Objectives: To evaluate and compare an experimental surgical navigation system (ESNS) in implant placement accuracy to static planning and transfer systems. Material and Methods: Partially edentulous, surgical typodonts were used to simulate prosthetically-driven osteotomies in preclinical setting. After cbCT acquisition the DICOM files were used to reverse plan and fabricate surgical guides. Manual placement, three static guiding systems and ESNS were compared. Eight osteotomies per jaw were transferred to 10 typodonts in five series, resulting in 400 osteotomies by 3 operators, each modality. Lateral, vertical, total and angular deviations were measured and compared. Results: Computer-assisted systems were comparable and provided superior precision laterally and in angulation, but not vertically; implants placed in free-end positions were less accurate. Conclusions: All computer-aided methods showed less than 2 mm or 5 degrees error on average, which needs to be considered in clinical practice.
| Identifer | oai:union.ndltd.org:TORONTO/oai:tspace.library.utoronto.ca:1807/42942 |
| Date | 28 November 2013 |
| Creators | Somogyi-Ganss, Eszter |
| Contributors | Jokstad, Asbjorn |
| Source Sets | University of Toronto |
| Language | en_ca |
| Detected Language | English |
| Type | Thesis |
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