Skip to main content

Advertisement

SpringerLink
Log in

Does guided level (fully or partially) influence implant placement accuracy at post-extraction sockets and healed sites? An in vitro study

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

The aim of this study is to evaluate the effect of guide level on the accuracy of static computer-aided implant surgery (sCAIS) at post-extraction sockets and healed sites.

Materials and methods

A total of 30 duplicate dental models, with 300 potential implant sites, were used. All the models were equally randomized into three groups: fully guided (FG, n = 100), partially guided (PG, n = 100), and free handed (FH, n = 100) surgeries. After implant placement, the mean global, horizontal, depth, and angular deviations between the virtually planned and actual implant positions were measured automatically by a Python script within software Blender.

Results

Both FG and PG surgeries showed significantly higher accuracy than FH surgery at post-extraction sockets and healed sites. In both sCAIS groups, there were nearly 50% more deviations from implants placed at sockets than those from delayed placement. For the immediate implant placement, the accuracy of sCAIS was significantly affected by the level of guidance. The FG group exhibited lower deviations than the PG group, with a significant difference in coronal global and horizontal deviations (p < .05). For the healed sites, two guided groups exhibited similar outcomes (p > .05).

Conclusions

sCAISs provide more accuracy than the free-handed approach in position transferring from planning to a model simulation. Full guidance can significantly increase the accuracy, especially at post-extraction sites.

Clinical relevance

Guided protocols showed significantly higher accuracy than free-handed surgery regardless of implantation timing, but both had nearly 50% more deviations in immediate implant placement.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Buser D, Martin W, Belser UC (2004) Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants 19(Suppl):43–61

    PubMed  Google Scholar 

  2. Chen ST, Buser D (2009) Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants 24(Suppl):186–217

    PubMed  Google Scholar 

  3. Cosyn J, Hooghe N, De Bruyn H (2012) A systematic review on the frequency of advanced recession following single immediate implant treatment. J Clin Periodontol 39:582–589

    Article  Google Scholar 

  4. Monje A, Galindo-Moreno P, Tözüm TF, Suárez-López del Amo F, Wang H-L (2016) Into the Paradigm of local factors as contributors for peri-implant disease: short communication. Int J Oral Maxillofac Implants 31:288–292

    Article  Google Scholar 

  5. Canullo L, Tallarico M, Radovanovic S, Delibasic B, Covani U, Rakic M (2016) Distinguishing predictive profiles for patient-based risk assessment and diagnostics of plaque induced, surgically and prosthetically triggered peri-implantitis. Clin Oral Implants Res 27:1243–1250

    Article  Google Scholar 

  6. Romandini M, Pedrinaci I, Lima C, Soldini MC, Araoz A, Sanz M (2021) Prevalence and risk/protective indicators of buccal soft tissue dehiscence around dental implants. J Clin Periodontol 48:455–463

    Article  Google Scholar 

  7. Romanos GE, Delgado-Ruiz R (2000) Sculean A (2019) Concepts for prevention of complications in implant therapy. Periodontol 81:7–17

    Article  Google Scholar 

  8. Jung RE, Schneider D, Ganeles J et al (2009) Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants 24(Suppl):92–109

    PubMed  Google Scholar 

  9. Van Assche N, Vercruyssen M, Coucke W, Teughels W, Jacobs R, Quirynen M (2012) Accuracy of computer-aided implant placement. Clin Oral Implants Res 23(Suppl 6):112–123

    Article  Google Scholar 

  10. D'haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A (2017) Current state of the art of computer-guided implant surgery. Periodontol 2000 73:121–133

    Article  Google Scholar 

  11. Tahmaseb A, Wu V, Wismeijer D, Coucke W, Evans C (2018) The accuracy of static computer-aided implant surgery: a systematic review and meta-analysis. Clin Oral Implants Res 29(Suppl 16):416–435

    Article  Google Scholar 

  12. Varga E, Antal M, Major L, Kiscsatári R, Braunitzer G, Piffkó J (2020) Guidance means accuracy: a randomized clinical trial on freehand versus guided dental implantation. Clin Oral Implants Res 31:417–430

    Article  Google Scholar 

  13. Gargallo-Albiol J, Barootchi S, Marqués-Guasch J, Wang H-L (2020) Fully guided versus half-guided and freehand implant placement: systematic review and meta-analysis. Int J Oral Maxillofac Implants 35:1159–1169

    Article  Google Scholar 

  14. Kan JYK, Rungcharassaeng K, Deflorian M, Weinstein T, Wang H-L (2000) Testori T (2018) Immediate implant placement and provisionalization of maxillary anterior single implants. Periodontol 77:197–212

    Article  Google Scholar 

  15. Chen Z, Li J, Sinjab K, Mendonca G, Yu H, Wang H-L (2018) Accuracy of flapless immediate implant placement in anterior maxilla using computer-assisted versus freehand surgery: a cadaver study. Clin Oral Implants Res 29:1186–1194

    Article  Google Scholar 

  16. Kraft B, Frizzera F, de Freitas RM, de Oliveira GJLP, Marcantonio Junior E (2020) Impact of fully or partially guided surgery on the position of single implants immediately placed in maxillary incisor sockets: a randomized controlled clinical trial. Clin Implant Dent Relat Res 22:631–637

