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Real-Time Motion Compensation for Dynamic Dental Implant Surgery.

Daria Pisla1, Vasile Bulbucan2, Mihaela Hedeșiu1

  • 1Department of Maxillofacial Surgery and Radiology, Oral Radiology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania.

Journal of Clinical Medicine
|September 27, 2025
PubMed
Summary

This study introduces a real-time motion compensation system for dental implant surgery. It uses optical tracking and a collaborative robot to maintain precise tool alignment despite patient head movements, enhancing surgical safety.

Keywords:
computer-assisted oral surgerydental implantsmachine learningoral surgeryrobot-assisted oral surgery

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Area of Science:

  • Robotics in Medicine
  • Surgical Navigation Systems
  • Biomedical Engineering

Background:

  • Accurate instrument positioning is crucial for dental implants, especially in complex anatomy.
  • Traditional navigation systems struggle with patient head movement during surgery.
  • Dynamic conditions necessitate adaptive solutions for maintaining surgical tool accuracy.

Purpose of the Study:

  • To propose and validate a real-time motion compensation framework for dental implant procedures.
  • To integrate optical motion tracking with a collaborative robot for dynamic tool alignment.
  • To enhance precision and stability in robot-assisted dental surgery.

Main Methods:

  • A six-camera optical system tracked markers on a head model.
  • Real-time pose data guided a collaborative robot (Kuka LBR iiwa) for tool alignment.
  • Motion compensation involved inverse trajectory computation and filtering, tested with precise robotic movements.

Main Results:

  • The system demonstrated low pose tracking errors (<0.2 mm) and tool center point deviations (<1.5 mm).
  • Average system latency was approximately 25 ms, with minimal overshoot.
  • The robot exhibited stable and repeatable motion compensation across various dynamic conditions.

Conclusions:

  • The developed framework reliably compensates for real-time head motion in dental implantology.
  • It maintains high positional accuracy and stability during dynamic surgical scenarios.
  • This technology has the potential to significantly improve surgical safety and precision.