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Dynamic Navigation in Dental Implantology: The Influence of Surgical Experience on Implant Placement Accuracy and Operating Time. An in Vitro Study

Author

Listed:
  • Gerardo Pellegrino

    (Oral and Maxillofacial Surgery Division, DIBINEM, University of Bologna, 40125 Bologna, Italy)

  • Pierantonio Bellini

    (Division of Oral and Maxillofacial Surgery, Dental Clinic, University of Modena and Reggio Emilia, 41125 Modena, Italy)

  • Pier Francesco Cavallini

    (Division of Oral and Maxillofacial Surgery, Dental Clinic, University of Modena and Reggio Emilia, 41125 Modena, Italy)

  • Agnese Ferri

    (Oral and Maxillofacial Surgery Division, DIBINEM, University of Bologna, 40125 Bologna, Italy)

  • Andrea Zacchino

    (Oral and Maxillofacial Surgery Division, DIBINEM, University of Bologna, 40125 Bologna, Italy)

  • Valerio Taraschi

    (Oral and Maxillofacial Surgery Division, DIBINEM, University of Bologna, 40125 Bologna, Italy)

  • Claudio Marchetti

    (Oral and Maxillofacial Surgery Division, DIBINEM, University of Bologna, 40125 Bologna, Italy)

  • Ugo Consolo

    (Division of Oral and Maxillofacial Surgery, Dental Clinic, University of Modena and Reggio Emilia, 41125 Modena, Italy)

Abstract

Aim: the aim of this in vitro study was to test whether the implant placement accuracy and the operating time can be influenced by the operator’s experience. Materials and methods: sixteen models underwent a (Cone Beam Computer Tomography) CBCT and implant positioning was digitally planned on this. The models were randomly assigned to four operators with different levels of surgical experience. One hundred and twelve implant sites were drilled using a dynamic navigation system and operating times were measured. Based on postoperative CBCTs, dental implants were virtually inserted and superimposed over the planned ones. Two-dimensional and 3D deviations between planned and virtually inserted implants were measured at the entry point and at the apical point. Angular and vertical errors were also calculated. Results: considering coronal and apical 3D deviations, no statistically significant differences were found between the four operators ( p = 0.27; p = 0.06). Some vectorial components of the deviation at the apical point and the angular errors of some operators differed from each other. Conclusions: within the limitations of this study, dynamic navigation can be considered a reliable technique both for experienced and novice clinicians.

Suggested Citation

  • Gerardo Pellegrino & Pierantonio Bellini & Pier Francesco Cavallini & Agnese Ferri & Andrea Zacchino & Valerio Taraschi & Claudio Marchetti & Ugo Consolo, 2020. "Dynamic Navigation in Dental Implantology: The Influence of Surgical Experience on Implant Placement Accuracy and Operating Time. An in Vitro Study," IJERPH, MDPI, vol. 17(6), pages 1-9, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:6:p:2153-:d:336265
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    Citations

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    Cited by:

    1. Francesco Grecchi & Luigi V. Stefanelli & Fabrizio Grivetto & Emma Grecchi & Rami Siev & Ziv Mazor & Massimo Del Fabbro & Nicola Pranno & Alessio Franchina & Vittorio Di Lucia & Francesca De Angelis &, 2021. "A Novel Guided Zygomatic and Pterygoid Implant Surgery System: A Human Cadaver Study on Accuracy," IJERPH, MDPI, vol. 18(11), pages 1-20, June.
    2. Se-Won Park & Ra Gyoung Yoon & Hyunwoo Lee & Heon-Jin Lee & Yong-Do Choi & Du-Hyeong Lee, 2020. "Impacts of Thresholds of Gray Value for Cone-Beam Computed Tomography 3D Reconstruction on the Accuracy of Image Matching with Optical Scan," IJERPH, MDPI, vol. 17(17), pages 1-11, September.
    3. Sigmar Schnutenhaus & Anne Knipper & Martin Wetzel & Cornelia Edelmann & Ralph Luthardt, 2021. "Accuracy of Computer-Assisted Dynamic Navigation as a Function of Different Intraoral Reference Systems: An In Vitro Study," IJERPH, MDPI, vol. 18(6), pages 1-13, March.
    4. Gerardo Pellegrino & Giuseppe Lizio & Fabio Rossi & Lorenzo Tuci & Lorenzo Ferraioli & Luigi Vito Stefanelli & Stefano Di Carlo & Francesca De Angelis, 2021. "A 4 mm-Long Implant Rehabilitation in the Posterior Maxilla with Dynamic Navigation Technology: A Case Report after a Three-Years Post-Loading Follow-Up," IJERPH, MDPI, vol. 18(18), pages 1-11, September.

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