To evaluate and compare the accuracy of implant placement using dynamic navigation technique versus static template technique in patients with bone tissue flap reconstruction of mandibular defects, thus further guiding the clinical application of dynamic navigation systems to assist in conventional implant placement in patients with mandibular defects.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
20
Osteotomy and implant placement with the guidance of dynamic navigation
Osteotomy and implant placement with the guidance of static template
Three-dimensional implant placement accuracy of apical point
The postoperative cone beam computed tomography (CBCT) was aligned to the preoperative plan in specific software, and the three-dimensional coordinates of the preoperatively planned and actual postoperative implant placement positions were measured separately, from which the three-dimensional distance (in mm) between the apical point of the actual implant and the apical point of the virtual implant was calculated.
Time frame: Postoperative day 2±1
Three-dimensional implant placement accuracy of coronal point
The postoperative CBCT was aligned to the preoperative plan in specific software, and the three-dimensional coordinates of the preoperatively planned and actual postoperative implant placement positions were measured separately, from which the three-dimensional distance (in mm) between the coronal point of the actual implant and the coronal point of the virtual implant was calculated.
Time frame: Postoperative day 2±1
Three-dimensional implant placement angular accuracy
The postoperative CBCT was aligned to the preoperative implant placement plan in specific software to measure the three-dimensional coordinates of the preoperative plan and the actual postoperative implant placement position, respectively, and to calculate the angle (°) between the actual implant and the mid-axis of the virtual implant accordingly.
Time frame: Postoperative day 2±1
Operation time
From the beginning of anesthesia to the complete removal of the static template or navigation reference frame.
Time frame: Intraoperative
Patient subjective satisfaction
Evaluating patient satisfaction with the visual analogue scale
Time frame: Postoperative day 14±1
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Failure rate during implant healing period
1\. According to the definition of Albrektsson and Zarb in 1986, the healing period is considered successful if the following conditions are met: no loosening of the implant after removal of the upper restoration; no peri-implant radiolucency; no peri-implant bone instability; and no pain. Implant retention was evaluated according to three levels: good osseointegration, poor osseointegration, and implant failure. 2. Implant survival rate = (N total - N failure)/(N total) × 100%.
Time frame: Postoperative day 90±7