Evidence map›Paper›PMID 38506282›Full record

Trial reportClinical and experimental dental research2024

Effect of guided implant placement learning experiences on freehand skills: A pilot study.

Caroline Carrico, Lenart Skrjanc, Domen Kanduti, George Deeb, Janina Golob Deeb

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental dental research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Caroline CarricoDental Public Health and Policy, School of Dentistry, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID 0000-0001-9521-9854
Lenart SkrjancDentalni Center Celesnik, Bled, Slovenia.
Domen KandutiDepartment for Oral Diseases and Periodontology, Division for Dental Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
George DeebDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Virginia Commonwealth University, Richmond, Virginia, USA.
Janina Golob DeebDepartment of Periodontics, School of Dentistry, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID 0000-0002-3189-0136
Virginia Commonwealth University · USIEDC-Bled School of Management · SIUniversity of Ljubljana · SI

Funding

American Slovenian Education Foundation
6 · The paper itself

Abstract

objectivesGuided implant systems can be used as a training approach for placing implants. This in vitro prospective randomized pilot study evaluated the learning progression and skill development in freehand placement of two implants supporting a three-unit fixed prosthesis on a simulation model among novice operators. MATERIAL AND

methodsFour senior dental students with no prior implant placement experience participated in the study. As a baseline, each student placed two mandibular and two maxillary implants by freehand technique on a simulation model. Sixteen consecutive guided placements using a static guide, dynamic navigation, and template-based guide followed totaling 32 guided implant placements into maxillary and mandibular models. Freehand implant placements before and after the various guided navigation attempts were compared to assess their impact on freehand skill. Metrics compared included surgical time, horizontal, vertical, and angulation discrepancies between the planned and placed implant positions measured on superimposed CBCT scans and analyzed with repeated measures regression with Tukey's adjusted pairwise comparisons (α = .05).

resultsBefore training with guided techniques, the average baseline freehand implant placement took 10.2 min and decreased to 8.2 after training but this difference was not statistically significant (p = .1670) There was marginal evidence of a significant difference in the 3D apex deviation with an average improvement of 0.89 mm (95% CI: -0.38, 2.16, p = .1120); and marginal evidence of a significant improvement in the overall angle with an average improvement of 3.74° (95% CI: -1.00, 8.48, p = .0869) between baseline and final freehand placement attempts.

conclusionsWithin the limitations of this pilot study, guided implant placement experiences did not significantly benefit or hinder freehand placement skills. Dental students should be exposed to various placement techniques to prepare them for clinical practice and allow them to make informed decisions on the best technique based on their skills and a given clinical scenario.

Indexed as

Dental ImplantsSurgery, Computer-AssistedDental Implantation, EndosseousHumansPilot ProjectsProspective StudiesDental Implantsaccuracyfreehandguided navigationimplant

Identifiers

PMID38506282
PMCPMC10952114
OpenAlexW4393004426

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.