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Updated: Apr 10, 2026

Pedicle Screw Placement Using an Augmented Reality Head-Mounted Display in a Porcine Model
Published on: May 24, 2024
Markerless augmented reality-guided mini-screw placement: A clinical case series
Hideyuki Suenaga1,2, Ayuko Sakakibara2, Ryo Maruoka2
1Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Kanagawa Dental University, Kanagawa, Japan.
Augmented reality (AR) systems precisely guided orthodontic mini-screw placement, preventing root damage and improving success rates. This innovative technology offers significant benefits over traditional methods for clinicians.
Area of Science:
- Dentistry
- Orthodontics
- Medical Technology
Background:
- Precise placement of orthodontic mini-screws is crucial to avoid damaging dental roots, nerves, blood vessels, or the maxillary sinus.
- Traditional methods lack precise visualization of local anatomy, increasing risks.
- Digital advancements like 3D virtual planning and CT-based surgical guides improve treatment simulation and surgical mapping.
Purpose of the Study:
- To evaluate the efficacy of augmented reality (AR)-guided systems for precise orthodontic mini-screw insertion.
- To assess the potential of AR technology in preventing complications associated with mini-screw placement.
Main Methods:
- Three patients requiring precise orthodontic mini-screw insertion were included in this study.
- Augmented reality (AR)-guided systems were utilized to assist in the accurate positioning of orthodontic mini-screws.
- Postoperative radiographs were used to confirm successful placement and assess for any root damage.
Main Results:
- Successful placement of orthodontic mini-screws was achieved in all cases without any damage to the tooth root.
- The non-invasive AR-guided system effectively highlighted the precise position of the tooth root, aiding in accurate placement.
- AR-assisted positioning showed potential in reducing mini-screw failure rates.
Conclusions:
- Augmented reality (AR)-guided systems offer a promising tool for precise orthodontic mini-screw placement.
- This technology enhances safety by potentially avoiding root damage and reducing failure rates compared to traditional methods.
- AR systems provide benefits such as adaptability, real-time adjustments, and cost efficiency for clinicians.
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