Title
Accuracy of a Navigation System for Computer-Aided Oral Implantology
Abstract
Placement of endosteal implants is a widespread therapy for re-establishing full functionality in edentulous patients. As a first application of VISIT, a modular software system for research into computer-aided surgery developed at our hospital, we have implemented a navigation system for computer-aided implant dentistry (CAID). Besides improved accuracy, benefits of CAID include fast translation of preoperative imaging to the operating theatre and the possibility to insert the implants without having to prepare large mucosa flaps. In this cadaver study, we have measured the overall accuracy of VISIT for inserting four intraforaminal implants in the edentulous mandible. Five cadaver mandibles were embedded into plaster. After high-resolution CT scanning, the mandibles were registered, and the implant channels were drilled by the surgeon. Training implants were inserted into the implant channels, and the plaster was removed. Again, the mandibles underwent CT scanning, and the pre- and postoperative scans were registered relative to each other. A gross registration between pre- and postoperative scans was achieved using surface- or mutual information matching since in some cases the fiducial markers were lost. After transformation to a common coordinate system, the accuracy was assessed by measuring the distance of the implant’s center to the cortex of the jawbone. Average accuracy of the navigation system was found to be 0.9 ± 0.7 mm, range {0.0 ...3.5} mm. We conclude that these results show that CAID is an interesting novel application of computer-aided surgery superior to conventional methods in oral surgery.
Year
DOI
Venue
2000
10.1007/978-3-540-40899-4_110
MICCAI
Keywords
Field
DocType
navigation system,computer-aided oral implantology,ct scan,coordinate system,mutual information,software systems,high resolution
Computer vision,Cadaver,Fiducial marker,Computer-aided,Computer science,Implant,Navigation system,Medical image computing,Optical tracking,Artificial intelligence,Edentulous mandible
Conference
Volume
ISSN
ISBN
1935
0302-9743
3-540-41189-5
Citations 
PageRank 
References 
3
0.67
4
Authors
12
Name
Order
Citations
PageRank
Wolfgang Birkfellner123438.12
Felix Wanschitz213614.10
Franz Watzinger312715.76
Klaus Huber4113.25
Michael Figl5657.33
Christian Schopper630.67
Rudolf Hanel7847.73
Franz Kainberger8335.97
Joachim Kettenbach9245.38
Sanda Patruta1030.67
Rolf Ewers1112615.34
Helmar Bergmann1216726.10