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Analysis of movements in tooth removal procedures using robot technology.
Tom van Riet1,2, Willem de Graaf3, Jan de Lange1,2
1Department of Oral and Maxillofacial Surgery, Amsterdam University Medical Center (AUMC), University of Amsterdam, Amsterdam, The Netherlands.
Plos One
|May 18, 2023
Summary
This study quantifies tooth extraction movements using a robotic arm. Rotation around the tooth
Area of Science:
- Biomechanical Engineering
- Dental Surgery
- Robotics
Background:
- Tooth extraction is a common invasive procedure with limited scientific advancement in understanding its mechanics.
- Technical challenges in measuring keyhole surgical movements hinder progress.
Purpose of the Study:
- To precisely measure the complete range of motion and angular velocities during tooth extraction.
- To quantify movement parameters in clinically relevant directions.
Main Methods:
- Developed an ex vivo measurement setup utilizing a compliant robot arm.
- Employed fresh-frozen cadavers and standard dental forceps to simulate clinical conditions.
- Collected data from 110 successful tooth extraction experiments.
Main Results:
- Rotation around the tooth's longitudinal axis demonstrated the largest range of motion and angular velocity.
- Buccopalatal and buccolingual movements were more significant in the posterior regions of both jaws.
- Established quantitative data for motion ranges and angular velocities in tooth extraction.
Conclusions:
- This research provides a quantitative understanding of tooth extraction biomechanics.
- Findings can inform the development of evidence-based training materials for dental professionals.
- Highlights the need for advanced measurement techniques in surgical procedures.

