Implant position accuracy using dynamic computer-assisted implant surgery (CAIS) combined with augmented reality: A randomized controlled clinical trial

Background/purpose: Computer-assisted implant surgery (CAIS) is increasingly performed to reduce deviations in implant position. Dynamic CAIS or navigation systems provide instant display of implant drilling instruments and patient positions directly on the computer monitor. Augmented reality (AR) t...

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Main Authors: Sirida Arunjaroensuk, Thanida Yotpibulwong, Po-Sung Fu, Jen-Chyan Wang, Chun-Cheng Hung, Nikos Mattheos, Atiphan Pimkhaokham
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Journal of Dental Sciences
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Online Access:http://www.sciencedirect.com/science/article/pii/S1991790224003155
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author Sirida Arunjaroensuk
Thanida Yotpibulwong
Po-Sung Fu
Jen-Chyan Wang
Chun-Cheng Hung
Nikos Mattheos
Atiphan Pimkhaokham
author_facet Sirida Arunjaroensuk
Thanida Yotpibulwong
Po-Sung Fu
Jen-Chyan Wang
Chun-Cheng Hung
Nikos Mattheos
Atiphan Pimkhaokham
author_sort Sirida Arunjaroensuk
collection DOAJ
description Background/purpose: Computer-assisted implant surgery (CAIS) is increasingly performed to reduce deviations in implant position. Dynamic CAIS or navigation systems provide instant display of implant drilling instruments and patient positions directly on the computer monitor. Augmented reality (AR) technology allows operators to visualize real-time information projected onto the lenses of AR glasses. Although AR is being used in medical applications, there are few clinical studies on applying AR glasses to dental implants. The purpose of this randomized clinical study was to compare the accuracy of implant position using the dynamic CAIS with and without AR glasses. Materials and methods: Twenty patients who needed a single dental implant were randomly divided into two groups: combined dynamic CAIS with AR glasses (AR glasses group, n = 10) and dynamic CAIS without AR glasses (non-AR glasses group, n = 10). Three-dimensional (3D) deviations of implant platform, apex and angular deviations were measured and analyzed using independent t-tests (P < 0.05). Results: The 3D angular deviations in the AR glasses and non-AR glasses groups were 1.47 ± 1.01° and 2.42 ± 0.76°, respectively. Mean 3D entry point and apical deviations were 0.75 ± 0.45 mm and 0.87 ± 0.45 mm in the AR glasses group, whereas the non-AR glasses group were 1.11 ± 0.44 mm and 1.18 ± 0.50 mm, respectively. There was no statistically significant difference between the two groups. Conclusion: Implant position accuracy using dynamic CAIS with AR glasses was similar to dynamic CAIS without AR glasses during a single implant placement.
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spelling doaj-art-a627bb4aa35348d79c2a30a77a2ed4212024-12-18T08:48:03ZengElsevierJournal of Dental Sciences1991-79022024-12-0119S44S50Implant position accuracy using dynamic computer-assisted implant surgery (CAIS) combined with augmented reality: A randomized controlled clinical trialSirida Arunjaroensuk0Thanida Yotpibulwong1Po-Sung Fu2Jen-Chyan Wang3Chun-Cheng Hung4Nikos Mattheos5Atiphan Pimkhaokham6Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; Oral and Maxillofacial Surgery and Digital Implant Surgery Research Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok, ThailandOral and Maxillofacial Surgery and Digital Implant Surgery Research Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok, ThailandSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Clinical Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Division of Prosthodontics, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Division of Prosthodontics, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanOral and Maxillofacial Surgery and Digital Implant Surgery Research Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; Department of Dental Medicine, Karolinska Institute, Stockholm, SwedenDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; Oral and Maxillofacial Surgery and Digital Implant Surgery Research Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; Corresponding author. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, 34 Henri Dunant Road, Wangmai, Pathumwan, Bangkok, 10330, Thailand.Background/purpose: Computer-assisted implant surgery (CAIS) is increasingly performed to reduce deviations in implant position. Dynamic CAIS or navigation systems provide instant display of implant drilling instruments and patient positions directly on the computer monitor. Augmented reality (AR) technology allows operators to visualize real-time information projected onto the lenses of AR glasses. Although AR is being used in medical applications, there are few clinical studies on applying AR glasses to dental implants. The purpose of this randomized clinical study was to compare the accuracy of implant position using the dynamic CAIS with and without AR glasses. Materials and methods: Twenty patients who needed a single dental implant were randomly divided into two groups: combined dynamic CAIS with AR glasses (AR glasses group, n = 10) and dynamic CAIS without AR glasses (non-AR glasses group, n = 10). Three-dimensional (3D) deviations of implant platform, apex and angular deviations were measured and analyzed using independent t-tests (P < 0.05). Results: The 3D angular deviations in the AR glasses and non-AR glasses groups were 1.47 ± 1.01° and 2.42 ± 0.76°, respectively. Mean 3D entry point and apical deviations were 0.75 ± 0.45 mm and 0.87 ± 0.45 mm in the AR glasses group, whereas the non-AR glasses group were 1.11 ± 0.44 mm and 1.18 ± 0.50 mm, respectively. There was no statistically significant difference between the two groups. Conclusion: Implant position accuracy using dynamic CAIS with AR glasses was similar to dynamic CAIS without AR glasses during a single implant placement.http://www.sciencedirect.com/science/article/pii/S1991790224003155Computer-assisted implant surgery (CAIS)Dynamic systemNavigationAccuracyAugmented reality (AR)
spellingShingle Sirida Arunjaroensuk
Thanida Yotpibulwong
Po-Sung Fu
Jen-Chyan Wang
Chun-Cheng Hung
Nikos Mattheos
Atiphan Pimkhaokham
Implant position accuracy using dynamic computer-assisted implant surgery (CAIS) combined with augmented reality: A randomized controlled clinical trial
Journal of Dental Sciences
Computer-assisted implant surgery (CAIS)
Dynamic system
Navigation
Accuracy
Augmented reality (AR)
title Implant position accuracy using dynamic computer-assisted implant surgery (CAIS) combined with augmented reality: A randomized controlled clinical trial
title_full Implant position accuracy using dynamic computer-assisted implant surgery (CAIS) combined with augmented reality: A randomized controlled clinical trial
title_fullStr Implant position accuracy using dynamic computer-assisted implant surgery (CAIS) combined with augmented reality: A randomized controlled clinical trial
title_full_unstemmed Implant position accuracy using dynamic computer-assisted implant surgery (CAIS) combined with augmented reality: A randomized controlled clinical trial
title_short Implant position accuracy using dynamic computer-assisted implant surgery (CAIS) combined with augmented reality: A randomized controlled clinical trial
title_sort implant position accuracy using dynamic computer assisted implant surgery cais combined with augmented reality a randomized controlled clinical trial
topic Computer-assisted implant surgery (CAIS)
Dynamic system
Navigation
Accuracy
Augmented reality (AR)
url http://www.sciencedirect.com/science/article/pii/S1991790224003155
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