Conventional multi-slice computed tomography (CT) and cone-beam CT (CBCT) for computer-aided implant placement. Part II: reliability of mucosa-supported stereolithographic guides

Clin Implant Dent Relat Res. 2013 Dec;15(6):907-17. doi: 10.1111/j.1708-8208.2011.00435.x. Epub 2012 Jan 11.

Abstract

Purpose: Deviations of implants that were placed by conventional computed tomography (CT)- or cone beam CT (CBCT)-derived mucosa-supported stereolithographic (SLA) surgical guides were analyzed in this study.

Materials and methods: Eleven patients were randomly scanned by a multi-slice CT (CT group) or a CBCT scanner (CBCT group). A total of 108 implants were planned on the software and placed using SLA guides. A new CT or CBCT scan was obtained and merged with the planning data to identify the deviations between the planned and placed implants. Results were analyzed by Mann-Whitney U test and multiple regressions (p < .05).

Results: Mean angular and linear deviations in the CT group were 3.30° (SD 0.36), and 0.75 (SD 0.32) and 0.80 mm (SD 0.35) at the implant shoulder and tip, respectively. In the CBCT group, mean angular and linear deviations were 3.47° (SD 0.37), and 0.81 (SD 0.32) and 0.87 mm (SD 0.32) at the implant shoulder and tip, respectively. No statistically significant differences were detected between the CT and CBCT groups (p = .169 and p = .551, p = .113 for angular and linear deviations, respectively).

Conclusions: Implant placement via CT- or CBCT-derived mucosa-supported SLA guides yielded similar deviation values. Results should be confirmed on alternative CBCT scanners.

Keywords: computed tomography; computer assisted; cone beam; dental implants; deviation from the planning; gray density; stereolithography.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anodontia / surgery*
  • Cone-Beam Computed Tomography / methods*
  • Dental Implants*
  • Humans
  • Mouth Mucosa*
  • Therapy, Computer-Assisted*
  • Tomography, X-Ray Computed / methods*

Substances

  • Dental Implants