Five-year survival rates for implants placed using digitally-designed static surgical guides: a systematic review

Area of Science:

• Dental Implantology
• Surgical Navigation
• Biomaterials Engineering

Background:

• Static surgical guides offer precision in dental implant placement.
• Limited data exists on the long-term survival of implants placed using guided surgery compared to other techniques.

Purpose of the Study:

• To systematically evaluate the long-term survival rates of dental implants placed using digitally-designed static surgical guides.
• To compare guided surgery implant survival with established benchmarks.

Main Methods:

• Systematic literature search of Medline, EMBASE, grey literature, and hand searches.
• Inclusion criteria: minimum 10 patients, 5-year follow-up.
• Four studies using Nobel Biocare implants and NobelGuide system were included for quantitative analysis.

Main Results:

• Cumulative survival rates ranged from 94.5% to 100% over five years.
• Implants placed with guided surgery demonstrated survival rates comparable to the estimated overall survival rate of 95.6% over five years.
• Successful outcomes were observed despite the complexity of guided surgery procedures.

Conclusions:

• Digitally-designed static surgical guides provide predictable and accurate dental implant placement with comparable long-term survival rates.
• Clinicians should possess the expertise to transition to freehand techniques if complications arise during guided surgery.
• Guided surgery represents a viable option for dental implant placement, offering reliable long-term outcomes.