Accuracy Assessment of 3D-Printed Surgical Guides for Palatal Miniscrew Placement: A Retrospective Study

Background: The aim of this retrospective study was to conduct an in vivo evaluation of the accuracy of surgical guides obtained via 3D printing technology that were used to transfer the 3D software-planned position and axis during palatal miniscrew placement. Methods: Twenty-four Caucasian subjects...

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Main Authors: Angela Mirea Bellocchio, Elia Ciancio, Serena Barbera, Domenico Aiello, Marco Portelli, Angela Militi, Riccardo Nucera
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/14/7836
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author Angela Mirea Bellocchio
Elia Ciancio
Serena Barbera
Domenico Aiello
Marco Portelli
Angela Militi
Riccardo Nucera
author_facet Angela Mirea Bellocchio
Elia Ciancio
Serena Barbera
Domenico Aiello
Marco Portelli
Angela Militi
Riccardo Nucera
author_sort Angela Mirea Bellocchio
collection DOAJ
description Background: The aim of this retrospective study was to conduct an in vivo evaluation of the accuracy of surgical guides obtained via 3D printing technology that were used to transfer the 3D software-planned position and axis during palatal miniscrew placement. Methods: Twenty-four Caucasian subjects with permanent dentition underwent a CBCT examination to plan palatal skeletal anchorage using two miniscrews in the anterior palatal arch. A specific software function capable of identifying and displaying all CBCT scans passing through the planned miniscrew axis was used to identify the scan showing the maximum discrepancy between the planned and final miniscrew placement. The maximum insertion angle discrepancy and the maximum linear difference between the head and tip of the miniscrew were measured on the overlaid 3D STL models of the planned miniscrew position at CBCT with the final clinical position of the miniscrew. Results: Descriptive and inferential statistics were performed. On average, there was a discrepancy between the planned insertion axis and the final insertion axis of 2.95° (SD <i>±</i> 1.13°), with a 10 mm miniscrew length. Conclusion: Three-dimensional I.-printed surgical guides for palatal miniscrew placement show a mean deviation of 2.95° from the planned position, indicating good but improvable accuracy in placement.
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spelling doaj-art-117d245849fa4109ac080ce49a962f422025-08-20T03:36:15ZengMDPI AGApplied Sciences2076-34172025-07-011514783610.3390/app15147836Accuracy Assessment of 3D-Printed Surgical Guides for Palatal Miniscrew Placement: A Retrospective StudyAngela Mirea Bellocchio0Elia Ciancio1Serena Barbera2Domenico Aiello3Marco Portelli4Angela Militi5Riccardo Nucera6Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina, 98100 Messina, ItalyDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina, 98100 Messina, ItalyDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina, 98100 Messina, ItalyDepartment of Health, University “Magna Graecia” of Catanzaro, Viale Europa, Loc. Germaneto, 88100 Catanzaro, ItalyDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina, 98100 Messina, ItalyDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina, 98100 Messina, ItalyDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina, 98100 Messina, ItalyBackground: The aim of this retrospective study was to conduct an in vivo evaluation of the accuracy of surgical guides obtained via 3D printing technology that were used to transfer the 3D software-planned position and axis during palatal miniscrew placement. Methods: Twenty-four Caucasian subjects with permanent dentition underwent a CBCT examination to plan palatal skeletal anchorage using two miniscrews in the anterior palatal arch. A specific software function capable of identifying and displaying all CBCT scans passing through the planned miniscrew axis was used to identify the scan showing the maximum discrepancy between the planned and final miniscrew placement. The maximum insertion angle discrepancy and the maximum linear difference between the head and tip of the miniscrew were measured on the overlaid 3D STL models of the planned miniscrew position at CBCT with the final clinical position of the miniscrew. Results: Descriptive and inferential statistics were performed. On average, there was a discrepancy between the planned insertion axis and the final insertion axis of 2.95° (SD <i>±</i> 1.13°), with a 10 mm miniscrew length. Conclusion: Three-dimensional I.-printed surgical guides for palatal miniscrew placement show a mean deviation of 2.95° from the planned position, indicating good but improvable accuracy in placement.https://www.mdpi.com/2076-3417/15/14/7836scan bodypalatal miniscrew placementsurgical guides
spellingShingle Angela Mirea Bellocchio
Elia Ciancio
Serena Barbera
Domenico Aiello
Marco Portelli
Angela Militi
Riccardo Nucera
Accuracy Assessment of 3D-Printed Surgical Guides for Palatal Miniscrew Placement: A Retrospective Study
Applied Sciences
scan body
palatal miniscrew placement
surgical guides
title Accuracy Assessment of 3D-Printed Surgical Guides for Palatal Miniscrew Placement: A Retrospective Study
title_full Accuracy Assessment of 3D-Printed Surgical Guides for Palatal Miniscrew Placement: A Retrospective Study
title_fullStr Accuracy Assessment of 3D-Printed Surgical Guides for Palatal Miniscrew Placement: A Retrospective Study
title_full_unstemmed Accuracy Assessment of 3D-Printed Surgical Guides for Palatal Miniscrew Placement: A Retrospective Study
title_short Accuracy Assessment of 3D-Printed Surgical Guides for Palatal Miniscrew Placement: A Retrospective Study
title_sort accuracy assessment of 3d printed surgical guides for palatal miniscrew placement a retrospective study
topic scan body
palatal miniscrew placement
surgical guides
url https://www.mdpi.com/2076-3417/15/14/7836
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