4.6 Article

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

Journal

JOURNAL OF DENTISTRY
Volume 133, Issue -, Pages -

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.jdent.2023.104485

Keywords

Artificial intelligence; Augmented reality; Guided implant surgery planning

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This study presents a novel protocol for dental implant planning using artificial intelligence and augmented reality. The protocol includes steps like 3D data acquisition, AI segmentation of CBCT, AR system for surgical planning, CAD software for surgical guide design, and patient surgery. The results show that this protocol is effective and time-efficient for simple cases of guided implant surgery in partially edentulous patients.
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-assisteddesign (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.

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