Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Rieder, M; Remschmidt, B; Gsaxner, C; Gaessler, J; Payer, M; Zemann, W; Wallner, J.
Augmented Reality-Guided Extraction of Fully Impacted Lower Third Molars Based on Maxillofacial CBCT Scans.
Bioengineering (Basel). 2024; 11(6):
Doi: 10.3390/bioengineering11060625
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- Führende Autor*innen der Med Uni Graz
- Rieder Marcus
- Wallner Jürgen
- Co-Autor*innen der Med Uni Graz
- Payer Michael
- Remschmidt Bernhard Markus Lukas
- Schwarz-Gsaxner Christina
- Zemann Wolfgang
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- Abstract:
- (1) Background: This study aimed to integrate an augmented reality (AR) image-guided surgery (IGS) system, based on preoperative cone beam computed tomography (CBCT) scans, into clinical practice. (2) Methods: In preclinical and clinical surgical setups, an AR-guided visualization system based on Microsoft's HoloLens 2 was assessed for complex lower third molar (LTM) extractions. In this study, the system's potential intraoperative feasibility and usability is described first. Preparation and operating times for each procedure were measured, as well as the system's usability, using the System Usability Scale (SUS). (3) Results: A total of six LTMs (n = 6) were analyzed, two extracted from human cadaver head specimens (n = 2) and four from clinical patients (n = 4). The average preparation time was 166 ± 44 s, while the operation time averaged 21 ± 5.9 min. The overall mean SUS score was 79.1 ± 9.3. When analyzed separately, the usability score categorized the AR-guidance system as "good" in clinical patients and "best imaginable" in human cadaver head procedures. (4) Conclusions: This translational study analyzed the first successful and functionally stable application of the HoloLens technology for complex LTM extraction in clinical patients. Further research is needed to refine the technology's integration into clinical practice to improve patient outcomes.
- Find related publications in this database (Keywords)
- augmented reality
- cone beam computed tomography
- molar
- third
- oral surgical procedure
- surgery
- computer-assisted
- tooth extraction