Accuracy of autonomous robotic surgery for single-tooth implant placement: A case series

Yang, Shuo; Chen, Jiahao; An, Li; Deng, Ke; Li, Ping; Xu, Shulan

doi:10.1016/j.jdent.2023.104451

Cited by 26 publications

(34 citation statements)

References 41 publications

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“…The present data show that the performance of the control (freehand) group was similar to that of previously reported trials Implant length 8/10 mm 1/9 2/8 (Tattan et al, 2020). Data for the test group showed significantly less positional accuracy compared to reports from case series (Chen et al, 2023;Qiao et al, 2023;S. Yang et al, 2023).…”

Section: Discussionsupporting

confidence: 88%

“…In vitro studies have reported excellent positional accuracy of robot-assisted implant placement (Cheng et al, 2021;Tao et al, 2022). Case series point to the safety and accuracy of robot-assisted implant placement (Chen et al, 2023;S. Yang et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

“…In vitro studies have reported excellent positional accuracy of robot‐assisted implant placement (Cheng et al, 2021; Tao et al, 2022). Case series point to the safety and accuracy of robot‐assisted implant placement (Chen et al, 2023; S. Yang et al, 2023). Our previous work (Qiao et al, 2023) has shown good accuracy of robot‐assisted implant placement in both model analysis and clinical case series.…”

Section: Introductionmentioning

confidence: 99%

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Improved positional accuracy of dental implant placement using a haptic and machine‐vision‐controlled collaborative surgery robot: A pilot randomized controlled trial

Shi,

Liu,

et al. 2023

J Clinic Periodontology

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AimTo compare the implant accuracy, safety and morbidity between robot‐assisted and freehand dental implant placement.Materials and MethodsSubjects requiring single‐site dental implant placement were recruited. Patients were randomly allocated to freehand implant placement and robot‐assisted implant placement. Differences in positional accuracy of the implant, surgical morbidity and complications were assessed. The significance of intergroup differences was tested with an intention‐to‐treat analysis and a per‐protocol (PP) analysis (excluding one patient due to calibration error).ResultsTwenty patients (with a median age of 37, 13 female) were included. One subject assigned to the robotic arm was excluded from the PP analysis because of a large calibration error due to the dislodgement of the index. For robot‐assisted and freehand implant placement, with the PP analysis, the median (25th–75th percentile) platform global deviation, apex global deviation and angular deviation were 1.23 (0.9–1.4) mm/1.9 (1.2–2.3) mm (p = .03, the Mann–Whitney U‐test), 1.40 (1.1–1.6) mm/2.1 (1.7–3.9) mm (p < .01) and 3.0 (0.9–6.0)°/6.7 (2.2–13.9)° (p = .08), respectively. Both methods showed limited damage to the alveolar ridge and had similar peri‐ and post‐operative morbidity and safety.ConclusionsRobot‐assisted implant placement enabled greater positional accuracy of the implant compared to freehand placement in this pilot trial. The robotic system should be further developed to simplify surgical procedures and improve accuracy and be validated in properly sized trials assessing the full spectrum of relevant outcomes.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Improved positional accuracy of dental implant placement using a haptic and machine‐vision‐controlled collaborative surgery robot: A pilot randomized controlled trial

Shi,

Liu,

et al. 2023

J Clinic Periodontology

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“…The cobot architecture employed in this study is a novel application of an approach to surgical robotics that leaves fully the control to the surgeon (Yang et al, 2017); this compares to autonomous or semi-autonomous robots that have also been applied to dental implant placement (Yang et al, 2022(Yang et al, , 2023. Its main objective is to assist the surgeon with overcoming the recognized limitation of a free-hand dental implant placement approach: its inaccuracy (Smitkarn et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…In a previous case report applying robot-assisted implant placement in edentulous arch, the platform deviation, apex deviation, and angular deviation were 1.04 (0.70) mm, 0.95 (0.73) mm, and 2.56 (1.48)° (Bolding & Reebye, 2022). A recent case series included 10 patients with single missing teeth and reported a platform deviation, apex deviation, and angular deviation of 0.74 (0.29) mm, 0.73 (0.28) mm, and 1.11 (0.46)° (Yang et al, 2023). The implant positional accuracy was better in the present clinical study.…”

Section: Discussionmentioning

confidence: 99%

Accuracy and safety of a haptic operated and machine vision controlled collaborative robot for dental implant placement: A translational study

Qiao

Shi

et al. 2023

Clinical Oral Implants Res

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ObjectivesMultiple generations of medical robots have revolutionized surgery. Their application to dental implants is still in its infancy. Co‐operating robots (cobots) have great potential to improve the accuracy of implant placement, overcoming the limitations of static and dynamic navigation. This study reports the accuracy of robot‐assisted dental implant placement in a preclinical model and further applies the robotic system in a clinical case series.Materials and MethodsIn model analyses, the use of a lock‐on structure at robot arm‐handpiece was tested in resin arch models. In a clinical case series, patients with single missing teeth or edentulous arch were included. Robot‐assisted implant placement was performed. Surgery time was recorded. Implant platform deviation, apex deviation, and angular deviation were measured. Factors influencing implant accuracy were analyzed.ResultsThe in vitro results showed that with a lock‐on structure, the mean (SD) of platform deviation, apex deviation, and angular deviation were 0.37 (0.14) mm, 0.44 (0.17) mm, and 0.75 (0.29)°, respectively. Twenty‐one patients (28 implants) were included in the clinical case series, 2 with arches and 19 with single missing teeth. The median surgery time for single missing teeth was 23 (IQ range 20–25) min. The surgery time for the two edentulous arches was 47 and 70 min. The mean (SD) of platform deviation, apex deviation, and angular deviation was 0.54 (0.17) mm, 0.54 (0.11) mm, and 0.79 (0.22)° for single missing teeth and for 0.53 (0.17) mm, 0.58 (0.17) mm, and 0.77 (0.26)° for an edentulous arch. Implants placed in the mandible had significantly larger apex deviation than those in the maxilla.ConclusionCobot‐assisted dental implant placement showed excellent positional accuracy and safety in both the in vitro study and the clinical case series. More technological development and clinical research are needed to support the introduction of robotic surgery in oral implantology. Trial registered in ChiCTR2100050885.

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Accuracy and efficiency of robotic dental implant surgery with different human-robot interactions: An in vitro study

Xiao

Zhou

et al. 2023

Journal of Dentistry

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Accuracy of autonomous robotic surgery for single-tooth implant placement: A case series

Cited by 26 publications

References 41 publications

Improved positional accuracy of dental implant placement using a haptic and machine‐vision‐controlled collaborative surgery robot: A pilot randomized controlled trial

Improved positional accuracy of dental implant placement using a haptic and machine‐vision‐controlled collaborative surgery robot: A pilot randomized controlled trial

Accuracy and safety of a haptic operated and machine vision controlled collaborative robot for dental implant placement: A translational study

Accuracy and efficiency of robotic dental implant surgery with different human-robot interactions: An in vitro study

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