Predictable drill-free screw positioning with a graduated 3-dimensional radiographic-surgical guide: a preliminary report

Am J Orthod Dentofacial Orthop. 2009 Nov;136(5):722-35. doi: 10.1016/j.ajodo.2007.12.028.

Abstract

Introduction: Mini-implants are placed in restricted sites, requiring an accurate surgical technique. However, no systematic study has quantified technique accuracy to reliably predict the surgical risks. Therefore, a graduated 3-dimensional radiographic-surgical guide (G-RSG) was proposed, and its inaccuracy and risk index (RI) were estimated.

Methods: The sample consisted of 6 subjects (4 male, 2 female), who used mini-implant anchorage. Ten drill-free screws (DFS) were placed by using the G-RSG. The central point of the mesiodistal septum width (SW) was the selected implant site on the presurgical radiograph. The distances between DFS and the adjacent teeth (5-DFS and 6-DFS) were measured to evaluate screw centralization and inaccuracy degree (ID). These distances were statistically compared by independent t tests, and inaccuracy was determined by the expression ID = (5-DFS - 6-DFS)/2, which represents deviation of the mini-implant's final position regarding the central point initially selected. Then SW, ID, and screw diameter (SØ) were combined to estimate the surgical risk with RI expressed by RI = SØ/SW - ID.

Results: The 5-DFS and 6-DFS distances were not significantly different. The ID of the G-RSG was 0.17 mm. The low ID ensured a safe RI (<1) in spite of the restricted SW.

Conclusions: The G-RSG accuracy allowed fine prediction of the final DFS position in the interradicular septum, with a low RI, which is a helpful tool to estimate surgical risks.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Computer-Aided Design
  • Dental Implantation, Endosseous / instrumentation
  • Dental Implantation, Endosseous / methods*
  • Female
  • Humans
  • Imaging, Three-Dimensional
  • Male
  • Malocclusion, Angle Class II / surgery*
  • Maxilla / surgery
  • Models, Anatomic
  • Orthodontic Anchorage Procedures / instrumentation
  • Orthodontic Anchorage Procedures / methods*
  • Orthodontic Appliance Design / methods*
  • Reproducibility of Results
  • Statistics, Nonparametric
  • Surgery, Computer-Assisted / instrumentation
  • Surgery, Computer-Assisted / methods*
  • Young Adult