Computer-aided placement of endosseous oral implants in patients after ablative tumour surgery: assessment of accuracy.
The objective of this study was to evaluate the feasibility and accuracy of a novel surgical computer-aided navigation system for the placement of endosseous implants in patients after ablative tumour surgery. Pre-operative planning was performed by developing a prosthetic concept and modifying the implant position according to surgical requirements after high-resolution computed tomography (HRCT) scans with VISIT, a surgical planning and navigation software developed at the Vienna General Hospital. The pre-operative plan was transferred to the patients intraoperatively using surgical navigation software and optical tracking technology. The patients were HRCT-scanned again to compare the position of the implants with the pre-operative plan on reformatted CT-slices after matching of the pre- and post-operative data sets using the mutual information-technique. A total of 32 implants was evaluated. The mean deviation was 1.1 mm (range: 0-3.5 mm). The mean angular deviation of the implants was 6.4 degrees (range: 0.4 degrees - 17.4 degrees, variance: 13.3 degrees ). The results demonstrate, that adequate accuracy in placing endosseous oral implants can be delivered to patients with most difficult implantologic situations.
Wagner
Arne
A
University Hospital of Cranio-Maxillofacial and Oral Surgery, Medical School, University of Vienna, Vienna, Austria. arne.wagner@univie.ac.at
Wanschitz
Felix
F
Birkfellner
Wolfgang
W
Zauza
Konstantin
K
Klug
Clemens
C
Schicho
Kurt
K
Kainberger
Franz
F
Czerny
Christian
C
Bergmann
Helmar
H
Ewers
Rolf
R
D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D005240:Feasibility Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007573:Jaw Neoplasms / Q000601:surgery*; D010347:Patient Care Planning; D019651:Plastic Surgery Procedures; D012984:Software; D025321:Surgery, Computer-Assisted / Q000706:statistics & numerical data; D014057:Tomography, X-Ray Computed
D015921:Dental Implants