An alternative method to match planned and achieved positions of implants, after virtual planning using cone-beam CT data and surgical guide templates – A method reducing patient radiation exposure (part I)

Summary 

Objectives

The present study describes a new method of evaluating the precision of surgically placed dental implants compared after virtual planning of implant positions using cone-beam computed tomography (CT) data and surgical guide templates. This method reduces radiation exposure for patients participating in scientific studies.

Materials and methods

Twenty-three implants in 10 patients with a unilateral free-end gap in the mandible (Kennedy Class II) were evaluated. After three-dimensional planning of implant position, the implant bed was prepared with a surgical guide template and transmucosal drilling. Preoperative cone-beam CT images were matched with postoperative images of the master cast with implant replicas. Deviations between planned and achieved positions were measured in position and axis.

Results

On average, the match between planned and placed implant axis was within 4.2 degrees (range, 0.0–10.0). The mean difference in distance at the implant shoulder was 0.9mm (range, 0.0–4.5). The mean difference in distance at the implant apex was 0.6mm (range, 0.0–2.7) in the lateral/medial direction and 0.9mm (range, 0.0–3.4) in the anterior/posterior direction.

Conclusions

This alternative matching method provides reliable postoperative evaluation of differences in position and axis of planned and placed implants while reducing patient radiation exposure.

Keywords: dental implantation, image processing, computer-assisted, three-dimensional, patient care planning