دورية أكاديمية
أعرض في EDS

Computer-assisted open exposure of palatally impacted canines for orthodontic eruption: A randomized clinical trial.

التفاصيل البيبلوغرافية
العنوان: Computer-assisted open exposure of palatally impacted canines for orthodontic eruption: A randomized clinical trial.
المؤلفون: Kivovics M; Department of Community Dentistry, Semmelweis University, Szentkirályi utca 40. 1088 Budapest, Hungary. Electronic address: kivovics.marton@semmelweis.hu., Szanyi SM; Department of Community Dentistry, Semmelweis University, Szentkirályi utca 40. 1088 Budapest, Hungary., Takács A; Department of Community Dentistry, Semmelweis University, Szentkirályi utca 40. 1088 Budapest, Hungary., Répási M; Department of Community Dentistry, Semmelweis University, Szentkirályi utca 40. 1088 Budapest, Hungary., Németh O; Department of Community Dentistry, Semmelweis University, Szentkirályi utca 40. 1088 Budapest, Hungary., Mijiritsky E; Department of Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, School of Medicine, Tel-Aviv University, Tel Aviv 64239, Israel; Goldschleger School of Dental Medicine, Faculty of Medicine, Tel-Aviv University, Tel Aviv 39040, Israel.
المصدر: Journal of dentistry [J Dent] 2024 Aug; Vol. 147, pp. 105110. Date of Electronic Publication: 2024 Jun 20.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: England NLM ID: 0354422 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-176X (Electronic) Linking ISSN: 03005712 NLM ISO Abbreviation: J Dent Subsets: MEDLINE
أسماء مطبوعة: Publication: Kidlington : Elsevier
Original Publication: Bristol, Eng., Wright.
مواضيع طبية MeSH: Tooth, Impacted*/surgery , Tooth, Impacted*/diagnostic imaging , Cuspid*/diagnostic imaging , Cone-Beam Computed Tomography* , Orthodontic Extrusion*/methods , Surgery, Computer-Assisted*/methods, Humans ; Adolescent ; Child ; Male ; Female ; Young Adult ; Adult ; Pain, Postoperative ; Feasibility Studies ; Treatment Outcome ; Pain Measurement ; Palate/surgery ; Palate/diagnostic imaging ; Operative Time
مستخلص: Objective: This randomized clinical trial aimed to assess the feasibility of computer-assisted open exposure of palatally impacted canines.
Materials and Methods: Patients aged 11-30 years who required orthodontic eruption for the full palatal impaction of their canines were included in this study. Exclusion criteria were psychosocial and dental contraindications of orthodontic treatment, congenital craniofacial disorders, and trauma in the patient's history in the vicinity of the surgical site. Virtual planning software was used to register the intraoral scans and cone-beam computed tomography data and to design a surgical template. In the test group, exposure of the canines was guided by a surgical template, whereas in the control group, the surgeon relied on the surgical plan to localize the impacted canine. The success of the intervention, duration of surgery, and complications, including excessive hemorrhage, damage to the canine or neighboring anatomical landmarks, and postoperative inflammation of the surgical site were assessed. Postoperative pain was reported by the patients using the visual analog pain scale (VAS).
Results: Surgery was deemed successful in all patients in both groups. During healing, no complications were observed. The duration of surgery decreased significantly in the test group (4 min 45.1 s ± 1 min 8.4 s) compared to that in the control group (7 min 22.3 s ± 56.02 s). No statistically significant differences were observed between the VAS scores of the two study groups.
Conclusions: The application of virtual planning and static navigation is a viable approach for the open exposure of palatally impacted canines.
Clinical Trial Registration Number: NCT05909254.
Clinical Significance: Computer-assisted surgery is a feasible method for open exposure of palatally impacted canines, which decreases the duration of surgery compared to the freehand method.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
فهرسة مساهمة: Keywords: Computer-assisted surgery; Impacted canine; Static navigation; Surgical template; Virtual planning
سلسلة جزيئية: ClinicalTrials.gov NCT05909254
تواريخ الأحداث: Date Created: 20240621 Date Completed: 20240719 Latest Revision: 20240821
رمز التحديث: 20240821
DOI: 10.1016/j.jdent.2024.105110
PMID: 38906453
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-176X
DOI:10.1016/j.jdent.2024.105110