scholarly journals The influence of dental experience on a dental implant navigation system

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ting-Mao Sun ◽  
Huey-Er Lee ◽  
Ting-Hsun Lan
Keyword(s):  
Dental Implant ◽  
Navigation System ◽  
Surgical Navigation ◽  
Total Error ◽  
Operating Time ◽  
Dental Students ◽  
Optical Tracking ◽  
Implant Surgery ◽  
Experience Levels ◽  
Significant Difference

Abstract Background This study evaluated the operating performance of an implant navigation system used by dental students and dentists of prosthodontic background with varying levels of experience. A surgical navigation system and optical tracking system were used, and dentists’ accuracies were evaluated in terms of differences between the positions of actually drilled holes and those of the holes planned using software before surgeries. Methods The study participants were 5 dental students or dentists who had studied in the same university and hospital but had different experience levels regarding implants. All participants were trained in operating the AqNavi system in the beginning of the study. Subsequently, using 5 pairs of dental models, each participant drilled 5 implant holes at 6 partially edentulous positions (11, 17, 26, 31, 36, and 47). In total, each participant conducted 30 drilling tests. Results In total, 150 tests among 5 dentists at 6 tooth positions (11, 17, 26, 31, 36, and 47) were conducted. Although a comparison of the tests revealed significant differences in the longitudinal error (P < .0001) and angular error (P = .0011), no significant difference was observed in the total error among the dentists. Conclusions A relatively long operating time was associated with relatively little implant experience. Through the dental navigation system, dental students can be introduced to dental implant surgery earlier than what was possible in the past. The results demonstrated that the operational accuracy of the dental implant navigation system is not restricted by participants’ implant experience levels. The implant navigation system assists the dentist in the ability to accurately insert the dental implant into the correct position without being affected by his/her own experience of implant surgery.

Use of an image-guided navigation system in dental implant surgery in anatomically complex operation sites

2001 ◽  
Vol 29 (5) ◽  
pp. 276-281 ◽  
Author(s):  
Matthias Sießegger ◽  
Bernd T. Schneider ◽  
Robert A. Mischkowski ◽  
Frank Lazar ◽  
Barbara Krug ◽  
...  
Keyword(s):  
Dental Implant ◽  
Navigation System ◽  
Implant Surgery ◽  
Image Guided ◽  
Complex Operation ◽  
Dental Implant Surgery

Measurement of Clinicians' Ability to Hand Torque Dental Implant Components

2009 ◽  
Vol 35 (4) ◽  
pp. 185-188 ◽  
Author(s):  
Ali Kanawati ◽  
Mark W. Richards ◽  
Jeffery J. Becker ◽  
Natalie E. Monaco
Keyword(s):  
Dental Implant ◽  
Dental Students ◽  
Male Students ◽  
Torque Measurement ◽  
Maximum Torque ◽  
Average Maximum ◽  
Dental Practitioners ◽  
Significant Difference ◽  
Implant Dentistry ◽  
Torque Values

Abstract There is a varying degree of hand torque abilities using finger drivers among clinicians. Calibrating one's own abilities requires complicated instruments not readily available. This study evaluated a simple-to-use method that allows dental practitioners to have a quantifiable clinical assessment of relative torque ability using finger drivers to torque down dental implant components. A typodont that includes dental implants was mounted in a mannequin placed in a patient-reclined position. The subjects were asked to torque as tightly as they could a new healing abutment to an implant secured firmly in resin within the typodont. All participants wore moistened gloves when using a finger driver. The healing abutment was countertorqued using a certified precalibrated precision torque measurement device. The reading on the torque driver was recorded when the healing abutment disengaged. An average of torque values of dentists and dental students was calculated. Fifty subjects had an average maximum torque ability of 24 Ncm (male dentists: 28 Ncm; students: 22 Ncm; male students: 24 Ncm; female students: 19 Ncm). Maximum torque values for all participants ranged from 11 Ncm to 38 Ncm. There was no significant difference between groups. This study showed a varying degree of hand torquing abilities using a finger driver. Clinicians should regularly calibrate their ability to torque implant components to more predictably perform implant dentistry. Dental implant manufacturers should more precisely instruct clinicians as to maximum torque, as opposed to “finger tighten only.”

scholarly journals Antibiotic prescribing habits of the clinicians dealing with dental implant surgery in Turkey: a questionnaire study

