Open Access
CC BY 4.0 · Eur J Dent 2023; 17(01): 039-045
DOI: 10.1055/s-0040-1718791
Original Article

Assessment of Deviations of Implants Installed with Prototyped Surgical Guide and Conventional Guide: In Vitro Study

João Marcelo Meireles Rodrigues
1   Department of Health Sciences, Postgraduation Program in Implantology, School of Dentistry, University of Araraquara, UNIARA, Araraquara, Sao Paulo, Brazil
,
Pâmela Leticia Santos
1   Department of Health Sciences, Postgraduation Program in Implantology, School of Dentistry, University of Araraquara, UNIARA, Araraquara, Sao Paulo, Brazil
,
Gustavo Mendonça
2   Division of Prosthodontics, Department of Biologic and Materials Sciences, School of Dentistry, University of Michigan, Ann Arbor, Michigan, United States
,
Ana Paula de Souza Faloni
1   Department of Health Sciences, Postgraduation Program in Implantology, School of Dentistry, University of Araraquara, UNIARA, Araraquara, Sao Paulo, Brazil
,
Livia Sertori Finoti
3   Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
,
Rogério Margonar
1   Department of Health Sciences, Postgraduation Program in Implantology, School of Dentistry, University of Araraquara, UNIARA, Araraquara, Sao Paulo, Brazil
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Abstract

Objective The study aimed to assess the angular and linear deviations of implants installed in mannequins aided by surgical guides produced with the techniques of dual tomography (DT), model-based tomography (MT), and nonprototyped guide.

Materials and Methods Implants were installed in mannequins of a partially edentulous maxilla and divided into three groups: Group C (n = 20), implants installed using the conventional technique with flap opening and conventional guide; Group DT (n = 20), implants installed using guided surgery with the dual tomography technique; and Group MT (n = 20), implants installed using the model-based tomography technique. After implant installation, the mannequin was subjected to a computed tomography (CT) to measure the linear and angular deviations of implant positioning relative to the initial planning on both sides.

Results There was a higher mean angular deviation in group C (4.61 ± 1.21, p ≤ 0.001) than in groups DT (2.13 ± 0.62) and MT (1.87 ± 0.94), which were statistically similar between each other. Similarly, the linear deviations showed group C with the greatest discrepancy in relation to the other groups in the crown (2.17 ± 0.82, p = 0.007), central (2.2 ± 0.77, p = 0.004), and apical (2.34 ± 0.8, p = 0.001) regions.

Conclusion The techniques of DT and MT presented smaller angular and linear deviations than the conventional technique with the nonprototyped guide. There was no difference between the two-guided surgery techniques.



Publikationsverlauf

Artikel online veröffentlicht:
05. September 2022

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