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Group 5 ITI Consensus Report: Digital technologies.
Daniel Wismeijer1, Tim Joda2, Tabea Flügge3
1Academic Center for Dentistry Amsterdam, Amsterdam, The Netherlands.
Clinical Oral Implants Research
|October 18, 2018
Summary
Static computer-aided implant surgery (s-CAIS) offers benefits over conventional methods, but accuracy concerns with digital impressions and CBCT scans mean it should supplement, not replace, traditional diagnostics and planning. Careful execution is vital for flapless procedures.
Area of Science:
- Dental implantology
- Digital dentistry
- Surgical planning
Background:
- Advancements in digital technologies have transformed dental implant procedures.
- Evaluating the accuracy and benefits of these technologies is crucial for clinical application.
Purpose of the Study:
- To review current knowledge on digital technologies in implant dentistry.
- To assess the accuracy of linear measurements using CBCT, digital vs. conventional implant planning, digital vs. conventional impressions, and static computer-aided implant surgery (s-CAIS).
Main Methods:
- Systematic literature search adhering to PRISMA guidelines.
- Critical review of 232 selected articles.
- Synthesis of findings into four systematic reviews, discussed and refined by a working group.
Main Results:
- Static computer-aided implant surgery (s-CAIS) shows advantages in pain, economics, and complications compared to conventional surgery.
- Accuracy with s-CAIS is higher in partially edentulous cases than fully edentulous ones.
- Accuracy of intraoral scanners and CBCT measurements is protocol and software dependent, respectively.
Conclusions:
- Current precision of intraoral scans and CBCT measurements is insufficient for full reliance on s-CAIS.
- s-CAIS should be an adjunct tool for diagnosis, treatment planning, and surgery.
- Flapless s-CAIS requires careful execution to avoid incorrect implant placement.
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