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Gül Merve Yalcin-Ülker ◽  
Merve Cakir ◽  
Deniz Gökce Meral
Keyword(s):  
Dental Implant ◽  
Electronic Mail ◽  
Questionnaire Study ◽  
Published Data ◽  
Antibiotic Prescribing ◽  
Implant Surgery ◽  
Prescribing Habits ◽  
Implant Placement ◽  
Significant Difference ◽  
Preoperative Antibiotics

Abstract Purpose Although various prophylactic and/or postoperative systemic antibiotic regimens have been suggested to minimize failure after dental implant placement and postoperative infection, the role of antibiotics in implant dentistry is still controversial. The purposes of this questionnaire study were to determine the current antibiotic prescribing habits of clinicians in conjunction with dental implant placement and to understand whether any consensus has been reached among implant surgery performing clinicians. Methods An electronic questionnaire was sent by electronic mail to all members of the Turkish Dental Society. The questions were related to whether antibiotics were routinely prescribed either pre- or/and postoperatively during routine dental implant placement. The respondents were also asked to specify their workplace and education. The results were analyzed using SPSS software. Descriptive and chi-square analyses were used to compare categorical data; Kruskal–Wallis test was used to compare the quantitative data by category. Results A total of 429 members responded to the questionnaire. The clinicians having more experience had a greater tendency to prescribe preoperative antibiotics (p < 0.001), but there was no statistically significant difference between the postoperative antibiotic prescription choice of the clinician according to the clinicians’ experience (p > 0.05). A total of 175 of the clinicians preferred to prescribe preoperative antibiotics when there was systemic comorbidity; 99 of the clinicians preferred to prescribe antibiotics before every implant surgery. The aminopenicillins were the most commonly prescribed antibiotics by the clinicians. A total of 38.58% of the respondents (n = 130) who were prescribing preoperative antibiotics, 2000 mg aminopenicillin was given 1 h before the surgical procedure. Dentists and solo private practitioners were prescribing more preoperative antibiotics (p < 0,05). Conclusions There was no consensus among clinicians regarding the use of antibiotics in association with routine dental implant placement. Aminopenicillins were the most commonly prescribed antibiotics for both pre- and postoperatively. Furthermore, most of the antibiotic regimens being used are not in accordance with the current published data.

Clinical Evaluation of a Surgical Navigation System Used for Flapless Implant Surgery

2008 ◽  
Vol 7 (2) ◽  
pp. 237-239
Author(s):  
Yukito Hirose ◽  
Morio Ochi ◽  
Yasuhiro Nakanishi ◽  
Hideki Matsubara ◽  
Taketo Koga
Keyword(s):  
Clinical Evaluation ◽  
Navigation System ◽  
Surgical Navigation ◽  
Implant Surgery ◽  
Surgical Navigation System

A Novel Evaluation Model for a Mixed-Reality Surgical Navigation System: Where Microsoft HoloLens Meets the Operating Room

2020 ◽  
Vol 27 (2) ◽  
pp. 193-202 ◽  
Author(s):  
Yan Zuo ◽  
Taoran Jiang ◽  
Jiansheng Dou ◽  
Dewang Yu ◽  
Zaphlene Nyakuru Ndaro ◽  
...  
Keyword(s):  
Navigation System ◽  
Mixed Reality ◽  
Surgical Navigation ◽  
Evaluation Model ◽  
Feasibility Studies ◽  
Evaluation Study ◽  
Lessons Learned ◽  
Good Precision ◽  
Surgical Navigation System ◽  
Significant Difference

HoloLens-based mixed-reality surgical navigation system (MR-SNS) technology has made great progress. However, the methodology for evaluating users’ perceptions concerning the safety, comfort, and efficiency of MR-SNS is still in its infancy. This study was intended to develop a method to systematically evaluate an existing MR-SNS system during actual clinical applications. This method differs from other existing methods currently used in industry, education, and device maintenance. Based on analytical hierarchy process theory and ergonomics evaluation methods, in this article, we propose a novel multicriteria evaluation model for a HoloLens-based MR-SNS. The model includes factors such as comfort, safety, and effectiveness, and is performed in an actual clinical application. A comprehensive experimental platform and scoring system that can analyze all indicators was built. The validation test showed no statistically significant differences in the accuracy of the 3 different movement patterns ( P = .95, P > .05). However, the static pattern showed the best accuracy. In addition, no significant difference ( P = .68, P > .05) in accuracy was found under 4 kinds of illuminance. A comparison of the results of this evaluation model and the input from experts who use the HoloLens-based MR-SNS in hospitals, indicated that this model has good precision (100%), recall (80%), and F1-measure (88.89%). The results highlighted the full efficacy of the proposed model in determining whether this system can be used in clinical trials to provide indicators for preliminary ex ante feasibility studies. This article describes the lessons learned from conducting this evaluation study of MR-SNS as part of the design process.

