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Accuracy of guided biopsy of the jawbone in a clinical setting: A retrospective analysis
Authors:Martin Lotz  Caterina Schumacher  Bernd Stadlinger  Kristian Ikenberg  Martin Rücker  Silvio Valdec
Institution:1. Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland;2. Institute of Pathology and Molecular Pathology, University Hospital Zurich, Rämistrasse 100, 8091, Zurich, Switzerland
Abstract:The aim of this study was to investigate the accuracy of a previously described technique for guided biopsy of osseous pathologies of the jawbone in a clinical setting. The data sets of patients who had undergone guided biopsy procedures were retrospectively examined for accuracy. Digital planning of the biopsies and manufacturing of the tooth-supported drilling template were performed with superimposed cone beam computed tomography and intraoral scans using implant planning software. After a trephine biopsy was taken using the template, the postoperative low-dose cone beam computed tomography was analyzed for accuracy using the planning software with the corresponding (digitally-planned) biopsy cylinder. The mean angular deviation was 4.35 ± 2.5°. The mean depth deviation was ?1.40 ± 1.41 mm. Guided biopsy seems to be an alternative to a conventional approach for minimally invasive and highly accurate jawbone biopsy.
Keywords:Guided surgery  Drilling template  Oral pathologies  Bone biopsy  Computer-assisted surgery  Computer-aided design/computer-aided manufacturing (CAD/CAM)
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