Influence of experience on dental implant placement: an in vitro comparison of freehand, static guided and dynamic navigation approaches

作者：Wang, Xiaotong; Shaheen, Eman; Shujaat, Sohaib; Meeus, Jan; Legrand, Paul; Lahoud, Pierre; do Nascimento Gerhardt, Mauricio; Politis, Constantinus; Jacobs, Reinhilde^*

来源：International Journal of Implant Dentistry, 2022, 8(1): 42.

DOI：10.1186/s40729-022-00441-3

• Dental implant
• Surgical guide
• Dynamic navigation
• Dental education

Purpose: This study aimed to investigate the performance of novice versus experienced practitioners for placing dental implant using freehand, static guided and dynamic navigation approaches. @@@ Methods: A total of 72 implants were placed in 36 simulation models. Three experienced and three novice practitioners were recruited for performing the osteotomy and implant insertion with freehand, surgical guide (pilot-drill guidance) and navigation (X-Guide, X-Nav technologies) approaches. Each practitioner inserted 4 implants per approach randomly with a 1-week gap to avoid memory bias (4 insertion sites x 3 approaches x 6 practitioners= 72 implants). The performance of practitioners was assessed by comparing actual implant deviation to the planned position, time required for implant placement and questionnaire-based self-confidence evaluation of practitioners on a scale of 1-30. @@@ Results: The navigation approach significantly improved angular deviation compared with freehand (P < 0.001) and surgical guide (P < 0.001) irrespective of the experience. Surgical time with navigation was significantly longer compared to the freehand approach (P < 0.001), where experienced practitioners performed significantly faster compared to novice practitioners (P < 0.001). Overall, self-confidence was higher in favor of novice practitioners with both guided approaches. In addition, the confidence of novice practitioners (median score= 26) was comparable to that of experienced practitioners (median score =27) for placing implants with the navigation approach. @@@ Conclusions: Dynamic navigation system could act as a viable tool for dental implant placement. Unlike freehand and static-guided approaches, novice practitioners showed comparable accuracy and self-confidence to that of experienced practitioners with the navigation approach.

• 单位
  1; 哈尔滨医科大学