Accuracy of dental implant surgery with robotic position feedback and registration algorithm: An in-vitro study

Comput Biol Med. 2021 Feb:129:104153. doi: 10.1016/j.compbiomed.2020.104153. Epub 2020 Nov 26.

Abstract

Background: The purpose of this study was to develop and validate a positioning method with hand-guiding and contact position feedback of robot based on a human-robot collaborative dental implant system (HRCDIS) for robotic guided dental implant surgery.

Methods: An HRCDIS was developed based on a light-weight cooperative robot arm, UR5. A three-dimensional (3D) virtual partially edentulous mandibular bone was reconstructed using the cone bone computed tomography images. After designing the preoperative virtual implant planning using the computer software, a fixation guide worn on teeth for linking and fixing positioning marker was fabricated by 3D printing. The fixation guide with the positioning marker and a resin model mimicking the oral tissues were assembled on a head phantom. The planned implant positions were derived by the coordinate information of the positioning marker. The drilling process using the HRCDIS was conducted after mimicking the experimental set-up and planning the drilling trajectory. Deviations between actual and planned implant positions were measured and analyzed.

Results: The head phantom experiments results showed that the error value of the central deviation at hex (refers to the center of the platform level of the implant) was 0.79 ± 0.17 mm, central deviation at the apex was 1.26 ± 0.27 mm, horizontal deviation at the hex was 0.61 ± 0.19 mm, horizontal deviation at the apex was 0.91 ± 0.55 mm, vertical deviation at the hex was 0.38 ± 0.17 mm, vertical deviation at the apex was 0.37 ± 0.20 mm, and angular deviation was 3.77 ± 1.57°.

Conclusions: The results from this study preliminarily validate the feasibility of the accurate navigation method of the HRCDIS.

Keywords: Accurate navigation method; Cone bone computed tomography; Dental implant; Human-robot collaborative; UR5 robot.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Computer-Aided Design
  • Cone-Beam Computed Tomography
  • Dental Implants*
  • Feedback
  • Humans
  • Imaging, Three-Dimensional
  • Robotic Surgical Procedures*
  • Robotics*
  • Surgery, Computer-Assisted*

Substances

  • Dental Implants