Artificial intelligence and augmented reality for guided implant surgery planning: A proof of concept

Francesco Guido Mangano; Oleg Admakin; Henriette Lerner; Carlo Mangano

doi:10.1016/j.jdent.2023.104485

Artificial intelligence and augmented reality for guided implant surgery planning: A proof of concept

J Dent. 2023 Jun:133:104485. doi: 10.1016/j.jdent.2023.104485. Epub 2023 Mar 23.

Authors

Francesco Guido Mangano¹, Oleg Admakin², Henriette Lerner³, Carlo Mangano⁴

Affiliations

¹ Department of Pediatric, Preventive Dentistry and Orthodontics, Sechenov First State Medical University, Moscow, Russian Federation; Honorary Professor in Restorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong, China. Electronic address: francescoguidomangano@gmail.com.
² Department of Pediatric, Preventive Dentistry and Orthodontics, Sechenov First State Medical University, Moscow, Russian Federation.
³ Academic Teaching and Research Institution of Johann Wolfgang Goethe University, Frankfurt, Germany.
⁴ Private Practice, (CO), Gravedona, Italy.

PMID: 36965859
DOI: 10.1016/j.jdent.2023.104485

Abstract

Purpose: To present a novel protocol for authentic three-dimensional (3D) planning of dental implants, using artificial intelligence (AI) and augmented reality (AR).

Methods: The novel protocol consists of (1) 3D data acquisition, with an intraoral scanner (IOS) and cone-beam computed tomography (CBCT); (2) application of AI for CBCT segmentation to obtain standard tessellation language (STL) models and automatic alignment with IOS models; (3) loading of selected STL models within the AR system and surgical planning with holograms; (4) surgical guide design with open-source computer-assisted-design (CAD) software; and (5) surgery on the patient.

Results: This novel protocol is effective and time-efficient when used for planning simple cases of static guided implant surgery in the partially edentulous patient. The clinician can plan the implants in an authentic 3D environment, without using any radiological guided surgery software. The precision of implant placement looks clinically acceptable, with minor deviations.

Conclusions: AI and AR technologies can be successfully used in guided implant surgery for authentic 3D planning that may replace conventional software. However, further clinical studies are needed to validate this protocol.

Statement of clinical relevance: The combined use of AI and AR may change the perspectives of modern guided implant surgery for authentic 3D planning that may replace conventional software.

Keywords: Artificial intelligence; Augmented reality; Guided implant surgery planning.

MeSH terms

Artificial Intelligence
Augmented Reality*
Computer-Aided Design
Cone-Beam Computed Tomography / methods
Dental Implantation, Endosseous / methods
Dental Implants*
Humans
Imaging, Three-Dimensional
Surgery, Computer-Assisted* / methods

Substances

Dental Implants