目的:评估在机器人辅助的即刻植入手术中具有不同经验水平的操作员之间的准确性和有效性。
方法:该研究包括四名在同一机构接受牙科培训但在种植牙科方面有不同水平的临床经验的参与者,表示为本科生(UG),牙科住院医师(DR),没有机器人经验的专家(IS)和有机器人经验的专家(RS)。经过机器人辅助植入手术的全面理论培训,每个操作员在21个地点参与了五个机器人辅助植入程序,导致总共20个植入物的植入手术。随后,通过分析术前计划和术后CBCT扫描来评估植入物的准确性,并记录每个程序所需的时间.
结果:UG中的角度偏差,DR,IS和RS组为0.82±0.27°,0.55±0.27°,0.83±0.27°,和0.56±0.36°,分别。植入平台点的总偏差为0.28±0.10mm,0.26±0.16mm,0.34±0.08mm和0.31±0.06mm,分别。顶端的总偏差为0.30±0.08mm,0.25±0.18mm,0.31±0.09mm,和0.31±0.05毫米,分别。花费的时间为10.37±0.57分钟,10.56±1.77分钟,9.93±0.78min,每个操作员11.76±0.78分钟。随着手术数量的增加,手术时间减少,但是不同组之间的植入物准确性没有显着差异。
结论:在本研究范围内,机器人辅助植入手术表现出很高的准确性,具有不同临床经验或植入机器人-用户经验的操作员之间的性能没有显着差异。此外,机器人植入手术的学习曲线是陡峭和一致的。
结论:机器人辅助植入手术在不同临床和机器人经验水平的操作者中表现出一致的高准确性。强调其标准化程序和提高临床结果可预测性的潜力。
OBJECTIVE: To assess the accuracy and effectiveness among operators with different levels of experience in a robot-assisted immediate implant surgery.
METHODS: The study included four participants who had received dental training at the same institution but have varying levels of clinical experience in implant dentistry, denoted as undergraduate student (UG), dental resident (DR), specialist with no robot experience (IS) and specialist with robot experience (RS). Following comprehensive theoretical training in robot-assisted implant operation, each operator participated in five robotic-assisted implant procedures at 21 sites, resulting in the implant surgery of a total of 20 implants. Subsequently, the accuracy of the implants was assessed by analyzing the preoperative planning and the postoperative CBCT scans, and the time required for each procedure was also recorded.
RESULTS: Angular deviation in UG, DR, IS and RS group was 0.82 ± 0.27°, 0.55 ± 0.27°, 0.83 ± 0.27°, and 0.56 ± 0.36°, respectively. The total deviation of the implant platform point was 0.28 ± 0.10 mm, 0.26 ± 0.16 mm, 0.34 ± 0.08 mm and 0.31 ± 0.06 mm, respectively. The total deviation of the apical point was 0.30 ± 0.08 mm, 0.25 ± 0.18 mm, 0.31 ± 0.09 mm, and 0.31 ± 0.05 mm, respectively. The time spent was 10.37 ± 0.57 min, 10.56 ± 1.77 min, 9.93 ± 0.78 min, and 11.76 ± 0.78 min for each operator. As the number of operations increased, the operation time decreased, but there was no significant difference in implant accuracy between the different groups.
CONCLUSIONS: Within the scope of this study, robot-assisted implant surgery demonstrated high accuracy, with no significant differences in performance between operators with varying levels of clinical experience or implant robot-user experience. Furthermore, the learning curve for robotic implant surgery is steep and consistent.
CONCLUSIONS: Robot-assisted implant surgery demonstrates consistent high accuracy across operators of varying clinical and robotic experience levels, highlighting its potential to standardize procedures and enhance predictability in clinical outcomes.