Accuracy of full-guided vs. pilot-guided implant insertion – A prospective laboratory study in fifth-year dental students

Schulz, Matthias C.; Tokarski, M.; Jacoby, Johann; Naros, Andreas; Weise, Christina; Tausche, Eve; Lauer, Günter; Haim, Dominik

doi:10.1016/j.aanat.2023.152082

Cited by 3 publications

(1 citation statement)

References 30 publications

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“…Recent studies favor three-dimensional implant planning and full-guided implant preparation, demonstrating superior accuracy compared to freehand or pilot-drill-guided insertion, benefiting both experienced and inexperienced practitioners [ 11 , 13 , 14 ]. Recent surveys have highlighted that the fundamentals of implant placement, including simple procedures, should be integrated into contemporary undergraduate dental education and have been part of the program at some universities for several years [ 14 – 17 ]. Students often learn the basics of implant planning, and at some universities, they also learn independent implant placement [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the accuracy of fully guided implant placement by undergraduate students and postgraduate dentists: a comparative prospective clinical study

Atay,

Hey,

Beuer

et al. 2024

Int J Implant Dent

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Purpose This study aimed to assess the accuracy of implant placement through three-dimensional planning and fully guided insertion, comparing outcomes between undergraduate and postgraduate surgeons. Methods Thirty-eight patients requiring 42 implants in posterior single-tooth gaps were enrolled from the University Clinic for Prosthodontics at the Martin Luther University Halle Wittenberg and the Department of Prosthodontics, Geriatric Dentistry, and Craniomandibular Disorders of Charité University Medicine, Berlin. Twenty-two implants were placed by undergraduate students (n = 18), while 20 implants were placed by trainee postgraduate dentists (n = 5). Pre-operative intraoral scans and cone beam computed tomography images were performed for implant planning and surgical template fabrication. Postoperative intraoral scans were superimposed onto the original scans to analyze implant accuracy in terms of apical, coronal, and angular deviations, as well as vertical discrepancies. Results In the student group, two implant insertions were performed by the assistant dentist because of intraoperative complications and, thus, were excluded from further analysis. For the remaining implants, no statistically significant differences were observed between the dentist and student groups in terms of apical (p = 0.245), coronal (p = 0.745), or angular (p = 0.185) implant deviations, as well as vertical discrepancies (p = 0.433). Conclusions This study confirms the viability of fully guided implant placement by undergraduate students, with comparable accuracy to postgraduate dentists. Integration into dental education can prepare students for implant procedures, expanding access and potentially reducing costs in clinical practice. Collaboration is essential for safe implementation, and future research should explore long-term outcomes and patient perspectives, contributing to the advancement of dental education and practice. Trial registration: DRKS, DRKS00023024, Registered 8 September 2020—Retrospectively registered, https://drks.de/search/de/trial/DRKS00023024.

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Section: Introductionmentioning

confidence: 99%

Evaluation of the accuracy of fully guided implant placement by undergraduate students and postgraduate dentists: a comparative prospective clinical study

Atay,

Hey,

Beuer

et al. 2024

Int J Implant Dent

View full text Add to dashboard Cite

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Advancing accuracy in guided implant placement: A comprehensive meta-analysis

Takács,

Hardi,

Cavalcante

et al. 2023

Journal of Dentistry

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Accuracy of Implant Placement Using Digital Prosthetically-Derived Surgical Guides: A Systematic Review

Abad-Coronel,

Vandeweghe,

Vela Cervantes

et al. 2024

Applied Sciences

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Dental implant placement is crucial in oral rehabilitation, requiring precision for successful outcomes. Digital technologies, including surgical guides, enhance predictability and efficiency in implant procedures. However, their impact on implant positioning accuracy is still under investigation. This systematic review aimed to evaluate the literature on implant accuracy using digital prosthetically-derived surgical guides. Registered in PROSPERO (CRD 42023483194), the review employed a PICO strategy and searched PubMed for English-language, in vivo studies from 2013 to 2023 on restrictive digital prosthetically-derived surgical guides. Two reviewers independently assessed records, with a third verifying the decisions. PRISMA guidelines were followed, yielding 24 results after excluding nine duplicates. Ten studies met the criteria after title, abstract, and keyword review, with three included after verification. These studies showed coronal deviations of 0.44 mm to 0.56 mm, apical deviations of 0.64 mm to 1.03 mm, angular deviations of 2.03° to 2.42°, and vertical deviations of 0.19 mm to 0.45 mm. Superior accuracy was noted with static guided techniques, while bilateral guides offered stability and printed guides were cost-effective. A surgical guide that comes from a planning with a primary wax-up of the prosthesis leads to the placement of a dental implant that can be functionally and esthetically rehabilitated. Further research is needed to standardize outcomes and improve implant protocols and patient outcomes.

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Accuracy of full-guided vs. pilot-guided implant insertion – A prospective laboratory study in fifth-year dental students

Cited by 3 publications

References 30 publications

Evaluation of the accuracy of fully guided implant placement by undergraduate students and postgraduate dentists: a comparative prospective clinical study

Evaluation of the accuracy of fully guided implant placement by undergraduate students and postgraduate dentists: a comparative prospective clinical study

Advancing accuracy in guided implant placement: A comprehensive meta-analysis

Accuracy of Implant Placement Using Digital Prosthetically-Derived Surgical Guides: A Systematic Review

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