    Article  Google Scholar 

  17. Chen Y, Zhang X, Wang M, Jiang Q, Mo A (2020) Accuracy of full-guided and half-guided surgical templates in anterior immediate and delayed implantation: a retrospective study. Mater Basel Switz 14:26

    Google Scholar 

  18. Younes F, Cosyn J, De Bruyckere T, Cleymaet R, Bouckaert E, Eghbali A (2018) A randomized controlled study on the accuracy of free-handed, pilot-drill guided and fully guided implant surgery in partially edentulous patients. J Clin Periodontol 45:721–732

    Article  Google Scholar 

  19. Faul F, Erdfelder E, Lang A-G, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39:175–191

    Article  Google Scholar 

  20. Schneider D, Marquardt P, Zwahlen M, Jung RE (2009) A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry. Clin Oral Implants Res 20(Suppl 4):73–86

    Article  Google Scholar 

  21. Kühl S, Zürcher S, Mahid T, Müller-Gerbl M, Filippi A, Cattin P (2013) Accuracy of full guided vs. half-guided implant surgery. Clin Oral Implants Res 24:763–769

    Article  Google Scholar 

  22. Bover-Ramos F, Viña-Almunia J, Cervera-Ballester J, Peñarrocha-Diago M, García-Mira B (2018) Accuracy of implant placement with computer-guided surgery: a systematic review and meta-analysis comparing cadaver, clinical, and in vitro studies. Int J Oral Maxillofac Implants 33:101–115

    Article  Google Scholar 

  23. Bencharit S, Staffen A, Yeung M, Whitley D, Laskin DM, Deeb GR (2018) In vivo tooth-supported implant surgical guides fabricated with desktop stereolithographic printers: fully guided surgery is more accurate than partially guided surgery. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg 76:1431–1439

    Article  Google Scholar 

  24. Lou F, Rao P, Zhang M, Luo S, Lu S, Xiao J (2021) Accuracy evaluation of partially guided and fully guided templates applied to implant surgery of anterior teeth: a randomized controlled trial. Clin Implant Dent Relat Res 23:117–130

    Article  Google Scholar 

  25. Koticha T, Fu J-H, Chan H-L, Wang H-L (2012) Influence of thread design on implant positioning in immediate implant placement. J Periodontol 83:1420–1424

    Article  Google Scholar 

  26. Li J, Chen Z, Chan H-L, Sinjab K, Yu H, Wang H-L (2019) Does flap opening or not influence the accuracy of semi-guided implant placement in partially edentulous sites? Clin Implant Dent Relat Res 21:1253–1261

    Article  Google Scholar 

  27. Sarhan MM, Khamis MM, El-Sharkawy AM (2021) Evaluation of the accuracy of implant placement by using fully guided versus partially guided tissue-supported surgical guides with cylindrical versus C-shaped guiding holes: a split-mouth clinical study. J Prosthet Dent 125:620–627

    Article  Google Scholar 

  28. El Kholy K, Lazarin R, Janner SFM, Faerber K, Buser R, Buser D (2019) Influence of surgical guide support and implant site location on accuracy of static computer-assisted implant surgery. Clin Oral Implants Res 30:1067–1075

    Article  Google Scholar 

  29. Van Assche N, Quirynen M (2010) Tolerance within a surgical guide. Clin Oral Implants Res 21:455–458

    Article  Google Scholar 

  30. Schulze RKW, Berndt D, d’Hoedt B (2010) On cone-beam computed tomography artifacts induced by titanium implants. Clin Oral Implants Res 21:100–107

    Article  Google Scholar 

Download references

Acknowledgements

This study was partially supported by the University of Michigan Periodontal Graduate Student Research Fund. The authors thank the S.I.N. company for providing the implant fixtures and the guide system.

Author information

Author notes

  1. Zhaozhao Chen and Junying Li contributed equally to this work.

Authors and Affiliations

  1. Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, 1011 North University Avenue, Ann Arbor, MI, 48109-1078, USA

    Zhaozhao Chen, Matthew Galli & Hom-Lay Wang

  2. Department of Biologic and Materials Sciences & Prosthodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA

    Junying Li, Priscila Ceolin Meneghetti & Gustavo Mendonça

  3. School of Dentistry, Pontific University Catholic of Rio Grande Do Sul, Porto Alegre, Brazil

    Priscila Ceolin Meneghetti

Authors
  1. Zhaozhao Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Junying Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Priscila Ceolin Meneghetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Matthew Galli
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Gustavo Mendonça
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Hom-Lay Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hom-Lay Wang.

Ethics declarations

Ethics approval

Not applicable. This is a model study; no human subject is involved.

Informed consent

Not applicable.

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 30 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chen, Z., Li, J., Ceolin Meneghetti, P. et al. Does guided level (fully or partially) influence implant placement accuracy at post-extraction sockets and healed sites? An in vitro study. Clin Oral Invest 26, 5449–5458 (2022). https://doi.org/10.1007/s00784-022-04512-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-022-04512-y

Keywords

Search

Navigation