Computer technology applications in surgical implant dentistry: a systematic review

Area of Science:

• Dental Implantology
• Surgical Navigation Systems
• Medical Device Technology

Background:

• Static computer-assisted implant surgery (sCAIS) utilizes digital imaging and software for precise implant placement.
• The adoption of sCAIS in dentistry is growing, but its clinical performance and accuracy require thorough evaluation.
• Understanding the benefits and limitations of sCAIS is crucial for optimizing patient outcomes and treatment planning.

Purpose of the Study:

• To systematically review and synthesize existing literature on the accuracy of static computer-assisted implant surgery.
• To assess the clinical performance, including survival rates and complication frequencies, of sCAIS in implant dentistry.

Main Methods:

• Comprehensive electronic and manual literature searches were conducted to identify relevant studies.
• Meta-regression analysis was employed to quantify the accuracy of sCAIS across various studies.
• Implant failure rates were analyzed using a generalized linear mixed model, and complication data were systematically collected.

Main Results:

• The review included 14 survival and 24 accuracy studies, involving nine different sCAIS systems.
• Mean placement error was 1.12 mm at entry and 1.39 mm at the apex, with significant variability.
• Implant survival rates averaged 2.7% after 12 months, but 36.4% of cases reported intraoperative or prosthetic complications.

Conclusions:

• Static computer-assisted implant surgery demonstrates variable accuracy, with high short-term implant survival rates.
• A significant percentage of patients experience complications, highlighting the need for careful case selection and technique.
• Further long-term clinical data are essential to fully establish the risks, benefits, and optimal indications for sCAIS.