OMFS IMPATH Research Group, Department of Imaging and Pathology, KU Leuven, Leuven, Belgium.
Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Sci Rep. 2023 Feb 14;13(1):2598. doi: 10.1038/s41598-023-29633-6.
Lack of evidence exists related to the investigation of the accuracy and efficacy of novice versus experienced practitioners for dental implant placement. Hence, the following in vitro study was conducted to assess the accuracy of implant positioning and self-efficacy of novice compared to experienced surgeons for placing implant using freehand (FH), pilot drill-based partial guidance (PPG) and dynamic navigation (DN) approaches. The findings revealed that DN significantly improved the angular accuracy of implant placement compared with FH (P < 0.001) and PPG approaches (P < 0.001). The time required with DN was significantly longer than FH and PPG (P < 0.001), however, it was similar for both novice and experienced practitioners. The surgeon's self-confidence questionnaire suggested that novice practitioners scored higher with both guided approaches, whereas experienced practitioners achieved higher scoring with PPG and FH compared to DN. In conclusion, implant placement executed under the guidance of DN showed high accuracy irrespective of the practitioner's experience. The application of DN could be regarded as a beneficial tool for novices who offered high confidence of using the navigation system with the same level of accuracy and surgical time as that of experienced practitioners.
缺乏证据表明,在调查牙科种植体植入方面,新手和经验丰富的从业者的准确性和疗效方面存在差异。因此,进行了以下体外研究,以评估使用徒手(FH)、基于导向钻头的部分引导(PPG)和动态导航(DN)方法的新手和经验丰富的外科医生在植入物定位准确性和自我效能方面的差异。研究结果表明,与 FH(P<0.001)和 PPG 方法(P<0.001)相比,DN 显著提高了植入物放置的角度准确性。DN 所需的时间明显长于 FH 和 PPG(P<0.001),但对于新手和经验丰富的医生来说是相似的。外科医生的自我效能感问卷表明,对于两种引导方法,新手医生的评分更高,而与 DN 相比,经验丰富的医生在 PPG 和 FH 方面的评分更高。总之,无论从业者的经验如何,在 DN 引导下进行的种植体放置都显示出了很高的准确性。DN 的应用可以被认为是一种有益的工具,为新手提供了使用导航系统的高度信心,同时具有与经验丰富的医生相同的准确性和手术时间。
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