抄録
Purpose: To compare the 2D and 3D positional accuracy of four guided surgical protocols using an
analysis of linear and angular deviations.
Methods: DICOM and .STLs files obtained from a CBCT and a digital impression were superimposed with
software to plan implant position. Fifty-six patients were subdivided into 4 groups: FGA group (template
support [Ts]: teeth [T]; bed preparation [Bp]: fully guided [FG]; implant insertion [Ii]: 3D template [3Dt];
device [D]: manual adapter [MA], FGM group (Ts: T; Bp: FG; Ii: 3Dt; D: fully guided mounter [FGM]),
PG group (Ts: T; Bp: FG; Ii: manual; D: none) and MS group (Ts: mucosa; Bp: FG; Ii: 3Dt; D: FGM). The
position of 120 implants was assessed by superimposing the planned and final position recorded with a
digital impression.
Results: In FGA group, 3D deviations were 0.92 ± 0.52 mm at the implant head and 1.14 ± 0.54 mm at
the apex, and the angular deviation (ang. dev.) was 2.45 ± 1.24°. In FGM group, were 0.911 ± 0.44 mm
(head) and 1.11 ± 0.54 mm (apex), and the ang. dev. was 2.73 ± 1.96°. In PG group, were 0.95 ± 0.47 mm
(head) and 1.17 ± 0.488 mm (apex), and the ang. dev. was 3.71 ± 1.67°. In MS group, were
1.15 ± 0.45 mm (head) and 1.42 ± 0.45 mm (apex), and the ang. dev. was 4.19 ± 2.62°. Ang. dev. of
MS group was different from the other groups (P < 0.05).
Conclusions: Guided surgery showed a sufficient accuracy