Is perioperative antibiotic necessary in straightforward implant placement procedures?

2020 ◽  
Author(s):  
Elçin Bedeloğlu ◽  
Mustafa Yalçın ◽  
Cenker Zeki Koyuncuoğlu
Keyword(s):  
Clavulanic Acid ◽  
Dental Implant ◽  
Prophylactic Antibiotic ◽  
Antibiotic Use ◽  
Implant Failure ◽  
Control Group ◽  
Implant Placement ◽  
Significant Difference ◽  
Amoxicillin Clavulanic Acid ◽  
Experimental Group

The purpose of this non-random retrospective cohort study was to evaluate the impact of prophylactic antibiotic on early outcomes including postoperative pain, swelling, bleeding and cyanosis in patients undergoing dental implant placement before prosthetic loading. Seventy-five patients (45 males, 30 females) whose dental implant placement were completed, included to the study. Patients used prophylactic antibiotics were defined as the experimental group and those who did not, were defined as the control group. The experimental group received 2 g amoxicillin + clavulanic acid 1 h preoperatively and 1 g amoxicillin + clavulanic acid twice a day for 5 days postoperatively while the control group had received no prophylactic antibiotic therapy perioperatively. Data on pain, swelling, bleeding, cyanosis, flap dehiscence, suppuration and implant failure were analyzed on postoperative days 2, 7, and 14 and week 12. No statistically significant difference was detected between the two groups with regard to pain and swelling on postoperative days 2, 7, and 14 and week 12 ( p &gt;0.05), while the severity of pain and swelling were greater on day 2 compared to day 7 and 14 and week 12 in both groups ( p =0.001 and p &lt;0.05, respectively). Similarly, no significant difference was found between the two groups with regard to postoperative bleeding and cyanosis. Although flap dehiscence was more severe on day 7 in the experimental group, no significant difference was found between the two groups with regard to the percentage of flap dehiscence assessed at other time points. Within limitations of the study, it has been demonstrated that antibiotic use has no effect on implant failure rates in dental implant surgery with a limited number of implants. We conclude that perioperative antibiotic use may not be required in straightforward implant placement procedures. Further randomized control clinical studies with higher numbers of patients and implants are needed to substantiate our findings.

A STUDY OF CONDYLAR POSITION IN CENTRIC RELATION AND MAXIMAL INTERCUSPATION USING CONEBEAM TOMOGRAPHY

2019 ◽  
pp. 84-92
Author(s):  
Anh Chi Phan ◽  
Xuan Anh Ngoc Ho
Keyword(s):  
Dental Students ◽  
Cone Beam ◽  
Test Results ◽  
Reference Position ◽  
Centric Relation ◽  
Temporomandibular Joints ◽  
Significant Difference ◽  
Mandibular Fossa ◽  
Condylar Position ◽  
Cone Beam Tomography

Background: The condylar position discrepancy between centric relation and maximal intercuspation has been still a controversial issue. Aims: To compare the condylar position between centric relation and maximal intercuspation using cone-beam tomography in patients without temporomandibular joints disorder. Materials and methods: To assess the condylar position in centric relation and maximal intercuspation using cone-beam tomography on 40 fifth-year and sixth-year dental students of Hue University of Medicine and Pharmacy without temporomandibular joints disorder. The condylar positions are assessed following Sener classification (2009) and are compared between centric relation and maximal intercuspation using pairedsamples t-test and Mann-Whitney U-test. Results: Among 480 condye-to-fossa measurement pairs, there are 91.2% pairs having difference between two reference position but there is no significant difference. The condylar position at the superior of mandibular fossa has the greatest percentage in both centric relation and maximal intercuspation (43.8% in centric relation and 51.2% in maximal intercuspation). This greatest percentage is followed by the condylar position at posterior of mandibular fossa (32.5% in centric relation and 36.3% in maximal intercuspation). Lastly, the condylar position at the anterior of mandibular fossa has the fewest percentage (23.7% in centric relation and 12.5% in maximal intercuspation). Conclusion: There is no significant difference of condylar position between centric relation and maximal intercuspation in patients without temporomandibular joints disorder. Key words: Condylar position, centric relation, maximal intercuspation, cone-beam tomography

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