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Related Experiment Video

Updated: Dec 25, 2025

Digital Hybrid Model Preparation for Virtual Planning of Reconstructive Dentoalveolar Surgical Procedures
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Fully Digital Workflow for Planning Static Guided Implant Surgery: A Prospective Accuracy Study.

Chia-Cheng Lin1,2, Ching-Zong Wu1,3, Mao-Suan Huang4,5

  • 1School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei 110, Taiwan.

Journal of Clinical Medicine
|April 5, 2020
PubMed
Summary

Static guided implant surgery (sGIS) using a fully digital workflow demonstrates comparable accuracy to conventional methods for partially edentulous patients. This digital approach offers reliable results in implant placement.

Keywords:
CAD/CAMaccuracyclinical researchdigital workflowguided implant surgerystereolithographic surgical guide

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Area of Science:

  • Dentistry
  • Digital Implantology
  • Surgical Navigation

Background:

  • Static guided implant surgery (sGIS) accuracy is well-documented with conventional planning.
  • Limited data exists on the clinical accuracy of fully digital planning protocols for sGIS.

Purpose of the Study:

  • To evaluate the clinical accuracy of static guided implant surgery (sGIS) employing a fully digital planning workflow.
  • To compare the accuracy of surface registration versus fiducial marker registration in digital implant planning.

Main Methods:

  • Prospective study involving 21 partially edentulous patients.
  • Superimposition of Cone-Beam Computed Tomography (CBCT) and intraoral scans using two registration protocols.
  • Fabrication of stereolithographic (SLA) surgical guides and placement of 43 implants.
  • Measurement of positional and angular deviations between planned and placed implants using metrology software.

Main Results:

  • Implants planned with the surface registration protocol showed a greater mean angular deviation compared to the fiducial marker protocol.
  • No statistically significant differences were observed across various deviation metrics between the two digital registration methods.
  • Overall accuracy of sGIS with a fully digital workflow was found to be consistent.

Conclusions:

  • The fully digital planning workflow for sGIS achieves clinical accuracy comparable to conventional methods in partially edentulous patients.
  • Both surface and fiducial marker registration protocols provide reliable outcomes for digital implant planning.
  • Further research may be warranted to fully elucidate the benefits of fully digital workflows in implant surgery.