Exploring training dental implant placement using computer‐guided implant navigation system for predoctoral students: A pilot study

Deeb, Janina Golob; Bencharit, Sompop; Carrico, Caroline K.; Lukic, Marija; Hawkins, Daniel; Rener‐Sitar, Ksenija; Deeb, George R.

doi:10.1111/eje.12447

Cited by 61 publications

(60 citation statements)

References 20 publications

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“…Therefore, we could examine the effect of the demographics of the dentist on the accuracy of static guided implant surgery. For dynamic computer-guided navigation systems, junior dentists or dental students were reported to have better performance in terms of the accuracy of implant placement [26,27]; However, we did not find similar studies for the static guided implant surgery in the literature. The effect of age on the accuracy of static guided implant surgery remains an issue to be clarified.…”

Section: Discussionmentioning

confidence: 65%

“…However, in another clinical study, Cassetta et al [33] did not find a clear learning curve after examining 227 implants inserted via bone-, tooth-, and mucosa-supported SLA surgical guides. Nevertheless, in a pilot study on a simulation model to examine the learning progress among dental students, Golob Deeb et al [27] observed a significant improvement in speed and angular accuracy of implant placement using dynamic navigation in the first three implantations. Unfortunately, we did not measure the sequence and time for each implant placement of the operators; hence, the comparison of the improvement within each operator was impossible in the present study.…”

Section: Discussionmentioning

confidence: 99%

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In Vitro Accuracy of Static Guided Implant Surgery Measured by Optical Scan: Examining the Impact of Operator Experience

et al. 2020

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Studies examining the effect of operator experience on the accuracy of static guided implant surgery have used postoperative computed tomography (CT) images to measure the error, with inconsistent results. The purpose of this study was to try to clarify this issue by using a measurement method based on the postoperative optical scan. Thirty dentists were divided into an experienced group and an inexperienced group. On a partially edentulous mandibular model in the manikin head, each dentist placed three implants via the stereolithographic (SLA) surgical guide. The implant positions were identified by a desktop scanner and compared with the planned positions using a metrology software program. No statistically significant differences were observed for any of the measured positional and angular deviations of the three implant sites between experienced and inexperienced operators (p > 0.01). All the mean values of deviations of the inexperienced group, except the depth deviation, were less than the experienced group. Implants inserted by dentists under 40 years old had significantly better accuracy than senior doctors in the global deviation at implant apex (p = 0.006). Within the limits of this study, we concluded that operator experience is not a critical factor in achieving the accuracy of guided implant surgery via the tooth-supported SLA surgical guide. Large deviations could occur even with the aid of the SLA surgical guide, and care must be taken to avoid errors for both experienced and inexperienced operators.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

In Vitro Accuracy of Static Guided Implant Surgery Measured by Optical Scan: Examining the Impact of Operator Experience

et al. 2020

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“…Few in vitro studies involving dynamic navigation systems aim to investigate the relevance of surgical experience in achieving an accurate implant placement [11,12].…”

Section: Discussionmentioning

confidence: 99%

“…Regarding drilling time, two published model-based studies investigated the learning curve using dynamic navigation, but they lacked considerations on the influence of surgical experience [12,16].…”

Section: Discussionmentioning

confidence: 99%

“…The literature is not consistent, although similar values of errors between inexperienced and skilled surgeons were demonstrated, and a great improvement in accuracy was shown in novice groups when using the guided method [9,10]. The accuracy reported in studies involving dynamic systems is similar to that gained with a static technique, but few studies on dynamic navigation focused on the experience factor [11,12]. Moreover, no studies investigated the difference in implant placement accuracy between expert surgeons in dynamic navigation and operators who were trying it for the first time.…”

Section: Introductionmentioning

confidence: 99%

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Dynamic Navigation in Dental Implantology: The Influence of Surgical Experience on Implant Placement Accuracy and Operating Time. An in Vitro Study

Pellegrino

Bellini

Cavallini

et al. 2020

IJERPH

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Aim: the aim of this in vitro study was to test whether the implant placement accuracy and the operating time can be influenced by the operator’s experience. Materials and methods: sixteen models underwent a (Cone Beam Computer Tomography) CBCT and implant positioning was digitally planned on this. The models were randomly assigned to four operators with different levels of surgical experience. One hundred and twelve implant sites were drilled using a dynamic navigation system and operating times were measured. Based on postoperative CBCTs, dental implants were virtually inserted and superimposed over the planned ones. Two-dimensional and 3D deviations between planned and virtually inserted implants were measured at the entry point and at the apical point. Angular and vertical errors were also calculated. Results: considering coronal and apical 3D deviations, no statistically significant differences were found between the four operators (p = 0.27; p = 0.06). Some vectorial components of the deviation at the apical point and the angular errors of some operators differed from each other. Conclusions: within the limitations of this study, dynamic navigation can be considered a reliable technique both for experienced and novice clinicians.

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Effect of guided implant placement learning experiences on freehand skills: A pilot study

Carrico,

Skrjanc,

Kanduti

et al. 2024

Clinical & Exp Dental Res

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ObjectivesGuided implant systems can be used as a training approach for placing implants. This in vitro prospective randomized pilot study evaluated the learning progression and skill development in freehand placement of two implants supporting a three‐unit fixed prosthesis on a simulation model among novice operators.Material and MethodsFour senior dental students with no prior implant placement experience participated in the study. As a baseline, each student placed two mandibular and two maxillary implants by freehand technique on a simulation model. Sixteen consecutive guided placements using a static guide, dynamic navigation, and template‐based guide followed totaling 32 guided implant placements into maxillary and mandibular models. Freehand implant placements before and after the various guided navigation attempts were compared to assess their impact on freehand skill. Metrics compared included surgical time, horizontal, vertical, and angulation discrepancies between the planned and placed implant positions measured on superimposed CBCT scans and analyzed with repeated measures regression with Tukey's adjusted pairwise comparisons (α = .05).ResultsBefore training with guided techniques, the average baseline freehand implant placement took 10.2 min and decreased to 8.2 after training but this difference was not statistically significant (p = .1670) There was marginal evidence of a significant difference in the 3D apex deviation with an average improvement of 0.89 mm (95% CI: −0.38, 2.16, p = .1120); and marginal evidence of a significant improvement in the overall angle with an average improvement of 3.74° (95% CI: −1.00, 8.48, p = .0869) between baseline and final freehand placement attempts.ConclusionsWithin the limitations of this pilot study, guided implant placement experiences did not significantly benefit or hinder freehand placement skills. Dental students should be exposed to various placement techniques to prepare them for clinical practice and allow them to make informed decisions on the best technique based on their skills and a given clinical scenario.

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Exploring training dental implant placement using computer‐guided implant navigation system for predoctoral students: A pilot study

Cited by 61 publications

References 20 publications

In Vitro Accuracy of Static Guided Implant Surgery Measured by Optical Scan: Examining the Impact of Operator Experience

In Vitro Accuracy of Static Guided Implant Surgery Measured by Optical Scan: Examining the Impact of Operator Experience

Dynamic Navigation in Dental Implantology: The Influence of Surgical Experience on Implant Placement Accuracy and Operating Time. An in Vitro Study

Effect of guided implant placement learning experiences on freehand skills: A pilot study

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