann J, Westendorff C, Gomez-Roman G, et al.Accuracy of navigation-guided socket drilling before implant installation compared to the conventional free-hand method in a synthetic edentulous lower jaw model[J]. Clin Oral Implants Res, 2005, 16(5): 609-614.
[13] Somogyi-Ganss E, Holmes HI, Jokstad A.Accuracy of a novel prototype dynamic computer-assisted surgery system[J]. Clin Oral Implants Res, 2015, 26(8): 882-890.
[14] Mandelaris GA, Stefanelli LV, DeGroot BS. Dynamic navigation for surgical implant placement: overview of technology, key concepts, and a case report[J]. Compend Contin Educ Dent, 2018, 39(9): 614-621, 622.
[15] Brief J, Edinger D, Hassfeld S, et al.Accuracy of image-guided implantology[J]. Clin Oral Implants Res, 2005, 16(4): 495-501.
[16] Ramasamy M, Giri, Raja R, et al.Implant surgical guides: from the past to the present[J]. J Pharm Bioallied Sci, 2013, 5(Suppl 1): S98-S102.
[17] Cassetta M, Stefanelli LV, Giansanti M, et al.Depth deviation and occurrence of early surgical complications or unexpected events using a single stereolithographic surgi-guide[J]. Int J Oral Maxillofac Surg, 2011, 40(12): 1377-1387.
[18] Jorba-Garcia A, Figueiredo R, González-Barnadas A, et al.Accuracy and the role of experience in dynamic computer guided dental implant surgery: an in-vitro study[J]. Med Oral Patol Oral Cir Bucal, 2019, 24(1): e76-e83.
[19] Emery RW, Merritt SA, Lank K, et al.Accuracy of dynamic navigation for dental implant placement-model-based evaluation[J]. J Oral Implantol, 2016, 42(5): 399-405.
[20] Golob Deeb J, Bencharit S, Carrico CK, et al.Exploring training dental implant placement using computer-guided implant navigation system for predoctoral students: a pilot study[J]. Eur J Dent Educ, 2019, 23(4): 415-423.
[21] Block MS.Accuracy using static or dynamic navigation[J]. J Oral Maxillofac Surg, 2016, 74(1): 2-3.
[22] dos Santos PL, Queiroz TP, Margonar R, et al. Evaluation of bone heating, drill deformation, and drill roughness after implant osteotomy: guided surgery and classic drilling procedure[J]. Int J Oral Maxillofac Implants, 2014, 29(1): 51-58.
[23] Widmann G, Stoffner R, Bale R.Errors and error management in image-guided craniomaxillofacial surgery[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2009, 107(5): 701-715.
[24] Zhao XZ, Xu WH, Tang ZH, et al.Accuracy of computer-guided implant surgery by a CAD/CAM and laser scanning technique[J]. Chin J Dent Res, 2014, 17(1): 31-36.
[25] Eggers G, Mühling J, Marmulla R.Image-to-patient registration techniques in head surgery[J]. Int J Oral Maxillofac Surg, 2006, 35(12): 1081-1095.
[26] 田田, 张志宏, 刘红红. 牙种植动态导航配准方式对配准精度的影响[J]. 国际口腔医学杂志, 2020, 47(2):196-201.
[27] 张文斌, 沈国芳. 导航手术在颅颌面外科的应用及误差控制[J]. 中国口腔颌面外科杂志, 2012, 10(2):170-173.
[28] 王跃平, 樊圣祈, 吴轶群. 动态导航系统在口腔种植领域的发展和应用[J]. 口腔疾病防治, 2017, 25(10): 613-619.
[29] Gargallo-Albiol J, Barootchi S, Salomo-Coll O, et al.Advantages and disadvantages of implant navigation surgery. A systematic review[J]. Ann Anat, 2019, 225: 1-10.