Analysis of implant placement accuracy using freehand in 68 consecutive patients with 97 implants

PURPOSE To analyze the accuracy of implant position in simple cases by freehand. METHODS Ninety-seven implants of 68 patients from 3 surgeons were selected.After operation,the deviations of implant position at shoulder apex and angle were measured using cone-beam CT(CBCT).The mean of three parameters were calculated with SPSS 22.0 software package, and the differences were analyzed between three surgeons,three operation areas,free-end missing and non free-end missing. RESULTS The deviations of 97 implants were (0.76±0.57)mm，(1.41±0.90)mm，(4.76±3.68)° at shoulder, apex and angle.The deviation of shoulder apex and angle between three surgeons was significantly different(P 0.05); the deviations between anterior group and left group were significantly different(P 0.05). The deviation of shoulder between free-end missing area and non free-end missing area was significantly different(P 0.05). CONCLUSIONS The deviation of implant placement between surgical guide and mental guide were similar in simple cases. The experience of surgeon was important during freehand implant placement. The deviations were lower when missing tooth is in anterior area than in posterior area, whereas the same at shoulder in non free-end missing area than in free-end missing area.