Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials
Abstract This systematic review explores the accuracy of computerized guided implant placement including computer-aided static, dynamic, and robot-assisted surgery. An electronic search up to February 28, 2023, was conducted using the PubMed, Embase, and Scopus databases using the search terms “surg...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-024-04033-y |
| _version_ | 1797246981571084288 |
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| author | Angkoon Khaohoen Warit Powcharoen Tanapon Sornsuwan Pisaisit Chaijareenont Chaiy Rungsiyakull Pimduen Rungsiyakull |
| author_facet | Angkoon Khaohoen Warit Powcharoen Tanapon Sornsuwan Pisaisit Chaijareenont Chaiy Rungsiyakull Pimduen Rungsiyakull |
| author_sort | Angkoon Khaohoen |
| collection | DOAJ |
| description | Abstract This systematic review explores the accuracy of computerized guided implant placement including computer-aided static, dynamic, and robot-assisted surgery. An electronic search up to February 28, 2023, was conducted using the PubMed, Embase, and Scopus databases using the search terms “surgery”, “computer-assisted”, “dynamic computer-assisted”, “robotic surgical procedures”, and “dental implants”. The outcome variables were discrepancies including the implant’s 3D-coronal, -apical and -angular deviations. Articles were selectively retrieved according to the inclusion and exclusion criteria, and the data were quantitatively meta-analysed to verify the study outcomes. Sixty-seven articles were finally identified and included for analysis. The accuracy comparison revealed an overall mean deviation at the entry point of 1.11 mm (95% CI: 1.02–1.19), and 1.40 mm (95% CI: 1.31–1.49) at the apex, and the angulation was 3.51˚ (95% CI: 3.27–3.75). Amongst computerized guided implant placements, the robotic system tended to show the lowest deviation (0.81 mm in coronal deviation, 0.77 mm in apical deviation, and 1.71˚ in angular deviation). No significant differences were found between the arch type and flap operation in cases of dynamic navigation. The fully-guided protocol demonstrated a significantly higher level of accuracy compared to the pilot-guided protocol, but did not show any significant difference when compared to the partially guided protocol. The use of computerized technology clinically affirms that operators can accurately place implants in three directions. Several studies agree that a fully guided protocol is the gold standard in clinical practice. |
| first_indexed | 2024-04-24T19:51:26Z |
| format | Article |
| id | doaj.art-2ad88bac2c25427a9f304cc96d069f55 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-24T19:51:26Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-2ad88bac2c25427a9f304cc96d069f552024-03-24T12:35:53ZengBMCBMC Oral Health1472-68312024-03-0124112610.1186/s12903-024-04033-yAccuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trialsAngkoon Khaohoen0Warit Powcharoen1Tanapon Sornsuwan2Pisaisit Chaijareenont3Chaiy Rungsiyakull4Pimduen Rungsiyakull5Department of Prosthodontics, Faculty of Dentistry, Chiang Mai UniversityDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chiang Mai UniversityDepartment of Restorative Dentistry, Faculty of Dentistry, Naresuan UniversityDepartment of Prosthodontics, Faculty of Dentistry, Chiang Mai UniversityDepartment of Mechanical Engineering, Faculty of Engineering, Chiang Mai UniversityDepartment of Prosthodontics, Faculty of Dentistry, Chiang Mai UniversityAbstract This systematic review explores the accuracy of computerized guided implant placement including computer-aided static, dynamic, and robot-assisted surgery. An electronic search up to February 28, 2023, was conducted using the PubMed, Embase, and Scopus databases using the search terms “surgery”, “computer-assisted”, “dynamic computer-assisted”, “robotic surgical procedures”, and “dental implants”. The outcome variables were discrepancies including the implant’s 3D-coronal, -apical and -angular deviations. Articles were selectively retrieved according to the inclusion and exclusion criteria, and the data were quantitatively meta-analysed to verify the study outcomes. Sixty-seven articles were finally identified and included for analysis. The accuracy comparison revealed an overall mean deviation at the entry point of 1.11 mm (95% CI: 1.02–1.19), and 1.40 mm (95% CI: 1.31–1.49) at the apex, and the angulation was 3.51˚ (95% CI: 3.27–3.75). Amongst computerized guided implant placements, the robotic system tended to show the lowest deviation (0.81 mm in coronal deviation, 0.77 mm in apical deviation, and 1.71˚ in angular deviation). No significant differences were found between the arch type and flap operation in cases of dynamic navigation. The fully-guided protocol demonstrated a significantly higher level of accuracy compared to the pilot-guided protocol, but did not show any significant difference when compared to the partially guided protocol. The use of computerized technology clinically affirms that operators can accurately place implants in three directions. Several studies agree that a fully guided protocol is the gold standard in clinical practice.https://doi.org/10.1186/s12903-024-04033-yRobotic guide surgeryImage-guided surgeryComputer-assisted implantationSurgical navigationDental implantsSystematic review |
| spellingShingle | Angkoon Khaohoen Warit Powcharoen Tanapon Sornsuwan Pisaisit Chaijareenont Chaiy Rungsiyakull Pimduen Rungsiyakull Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials BMC Oral Health Robotic guide surgery Image-guided surgery Computer-assisted implantation Surgical navigation Dental implants Systematic review |
| title | Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials |
| title_full | Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials |
| title_fullStr | Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials |
| title_full_unstemmed | Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials |
| title_short | Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials |
| title_sort | accuracy of implant placement with computer aided static dynamic and robot assisted surgery a systematic review and meta analysis of clinical trials |
| topic | Robotic guide surgery Image-guided surgery Computer-assisted implantation Surgical navigation Dental implants Systematic review |
| url | https://doi.org/10.1186/s12903-024-04033-y |
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