ORIGINAL RESEARCH

Analysis of divergence between the axes of dental implants installed using a classic freehand technique

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Samara State Medical University, Samara, Russia

About paper

Author contribution: Ivaschenko AV — study design, data acquisition, manuscript draft; Yablokov AE — data acquisition and analysis, manuscript draft; Fedyaev IM — study design, manuscript editing; Tlustenko VP — data analysis, manuscript editing; Rotin NE — study design, data acquisition; Tugushev VV — study design, manuscript editing.

Received: 2018-10-26 Accepted: 2019-04-04 Published online: 2019-04-15
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Accuracy is a common challenge in dental implant placement. A successful clinical outcome is largely determined by accurate positioning of the implant at the prepared site and proper angulation. This study aimed to compare the divergence between the axes of the implants installed using a classic freehand technique. Cartesian coordinates of implant necks were determined on the CT images of 34 patients in the XOY (horizontal) plane, followed by the coordinates of implant apices. The obtained data were submitted to the original software developed by the authors (patent 2018661716) that automatically computed an angle between the insertion axes of the installed implants. We found that in 87% of cases, this angle was significantly greater (up to 27°) than recommended by implantation dentistry guidelines (7°). In 100% of the studied cases, the implants were not parallel; in sector 1, the deviation was 27° 4`.

Keywords: dental implantation, navigation system, freehand placement

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