Accuracy of the over-preparation technique in implant surgery in the maxillary anterior region: an in vitro study

Abstract Background In the maxillary anterior region, differences in bone density along the drilling path can impact the accuracy of implant placement despite the use of a surgical guide. Hence, the aim of this in vitro study was to investigate the accuracy of implant placement using the over-prepar...

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Main Authors: Luming Wei, Xuzhe Zha, Jianhua Ji, Changyong Yuan, Huiying Guo, Penglai Wang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-025-05546-w
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author Luming Wei
Xuzhe Zha
Jianhua Ji
Changyong Yuan
Huiying Guo
Penglai Wang
author_facet Luming Wei
Xuzhe Zha
Jianhua Ji
Changyong Yuan
Huiying Guo
Penglai Wang
author_sort Luming Wei
collection DOAJ
description Abstract Background In the maxillary anterior region, differences in bone density along the drilling path can impact the accuracy of implant placement despite the use of a surgical guide. Hence, the aim of this in vitro study was to investigate the accuracy of implant placement using the over-preparation technique in different drilling environments in the maxillary anterior region. Methods Three experimental models (a, b, and c) were designed and fabricated to simulate the following drilling environments (n = 60 each): unhealed bone, less dense bone, and dense bone after tooth extraction. The models were subjected to implant cavity preparation and placement using the over-preparation technique (group OPT) and conventional surgical guide technique (group CGT). Differences between the actual positions and the planned positions of the implants were calculated. Results The deviations of the implants in the group OPT in Model a and Model b were significantly smaller than those in the group CGT (P < 0.05). Among the group OPT, Model c presented with the smallest deviation, followed by Model b and Model a (P < 0.05), and the CGT group showed the same trend. Conclusions In the maxillary anterior region, differences in bone density along the drilling path can adversely affect the accuracy of implant placement. These discrepancies can be significantly minimized using the over-preparation technique.
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spelling doaj-art-8fa1642e075040c7ab3836e9ef3b90902025-02-02T12:45:20ZengBMCBMC Oral Health1472-68312025-01-012511910.1186/s12903-025-05546-wAccuracy of the over-preparation technique in implant surgery in the maxillary anterior region: an in vitro studyLuming Wei0Xuzhe Zha1Jianhua Ji2Changyong Yuan3Huiying Guo4Penglai Wang5Department of Oral Implantology, The Affiliated Stomatological Hospital of Xuzhou Medical UniversitySchool of Stomatology, Xuzhou Medical UniversitySchool of Stomatology, Xuzhou Medical UniversityDepartment of Oral Implantology, The Affiliated Stomatological Hospital of Xuzhou Medical UniversityDepartment of Oral Implantology, The Affiliated Stomatological Hospital of Xuzhou Medical UniversityDepartment of Oral Implantology, The Affiliated Stomatological Hospital of Xuzhou Medical UniversityAbstract Background In the maxillary anterior region, differences in bone density along the drilling path can impact the accuracy of implant placement despite the use of a surgical guide. Hence, the aim of this in vitro study was to investigate the accuracy of implant placement using the over-preparation technique in different drilling environments in the maxillary anterior region. Methods Three experimental models (a, b, and c) were designed and fabricated to simulate the following drilling environments (n = 60 each): unhealed bone, less dense bone, and dense bone after tooth extraction. The models were subjected to implant cavity preparation and placement using the over-preparation technique (group OPT) and conventional surgical guide technique (group CGT). Differences between the actual positions and the planned positions of the implants were calculated. Results The deviations of the implants in the group OPT in Model a and Model b were significantly smaller than those in the group CGT (P < 0.05). Among the group OPT, Model c presented with the smallest deviation, followed by Model b and Model a (P < 0.05), and the CGT group showed the same trend. Conclusions In the maxillary anterior region, differences in bone density along the drilling path can adversely affect the accuracy of implant placement. These discrepancies can be significantly minimized using the over-preparation technique.https://doi.org/10.1186/s12903-025-05546-wImplant accuracyMaxillary anteriorImmediate implantationSurgical guides
spellingShingle Luming Wei
Xuzhe Zha
Jianhua Ji
Changyong Yuan
Huiying Guo
Penglai Wang
Accuracy of the over-preparation technique in implant surgery in the maxillary anterior region: an in vitro study
BMC Oral Health
Implant accuracy
Maxillary anterior
Immediate implantation
Surgical guides
title Accuracy of the over-preparation technique in implant surgery in the maxillary anterior region: an in vitro study
title_full Accuracy of the over-preparation technique in implant surgery in the maxillary anterior region: an in vitro study
title_fullStr Accuracy of the over-preparation technique in implant surgery in the maxillary anterior region: an in vitro study
title_full_unstemmed Accuracy of the over-preparation technique in implant surgery in the maxillary anterior region: an in vitro study
title_short Accuracy of the over-preparation technique in implant surgery in the maxillary anterior region: an in vitro study
title_sort accuracy of the over preparation technique in implant surgery in the maxillary anterior region an in vitro study
topic Implant accuracy
Maxillary anterior
Immediate implantation
Surgical guides
url https://doi.org/10.1186/s12903-025-05546-w
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