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Accuracy of static fully guided implant placement in the posterior area of partially edentulous jaws: a cohort prospective study

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Abstract

Objective

A cohort prospective study was conducted to assess the three-dimensional positioning accuracy of the implant between pre-surgical and the final implant position using a static fully guided approach in the posterior area of the jaws.

Materials and methods

A total of 60 implants (30 patients) were digitally analyzed after superimposing the Digital Imaging and Communications in Medicine (DICOM) files obtained from the Cone Beam Computed Tomography (CBCT) pre- and post-implant placement. The software calculations included deviations at the implant shoulder and at the implant apex, global deviation (3D offset), and angle deviation. Statistical analysis was performed with α = 0.05.

Results

Considering the total number of implants, mesiodistal, buccolingual, and apicocoronal mean deviations at the shoulder and implant apex were equal or below 0.21 ± 0.69 mm, and only the buccolingual mean deviation at the apex reached up to 0.67 ± 1.06 mm. The mesiodistal and apicocoronal deviations were not statistically significant at both the shoulder and apex levels of the implant. The mean total angular deviation was 5.62° ± 4.09. The main limitation of this surgical approach was the requirement for a wide mouth opening.

Conclusions

Static fully guided surgery for dental implant placement exhibits minimum deviations respect to presurgical planning. The main limitation in the posterior areas is the requirement for a wide mouth opening.

Clinical relevance

Even with minimum deviations clinically acceptable, precautions and safety margins must be respected when using static full-guided surgery to place dental implants.

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Funding

The work was partially supported by the Department of Oral and Maxillofacial Surgery of the Universitat Internacional de Catalunya (Barcelona, Spain), and Institute Straumann AG, Basel, Switzerland.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, C/JosepTrueta S/N, Universitat Internacional de Catalunya, 08195, Barcelona, Spain

    Jordi Gargallo-Albiol, María José Zilleruelo-Pozo, Ernest Lucas-Taulé, Daniel Paternostro-Betancourt & Federico Hernandez-Alfaro

  2. Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA

    Jordi Gargallo-Albiol

  3. Department of Periodontics, Universitat Internacional de Catalunya, C/Josep Trueta S/N, 08195, Barcelona, Spain

    Jesús Muñoz-Peñalver

Authors
  1. Jordi Gargallo-Albiol
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  2. María José Zilleruelo-Pozo
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  3. Ernest Lucas-Taulé
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  4. Jesús Muñoz-Peñalver
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  5. Daniel Paternostro-Betancourt
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  6. Federico Hernandez-Alfaro
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Corresponding author

Correspondence to Jordi Gargallo-Albiol.

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Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the Research Medical Ethical Committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interests.

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Gargallo-Albiol, J., Zilleruelo-Pozo, M.J., Lucas-Taulé, E. et al. Accuracy of static fully guided implant placement in the posterior area of partially edentulous jaws: a cohort prospective study. Clin Oral Invest 26, 2783–2791 (2022). https://doi.org/10.1007/s00784-021-04254-3

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  • DOI: https://doi.org/10.1007/s00784-021-04254-3

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