Accuracy of Dynamic Computer-Assisted Implant Placement: A Systematic Review and Meta-Analysis of Clinical and In Vitro Studies
The aim of this systematic review and meta-analysis is to analyze the accuracy of implant placement using computer-assisted dynamic navigation procedures. An electronic literature search was carried out, supplemented by a manual search. The literature search was completed in June 2020. The results o...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/4/704 |
| _version_ | 1797411415288446976 |
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| author | Sigmar Schnutenhaus Cornelia Edelmann Anne Knipper Ralph G. Luthardt |
| author_facet | Sigmar Schnutenhaus Cornelia Edelmann Anne Knipper Ralph G. Luthardt |
| author_sort | Sigmar Schnutenhaus |
| collection | DOAJ |
| description | The aim of this systematic review and meta-analysis is to analyze the accuracy of implant placement using computer-assisted dynamic navigation procedures. An electronic literature search was carried out, supplemented by a manual search. The literature search was completed in June 2020. The results of in vitro and clinical studies were recorded separately from each other. For inclusion in the review, the studies had to examine at least the prosthetically relevant parameters for angle deviation, as well as global deviation or lateral deviation at the platform of the implant. Sixteen of 320 articles were included in the investigation: nine in vitro and seven clinical studies. The meta-analysis showed values of 4.1° for the clinical studies (95% CI, 3.12–5.10) and 3.7° for the in vitro studies (95% CI, 2.31–5.10) in terms of the angle deviation. The global deviation at the implant apex of the implant was 1.00 mm for the clinical studies (95% CI, 0.83–1.16) and 0.91 mm for the in vitro studies (95% CI, 0.60–1.12). These values indicate no significant difference between the clinical and in vitro studies. The results of this systematic review show a clinical accuracy of dynamic computer-assisted navigation that is comparable to that of static navigation. However, the dynamic navigation systems show a great heterogeneity that must be taken into account. Moreover, currently there are few clinical data available. Therefore, further investigations into the practicability of dynamic navigation seem necessary. |
| first_indexed | 2024-03-09T04:45:49Z |
| format | Article |
| id | doaj.art-43eb2b76741b46c2b3a9afb892cc1eaa |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T04:45:49Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-43eb2b76741b46c2b3a9afb892cc1eaa2023-12-03T13:15:57ZengMDPI AGJournal of Clinical Medicine2077-03832021-02-0110470410.3390/jcm10040704Accuracy of Dynamic Computer-Assisted Implant Placement: A Systematic Review and Meta-Analysis of Clinical and In Vitro StudiesSigmar Schnutenhaus0Cornelia Edelmann1Anne Knipper2Ralph G. Luthardt3Center for Dentistry, Dr. Schnutenhaus Community Health Center, 78247 Hilzingen, GermanyCenter for Dentistry, Dr. Schnutenhaus Community Health Center, 78247 Hilzingen, GermanyCenter for Dentistry, Dr. Schnutenhaus Community Health Center, 78247 Hilzingen, GermanyCenter of Dental, Oral and Maxillofacial Medicine, Clinic for Dental Prosthetics, Ulm University, 89081 Ulm, GermanyThe aim of this systematic review and meta-analysis is to analyze the accuracy of implant placement using computer-assisted dynamic navigation procedures. An electronic literature search was carried out, supplemented by a manual search. The literature search was completed in June 2020. The results of in vitro and clinical studies were recorded separately from each other. For inclusion in the review, the studies had to examine at least the prosthetically relevant parameters for angle deviation, as well as global deviation or lateral deviation at the platform of the implant. Sixteen of 320 articles were included in the investigation: nine in vitro and seven clinical studies. The meta-analysis showed values of 4.1° for the clinical studies (95% CI, 3.12–5.10) and 3.7° for the in vitro studies (95% CI, 2.31–5.10) in terms of the angle deviation. The global deviation at the implant apex of the implant was 1.00 mm for the clinical studies (95% CI, 0.83–1.16) and 0.91 mm for the in vitro studies (95% CI, 0.60–1.12). These values indicate no significant difference between the clinical and in vitro studies. The results of this systematic review show a clinical accuracy of dynamic computer-assisted navigation that is comparable to that of static navigation. However, the dynamic navigation systems show a great heterogeneity that must be taken into account. Moreover, currently there are few clinical data available. Therefore, further investigations into the practicability of dynamic navigation seem necessary.https://www.mdpi.com/2077-0383/10/4/704computer-assisted surgerydynamic navigationaccuracyprostheses and implantsdental implantsdental implantation |
| spellingShingle | Sigmar Schnutenhaus Cornelia Edelmann Anne Knipper Ralph G. Luthardt Accuracy of Dynamic Computer-Assisted Implant Placement: A Systematic Review and Meta-Analysis of Clinical and In Vitro Studies Journal of Clinical Medicine computer-assisted surgery dynamic navigation accuracy prostheses and implants dental implants dental implantation |
| title | Accuracy of Dynamic Computer-Assisted Implant Placement: A Systematic Review and Meta-Analysis of Clinical and In Vitro Studies |
| title_full | Accuracy of Dynamic Computer-Assisted Implant Placement: A Systematic Review and Meta-Analysis of Clinical and In Vitro Studies |
| title_fullStr | Accuracy of Dynamic Computer-Assisted Implant Placement: A Systematic Review and Meta-Analysis of Clinical and In Vitro Studies |
| title_full_unstemmed | Accuracy of Dynamic Computer-Assisted Implant Placement: A Systematic Review and Meta-Analysis of Clinical and In Vitro Studies |
| title_short | Accuracy of Dynamic Computer-Assisted Implant Placement: A Systematic Review and Meta-Analysis of Clinical and In Vitro Studies |
| title_sort | accuracy of dynamic computer assisted implant placement a systematic review and meta analysis of clinical and in vitro studies |
| topic | computer-assisted surgery dynamic navigation accuracy prostheses and implants dental implants dental implantation |
| url | https://www.mdpi.com/2077-0383/10/4/704 |
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