Abstract
Statement of problem
Research on the current place of 3-dimensionally printed implant surgical guides (3D-ISGs)
among practicing dentists worldwide is lacking, with little research focused on dentists’
experience, knowledge, attitude, or professional behavior related to 3D-ISG or on
the main obstacle to adoption.
Purpose
The purpose of this cross-sectional study was to identify the adoption of 3D-ISG in
dental practice in China and to determine factors that influence its further application
and dentists’ attitudes and willingness.
Material and methods
Semistructured questionnaires were sent to a sample of Chinese dentists composed of
users and nonusers of 3D-ISG. The questionnaires were displayed and distributed through
a professional online survey system (http://www.wjx.cn) and a social media platform (WeChat). The responses were analyzed with multivariable
generalized equations, and the effect of various demographic variables was determined,
including dentist experience, academic degree, and type of practice (public or private).
Results
A total of 2028 valid questionnaires were collected. In dental practice, 39.3% of
the respondents used 3D-ISG. Respondents with a PhD (62.4%) used the 3D-ISG more than
twice as frequently as respondents with a junior college degree or below (31.8%).
The majority of the members of implantology departments (81.7%) applied 3D-ISG, but
doctors in other departments used it at a rate of less than half. The 3D-ISG was most
frequently used in the maxillary anterior area (78.4%), followed by the edentulous
maxilla and mandible (61.0% and 60.5%, respectively). The main barriers were high
initial cost, complex and time-consuming digital design, and lack of expertise in
the proper use of 3D-ISG.
Conclusions
Most dentists did not use 3D-ISG in dental practice. The 3D-ISG application rate was
significantly associated with sex, academic degree, years of dental practice, department,
monthly income, and type of healthcare facility. To improve the popularity of 3D-ISG,
particularly among dentists without advanced degrees, it would be important to optimize
the digital design software program and provide sufficient training.
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References
- Long-term (10-year) dental implant survival: a systematic review and sensitivity meta-analysis.J Dent. 2019; 84: 9-21
- Esthetic complications in implant dentistry.Periodontol. 2000 2022; 88: 73-85
- Soft tissue-related complications and management around dental implants.Periodontol. 2000 2019; 81: 124-138
- Implant placement in the esthetic area: criteria for positioning single and multiple implants.Periodontol. 2000 2018; 77: 176-196
- Dental implant complications.Semin Ultrasound CT MR. 2015; 36: 427-433
- Freehand versus guided surgery: factors influencing accuracy of dental implant placement.Implant Dent. 2017; 26: 500-509
- Precision and trueness of implant placement with and without static surgical guides: an in vitro study.J Prosthet Dent. 2021; 126: 398-404
- Influence of surgeon experience on the accuracy of implant placement via a partially computer-guided surgical protocol.Int J Oral Maxillofac Implants. 2019; 34: 1177-1183
- 3D-printing techniques in a medical setting: a systematic literature review.Biomed Eng Online. 2016; 15: 115
- Current state of the art of computer-guided implant surgery.Periodontol 2000. 2017; 73: 121-133
- A review of 3d printing in dentistry: technologies, affecting factors, and applications.Scanning. 2021; 2021: 1-19
- 3D printing in dentistry.Br Dent J. 2015; 219: 521-529
- Digital technologies for dental implant treatment planning and guided surgery.Oral Maxillofac Surg Clin North Am. 2015; 27: 319-340
- How much does experience in guided implant surgery play a role in accuracy? A randomized controlled pilot study.Int J Oral Maxillofac Surg. 2017; 46: 922-930
- The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies.Int J Surg. 2014; 12: 1495-1499
- A survey of application of digital technology in Hubei dental practice.J Oral Sci Res. 2021; 37 (Original language: Chinese): 1084-1088
- Dentists' opinions on using digital technologies in dental practice.Community Dent Oral Epidemiol. 2018; 46: 143-153
- Survey of UK dentists regarding the use of CAD/CAM technology.Br Dent J. 2016; 221: 639-644
- The reliability of a two-item scale: Pearson, Cronbach, or Spearman-Brown?.Int J Public Health. 2013; 58: 637-642
- Medical education in China: progress in the past 70 years and a vision for the future.BMC Med Educ. 2021; 21: 453
- Continuing medical education and lifelong learning.Surg Clin North Am. 2021; 101: 703-715
- The impact of CME on physician performance and patient health outcomes: an updated synthesis of systematic reviews.J Contin Educ Health Prof. 2015; 35: 131-138
- Predictable immediate implant placement and restoration in the esthetic zone.J Esthet Restor Dent. 2021; 33: 158-172
- Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations.Int J Oral Maxillofac Implants. 2004; 19: 43-61
Article info
Publication history
Published online: February 02, 2023
Footnotes
Supported by the Technology Innovation Major Special Project of Hubei Province, grant #2019ACA139.
A.M. and H.Y. contributed equally to this article.
Identification
Copyright
© 2023 by the Editorial Council for the Journal of Prosthetic Dentistry.
