[en] AIM: To give an overview of the workflow from examination to planning and execution, including possible errors and pitfalls, in order to justify the indications for guided surgery. MATERIAL AND METHODS: An electronic literature search of the PubMed database was performed with the intention of collecting relevant information on computer-supported implant planning and guided surgery. RESULTS: Currently, different computer-supported systems are available to optimize and facilitate implant surgery. The transfer of the implant planning (in a software program) to the operative field remains however the most difficult part. Guided implant surgery clearly reduces the inaccuracy, defined as the deviation between the planned and the final position of the implant in the mouth. It might be recommended for the following clinical indications: need for minimal invasive surgery, optimization of implant planning and positioning (i.e. aesthetic cases), and immediate restoration. CONCLUSIONS: The digital technology rapidly evolves and new developments have resulted in further improvement of the accuracy. Future developments include the reduction of the number of steps needed from the preoperative examination of the patient to the actual execution of the guided surgery. The latter will become easier with the implementation of optical scans and 3D-printing.
Research center :
d‐BRU - Dental Biomaterials Research Unit - ULiège [BE]
Disciplines :
Dentistry & oral medicine
Author, co-author :
Vercruyssen, Marjolein; Department of Oral Health Sciences, Periodontology, Faculty of Medicine, Catholic
Laleman, Isabelle ; Centre Hospitalier Universitaire de Liège - CHU > > Service de parodontologie, chirurgie bucco-dentaire et chirurgie implantaire ; Department of Oral Health Sciences, Periodontology, Faculty of Medicine, Catholic
Jacobs, Reinhilde; OMFS IMPATH research group, Department of Imaging & Pathology, Faculty of
Quirynen, Marc; Department of Oral Health Sciences, Periodontology, Faculty of Medicine, Catholic
Language :
English
Title :
Computer-supported implant planning and guided surgery: a narrative review.
Al-Rawi, B., Hassan, B., Vandenberge, B. & Jacobs, R. (2011) Accuracy assessment of three-dimensional surface reconstructions of teeth from cone beam computed tomography scans. Journal of Oral Rehabilitation 37: 352-358.
Arisan, V., Bölükbaşi, N. & Öksüz, L. (2013a) Computer-assisted flapless implant placement reduces the incidence of surgery-related bacteremia. Clinical Oral Investigations 17: 1985-1993.
Arisan, V., Karabuda, C.Z., Mumcu, E. & Özdemir, T. (2013b) Implant positioning errors in freehand and computer-aided placement methods: a single-blind clinical comparative study. The International Journal of Oral & Maxillofacial Implants 28: 190-204.
Arisan, V., Karabuda, C.Z. & Ozdemir, T. (2010) Implant surgery using bone- and mucosa-supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques. Clinical Oral Implants Research 21: 980-988.
Arisan, V., Karabuda, Z.C., Pişkin, B. & Ozdemir, T. (2013c) Conventional Multi-Slice Computed Tomography (CT) and Cone-Beam CT (CBCT) for computer-aided implant placement. Part II: reliability of mucosa-supported Stereolithographic Guides. Clinical Implant Dentistry and Related Research 15: 907-917.
Bianchi, S.D., Ramieri, G., De Gioanni, P.P., Martinetto, F. & Berrone, S. (1997) Validation of anatomical stereolithographic replicas: personal experience and literature review. Radiologia Medica 94: 503-510.
Cassetta, M., Giansanti, M., Di Mambro, A., Calasso, S. & Barbato, E. (2013) Accuracy of two stereolithographic surgical templates: a retrospective study. Clinical Implant Dentistry and Related Research 15: 448-459.
D'haese, J. & De Bruyn, H.. (2013) Effect of smoking habits on accuracy of implant placement using mucosally supported stereolithographic surgical guides. Clinical Implant Dentistry and Related Research 15: 402-411.
Dreiseidler, T., Neugebauer, J., Ritter, L., Lingohr, T., Rothamel, D., Mischkowski, R.A. & Zoller, J.E. (2009) Accuracy of a newly developed integrated system for dental implant planning. Clinical Oral Implants Research 20: 1191-1199.
Farley, N.E., Kennedy, K., McGlumphy, E.A. & Clelland, N.L. (2013) Split-mouth comparison of the accuracy of computer-generated and conventional surgical guides. International Journal of Oral & Maxillofacial Implants 28: 563-572.
Flügge, T.V., Nelson, K., Schmelzeisen, R. & Metzger, M.C. (2013) Three-dimensional plotting and printing of an implant drilling guide: simplifying guided implant surgery. Journal of Oral and Maxillofacial Surgery 71: 1340-1346.
Fortin, T., Champleboux, G., Bianchi, S., Buatois, H. & Coudert, J.L. (2002) Precision of transfer of preoperative planning for oral implants based on cone-beam CT-scan images through a robotic drilling machine. Clinical Oral Implants Research 13: 651-656.
