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Accuracy and safety of a haptic operated and machine vision controlled collaborative robot for dental implant placement: A translational study.
Qiao, Shi-Chong; Wu, Xin-Yu; Shi, Jun-Yu; Tonetti, Maurizio S; Lai, Hong-Chang.
Afiliação
  • Qiao SC; Shanghai PerioImplant Innovation Center, Department of Oral and Maxillofacial Implantology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Wu XY; College of Stomatology, Shanghai Jiao Tong University, Shanghai, China.
  • Shi JY; National Center for Stomatology, Shanghai, China.
  • Tonetti MS; National Clinical Research Center for Oral Diseases, Shanghai, China.
  • Lai HC; Shanghai Key Laboratory of Stomatology, Shanghai, China.
Clin Oral Implants Res ; 34(8): 839-849, 2023 Aug.
Article em En | MEDLINE | ID: mdl-37309242
ABSTRACT

OBJECTIVES:

Multiple 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

METHODS:

In 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.

RESULTS:

The 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.

CONCLUSION:

Cobot-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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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Robótica / Implantes Dentários / Perda de Dente / Boca Edêntula / Cirurgia Assistida por Computador Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Revista: Clin Oral Implants Res Assunto da revista: ODONTOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Robótica / Implantes Dentários / Perda de Dente / Boca Edêntula / Cirurgia Assistida por Computador Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Revista: Clin Oral Implants Res Assunto da revista: ODONTOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: China