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Development and evaluation of navigation system for dental implant surgery completed in all-in-one visit : 즉시 적용 가능한 치과 임플란트 수술용 영상유도 수술 시스템의 개발 및 평가

DC Field Value Language
dc.contributor.advisor이원진-
dc.contributor.author김성구-
dc.date.accessioned2017-07-14T05:49:27Z-
dc.date.available2017-07-14T05:49:27Z-
dc.date.issued2014-02-
dc.identifier.other000000016958-
dc.identifier.urihttps://hdl.handle.net/10371/125194-
dc.description학위논문 (박사)-- 서울대학교 대학원 : 치의과학과, 2014. 2. 이원진.-
dc.description.abstractAbstract
Development and evaluation of navigation system for dental implant surgery completed in all-in-one visit

Sung-Goo Kim, DDS, MSD
Department of Oral and Maxillofacial Radiology
The Graduate School
Seoul National University

Purpose: In this study, we have developed a new image guided navigation system for dental implant using cone-beam computed tomography image, and evaluated its accuracy.
Materials and methods: Image guided navigation system based on an optical tracking camera was developed. In the developed system, new instrument tracking tool and patient tracking tool were applied. A patient-specific splint was improvised using a bite splint and dental impression material. Also, registration method using pre-recorded fiducials and direct offset determination method were developed. Accuracy of these registration and direct offset determination methods was measured through target registration errors (TRE) of 10 ceramic spheres. To measure error of the image guided navigation system for placed implants, the 110 implants were actually installed, and the accuracy of the developed system was evaluated.
Results: The total mean (± SD) TRE of newly developed system was 0.35 ± 0.11 mm. After registration by pre-recorded fiducials, the mean TRE was 0.34 ± 0.18 mm. The offset for a random drill was directly calibrated, and then by using it, a mean TRE was 0.35 ± 0.16 mm as a result. There was no significant difference (P > 0.05) in accuracy among registration methods and direct offset determination. The total mean error between 110 planned implants and the actually placed implants was 0.41 ± 0.12 mm at the center point of platform, 0.56 ± 0.14 mm at the center point of apex, and 2.64 ± 1.31 ° was the angular deviation of the long axis of the implant.
Conclusion: A new image guided navigation system based on CBCT images for dental implant was developed to overcome some disadvantages of the conventional method, and the accuracy of the developed system was proved to be sufficiently high for clinical application. It will be possible to perform a dental implant surgery in all-in-one visit by using the developed image guided navigation system.

Keywords: Image-Guided Surgery
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dc.description.abstractNavigation Surgery-
dc.description.abstractDental Implants-
dc.description.abstractCone-Beam Computed Tomography-
dc.description.abstractAll-in-one visit Surgery
Student Number: 2008-31042
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dc.description.tableofcontentsContents
I. Introduction
II. Literature review
1. Implant surgery using drill guide stent method
2. Implant surgery using image guided navigation method
1) Image guided navigation
2) Accuracy of image guided navigation
3) Errors in image guided navigation
III. Materials and methods
1. Development of a new image guided navigation system for dental implant
1) Procedure of new image guided navigation surgery
2) New tracking tools and improvised patient splint
3) Development of registration method using a reusable registration body and pre-recorded fiducials
4) Intraoperative tracking and visualization of drill tip position
5) Direct drill offset determination
2. Evaluation of navigation system for dental implant surgery
1) Accuracy of registration and offset determination
2) Accuracy of implant placement by the developed system
(1) Phantom and CBCT scanning
(2) Implant planning
(3) Implant placement
(4) Error quantification
3) Statistical analysis
IV. Results
V. DISCUSSION
VI. REFERENCES

Tables
Figures
Abstract in Korean
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dc.formatapplication/pdf-
dc.format.extent2164056 bytes-
dc.format.mediumapplication/pdf-
dc.language.isoen-
dc.publisher서울대학교 대학원-
dc.subjectImage-Guided Surgery-
dc.subjectNavigation Surgery-
dc.subjectDental Implants-
dc.subjectCone-Beam Computed Tomography-
dc.subjectAll-in-one visit Surgery-
dc.subject.ddc617-
dc.titleDevelopment and evaluation of navigation system for dental implant surgery completed in all-in-one visit-
dc.title.alternative즉시 적용 가능한 치과 임플란트 수술용 영상유도 수술 시스템의 개발 및 평가-
dc.typeThesis-
dc.contributor.AlternativeAuthorSung-Goo Kim-
dc.description.degreeDoctor-
dc.citation.pages55-
dc.contributor.affiliation치과대학 치의과학과-
dc.date.awarded2014-02-
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