Fortin, T., Isidori, M., Blanchet, E., Perriat, M., Bouchet, H. & Coudert, J.L. (2004) An image-guided system-drilled surgical template and trephine guide pin to make treatment of completely edentulous patients easier: a clinical report on immediate loading. Clinical Implant Dentistry and Related Research 6: 111-119.
Fortin, T., Isidori, M. & Bouchet, H. (2009) Placement of posterior maxillary implants in partially edentulous patients with severe bone deficiency using CAD/CAM guidance to avoid sinus grafting: a clinical report of procedure. International Journal of Oral & Maxillofacial Implants 24: 96-102.
Fürhauser, R., Mailath-Pokorny, G., Haas, R., Busenlechner, D., Watzek, G. & Pommer, B.. (2014) Esthetics of flapless single-tooth implants in the anterior maxilla using guided surgery: association of three-dimensional accuracy and pink esthetic score. Clinical Implant Dentistry and Related Research doi: 10.1111/cid.12264. [Epub ahead of print].
Guerrero, M.E., Jacobs, R., Loubele, M., Schutyser, F., Suetens, P. & van Steenberghe, D. (2006) State-of-the-art on cone beam CT imaging for preoperative planning of implant placement. Clinical Oral Investigations 10: 1-7.
Hultin, M., Svensson, K.G. & Trulsson, M. (2012) Clinical advantages of computer-guided implant placement: a systematic review. Clinical Oral Implants Research 23: 124-135.
Jacobs, R., Adriansens, A., Verstreken, K., Suetens, P. & van Steenberghe, D. (1999) Predictability of a three dimensional planning system for oral implant surgery. Dento Maxillo Facial Radiology 28: 105-111.
Jacobs, R. & Quirynen, M. (2014) Dental cone beam CT : justification for use in planning oral implant placement. Periodontology 2000 66: 203-213.
Jacobs, R., Quirynen, M. & Bornstein, M.M. (2014) Neurovascular disturbances after implant surgery. Periodontology 2000 66: 188-202.
Jung, R.E., Schneider, D., Ganeles, J., Wismeijer, D., Zwahlen, M., Hämmerle, C.H. & Tahmaseb, A. (2009) Computer technology applications in surgical implant dentistry: a systematic review. International Journal of Oral & Maxillofacial Implants 24: 92-109.
Komiyama, A., Hultin, M., Näsström, K., Benchimol, D. & Klinge, B. (2011) Soft tissue conditions and marginal bone changes around immediately loaded implants inserted in edentate jaws following computer guided treatment planning and flapless surgery: a 1-year clinical follow-up study. Clinical Oral Implants Research 22: 308-313.
Koop, R., Vercruyssen, M., Vermeulen, K. & Quirynen, M. (2012) Tolerance within the sleeve inserts of different surgical guides for guided implant surgery. Clinical Oral Implants Research 24: 630-634.
Loubele, M., Maes, F., Jacobs, R., van Steenberghe, D., White, S.C. & Suetens, P. (2008) Comparative study of image quality for MSCT and CBCT scanners for dentomaxillofacial radiology applications. Radiation Protection Dosimetry 129: 222-226.
Papaspyridakos, P., Chen, C.J., Chuang, S.K. & Weber, H.P. (2014) Implant loading protocols for edentulous patients with fixed prostheses: a systematic review and meta-analysis. International Journal of Oral & Maxillofacial Implants 29: 256-270.
Pettersson, A., Komiyama, A., Hultin, M., Näsström, K. & Klinge, B. (2012) Accuracy of virtually planned and template guided implant surgery on edentate patients. Clinical Implant Dentistry and Related Research 14: 527-537.
Poeschl, P.W., Schmidt, N., Guevara-Rojas, G., Seeman, R., Ewers, R., Zipko, H.T. & Schicho, K. (2013) Comparison of cone-beam and conventional multislice computed tomography for image-guide dental implant planning. Clinical Oral Investigations 17: 317-324.
Pozzi, A., Tallarico, M., Marchetti, M., Scarfò, B. & Esposito, M. (2014) Computer-guided versus free-hand placement of immediately loaded dental implants: 1-year post-loading results of a multicentre randomised controlled trial. European Journal of Oral Implantology 3: 229-242.
Reich, S., Kern, T. & Ritter, L. (2014) Options in virtual 3D, optical-impression-based planning of dental implants. International Journal of Computerized Dentistry 17: 101-113.
Santler, G., Kärcher, H., Gaggl, A. & Kern, R. (1998) Stereolithography versus milled three-dimensional models: comparison of production method, indication, and accuracy. Computer Aided Surgery 3: 248-256.
Schneider, J., Decker, R. & Kalender, W.A. (2002) Accuracy in medicinal modelling. Phidias Newsletters 8: 5-14.
Schneider, D., Schober, F., Grohmann, P., Hammerle, C.H. & Jung, R.E. (2014) In-vitro evaluation of the tolerance of surgical instruments in templates for computer-assisted guided implantology produced by 3-D printing. Clinical Oral Implants Research 26: .320-325.
