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新手与经验丰富的外科医生在徒手、静态引导和动态导航方法下进行牙种植体植入的表现。

Performance of novice versus experienced surgeons for dental implant placement with freehand, static guided and dynamic navigation approaches.

机构信息

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.

出版信息

Sci Rep. 2023 Feb 14;13(1):2598. doi: 10.1038/s41598-023-29633-6.


DOI:10.1038/s41598-023-29633-6
PMID:36788333
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9929278/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542c/9929278/e3cd5a149701/41598_2023_29633_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542c/9929278/d0b1b3c7df10/41598_2023_29633_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542c/9929278/aeec9e42388a/41598_2023_29633_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542c/9929278/11e3562c29e5/41598_2023_29633_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542c/9929278/73bfcb243ffd/41598_2023_29633_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542c/9929278/e3cd5a149701/41598_2023_29633_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542c/9929278/d0b1b3c7df10/41598_2023_29633_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542c/9929278/aeec9e42388a/41598_2023_29633_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542c/9929278/11e3562c29e5/41598_2023_29633_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542c/9929278/73bfcb243ffd/41598_2023_29633_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542c/9929278/e3cd5a149701/41598_2023_29633_Fig5_HTML.jpg

相似文献

[1]
Performance of novice versus experienced surgeons for dental implant placement with freehand, static guided and dynamic navigation approaches.

Sci Rep. 2023-2-14

[2]
Influence of experience on dental implant placement: an in vitro comparison of freehand, static guided and dynamic navigation approaches.

Int J Implant Dent. 2022-10-10

[3]
Accuracy and Self-Confidence Level of Freehand Drilling and Dynamic Navigation System of Dental Implants: An In Vitro Study.

Cureus. 2023-11-29

[4]
Accuracy and the role of experience in dynamic computer guided dental implant surgery: An in-vitro study.

Med Oral Patol Oral Cir Bucal. 2019-1-1

[5]
Accuracy of static computer-assisted implant placement in long span edentulous area by novice implant clinicians: A cross-sectional in vitro study comparing fully-guided, pilot-guided, and freehand implant placement protocols.

Clin Implant Dent Relat Res. 2021-6

[6]
Implant Placement Is More Accurate Using Dynamic Navigation.

J Oral Maxillofac Surg. 2017-7

[7]
Accuracy of Augmented Reality-Assisted Navigation in Dental Implant Surgery: Systematic Review and Meta-analysis.

J Med Internet Res. 2023-1-4

[8]
Effect of guided implant placement learning experiences on freehand skills: A pilot study.

Clin Exp Dent Res. 2024-4

[9]
Surgical performance of dental students using computer-assisted dynamic navigation and freehand approaches.

Eur J Dent Educ. 2024-5

[10]
Influence of surgeon experience on the accuracy of implant placement via a partially computer-guided surgical protocol.

Int J Oral Maxillofac Implants. 2019-4-1

引用本文的文献

[1]
Does the operator's generational cohort influence the accuracy of orthodontic miniscrews insertion in the palatine vault in dynamic computer-guided surgery? A randomized prospective study.

Oral Maxillofac Surg. 2025-6-10

[2]
Clinical accuracy assessment of a dynamic navigation system and surgical guide using an oral appliance-secured patient tracker targeting anterior teeth.

Int J Implant Dent. 2025-5-20

[3]
Accuracy of Three-Dimensional Computer-Aided Implant Surgical Guides: A Prospective In Vivo Study of the Impact of Template Design.

Dent J (Basel). 2025-3-29

[4]
Training outcomes of novice clinicians in the use of dynamic computer assisted implant surgery: A prospective comparative study.

J Dent Sci. 2024-12

[5]
Dynamic Navigation in Dental Implantology.

Discoveries (Craiova). 2023-12-31

[6]
Application of dynamic navigation technology in oral and maxillofacial surgery.

Clin Oral Investig. 2024-12-13

[7]
Accuracy of full-guided versus half-guided implant procedures carried out with digital implant planning software by students as part of a university curriculum.

BMC Med Educ. 2024-11-15

本文引用的文献

[1]
Quality and haptic feedback of three-dimensionally printed models for simulating dental implant surgery.

J Prosthet Dent. 2024-4

[2]
Duration, deviation and operator's perception of static computer assisted implant placements by inexperienced clinicians.

Eur J Dent Educ. 2022-8

[3]
Accuracy of dynamic navigation in implant surgery: A systematic review and meta-analysis.

Clin Oral Implants Res. 2021-4

[4]
Evaluation of a dynamic navigation system for training students in dental implant placement.

J Dent Educ. 2021-2

[5]
Comparing Accuracy of Implant Installation with a Navigation System (NS), a Laboratory Guide (LG), NS with LG, and Freehand Drilling.

Int J Environ Res Public Health. 2020-3-22

[6]
Accuracy of static computer-assisted implant placement in anterior and posterior sites by clinicians new to implant dentistry: in vitro comparison of fully guided, pilot-guided, and freehand protocols.

Int J Implant Dent. 2020-3-11

[7]
Pilot-drill guided vs. full-guided implant insertion in artificial mandibles-a prospective laboratory study in fifth-year dental students.

Int J Implant Dent. 2019-6-26

[8]
Advantages and disadvantages of implant navigation surgery. A systematic review.

Ann Anat. 2019-5-4

[9]
Digital implant planning and guided implant surgery - workflow and reliability.

Br Dent J. 2019-1-25

[10]
A randomized controlled trial on the efficiency of free-handed, pilot-drill guided and fully guided implant surgery in partially edentulous patients.

Clin Oral Implants Res. 2019-1-7

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