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Guided Dental Implant Surgery: Systematic Review
Mario Dioguardi1, Francesca Spirito1, Cristian Quarta1
1Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy.
Journal of Clinical Medicine
|February 25, 2023
Summary
Guided implant surgery demonstrates high survival rates in dental implantology. While many failures occur early due to osseointegration issues, digital planning enhances outcomes.
Area of Science:
- Dentistry
- Oral Surgery
- Biomaterials
Background:
- Dental implant prosthetic rehabilitation is a common procedure.
- Accurate implant positioning is crucial for aesthetic and functional outcomes.
- Diagnostic and treatment planning phases must consider anatomical and prosthetic constraints.
Purpose of the Study:
- To evaluate survival and failure rates of dental implants placed using digitally designed surgical guides.
- To assess peri-implant bone remodeling and implant-prosthetic complications.
- To synthesize evidence on the efficacy of guided implant surgery.
Main Methods:
- Systematic review following PRISMA guidelines.
- Searched Scopus, PubMed, and Cochrane Library databases.
- Included 2 retrospective and 7 prospective studies from 2001 records.
Main Results:
- High implant survival percentages were observed with guided implant surgery.
- A significant portion of failures were early-onset, linked to osseointegration.
- Multiple variables influence overall implant survival rates.
Conclusions:
- Digitally designed surgical guides are associated with high dental implant survival rates.
- Early failures, often due to osseointegration, require attention.
- Further research is needed to fully understand factors influencing implant longevity.