Stumpel, L.J. (2012) Deformation of stereolithographically produced surgical guides: an observational case series report. Clinical Implant Dentistry and Related Research 14: 442-453.
Stumpel, L.J. (2013) Congruency of stereo lithographically produced surgical guide bases made from the same CBCT file: a pilot study. Clinical Implant Dentistry and Related Research 15: 531-537.
Sun, Y., Luebbers, H.T., Agbaje, J.O., Schepers, S., Politis, C., Van Slycke, S. & Vrielinck, L. (2013) Accuracy of dental implant placement using CBCT-derived mucosa-supported stereolithographic template. Clinical Implant Dentistry and Related Research. doi:10.1111/cid.12189.
Swaelens, B. & Kruth, J.P. (1993) Medical applications of rapid prototyping techniques. Proceedings of the Fourth International Conference on Rapid Prototyping, Dayton, USA: 107-120.
Tahmaseb, A., van de Weijden, J.J., Mercelis, P., De Clerck, R. & Wismeijer, D. (2010) Parameters of passive fit using a new technique to mill implant-supported superstructures: an in vitro study of a novel three-dimensional force measurement-misfit method. International Journal of Oral & Maxillofacial Implants 25: 247-257.
Tahmaseb, A., Wismeijer, D., Coucke, W. & Derksen, W. (2014) Computer technology applications in surgical implant dentistry: a systematic review. International Journal of Oral Maxillofacial Implants 29: 25-42.
Valente, F., Schiroli, G. & Sbrenna, A. (2009) Accuracy of computer-aided oral implant surgery: a clinical and radiographic study. International Journal of Oral Maxillofacial Implants 24: 234-242.
Van Assche, N. & Quirynen, M. (2010) Tolerance within a surgical guide. Clinical Oral Implants Research 21: 455-458.
Van Assche, N., Vercruyssen, M., Coucke, W., Teughels, W., Jacobs, R. & Quirynen, M. (2012) Accuracy of computer-aided implant placement. Clinical Oral Implants Research 23: 112-123.
Van Steenberghe, D. (2005) Interactive imaging for implant planning. Journal of Oral & Maxillofacial Surgy 63: 883-884.
Vandenberghe, B., Jacobs, R. & Bosmans, H. (2010) Modern dental imaging: a review of the current technology and clinical applications in dental practice. European Journal of Radiology 20: 2637-2655.
Vasak, C., Watzak, G., Gahleitner, A., Strbac, G., Schemper, M. & Zechner, W. (2011) Computed tomography-based evaluation of template (Nobel-Guide)-guided implant positions: a prospective radiological study. Clinical Oral Implants Research 22: 1157-1163.
Vercruyssen, M., Coucke, W., Naert, I., Jacobs, R. & Quirynen, M.. (2014a) Depth and lateral deviations in guided implant surgery: an RCT comparing guided surgery with mental navigation 1 or the use of a pilot-drill template. Clinical Oral Implants Research doi:10.1111/clr.12460. [Epub ahead of print]
Vercruyssen, M., Cox, C., Coucke, W., Naert, I., Jacobs, R. & Quirynen, M. (2014b) An RCT comparing guided implant surgery (bone or mucosa supported) with mental navigation or the use of a pilot-drill template. Journal of Clinical Periodontology 41: 717-723.
Vercruyssen, M., De Laat, A., Coucke, W. & Quirynen, M. (2014c) An RCT comparing patient-centred outcome variables of guided surgery (bone or mucosa supported) with conventional implant placement. Journal of Clinical Periodontology 41: 724-732.
Vercruyssen, M., Fortin, T., Widmann, G., Jacobs, R. & Quirynen, M. (2014d) Different techniques of static/dynamic guided implant surgery: modalities and indications. Periodontology 2000 66: 214-227.
Vercruyssen, M., Jacobs, R., van Assche, N. & van Steenberghe, D. (2008) The use of CT scan based planning for oral rehabilitation by means of implants and its transfer to the surgical field: a critical review on accuracy. Journal of Oral Rehabilitation 35: 454-474.
Verhamme, L.M., Meijer, G.J., Boumans, T., De Haan, A.F., Bergé, S.J. & Maal, T.J. (2013) A clinically relevant accuracy study of computer-planned implant placement in the edentulous maxilla using mucosa-supported surgical templates. Clinical Implant Dental Related Research 24: 1265-1272.
Verhamme, L.M., Meijer, G.J., Boumans, T., Schutyser, F., Bergé, S.J. & Maal, T.J. (2012) Clinical Oral Implants Research 24: 1265-1272.
Verstreken, K., Van Cleynenbreugel, J., Marchal, G., Naert, I., Suetens, P. & van Steenberghe, D. (1996) Computer-assisted planning of oral implant surgery: a three-dimensional approach. International Journal of Oral & Maxillofacial Implants 11: 806-810.
Verstreken, K., Van Cleynenbreugel, J., Martens, K., Marchal, G., van Steenberghe, D. & Suetens, P. (1998) An image-guided planning system for endosseous oral implants. IEEE Transactions on Medical Imaging 17: 842-852.
