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Dynamic Implant Surgery-An Accurate Alternative to Stereolithographic Guides-Systematic Review and Meta-Analysis
Jordi Marques-Guasch1, Anna Bofarull-Ballús1, Maria Giralt-Hernando1
1Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, Spain.
Dentistry Journal
|June 27, 2023
Summary
Dynamic guided surgery (DGS) offers accuracy comparable to static guided surgery (SGS) for dental implant placement. DGS demonstrates superior precision and security compared to freehand (FH) techniques in transferring virtual surgical plans.
Area of Science:
- Dental Implantology
- Surgical Navigation Technologies
- Computer-Aided Surgery
Background:
- Dynamic guided surgery (DGS) utilizes real-time motion-tracking for precise computer-guided freehand procedures.
- Accuracy in implant placement is crucial for successful outcomes.
- Comparing DGS with static guided surgery (SGS) and freehand (FH) methods is essential.
Purpose of the Study:
- To compare the accuracy and security of dynamic guided surgery (DGS) against static guided surgery (SGS) and freehand (FH) implant placement techniques.
- To answer the focused question: "What implant guidance tool is more accurate and secure with regard to implant placement surgery?"
Main Methods:
- Systematic review of randomized controlled trials (RCTs), prospective, and retrospective case series from Cochrane and Medline databases.
- Calculation of implant deviation coefficient for coronal, apical, angular, and vertical deviations.
- Statistical analysis with a significance level of p < 0.05.
Main Results:
- No significant difference in accuracy between DGS and SGS for coronal, angular, and apical deviations (p > 0.05).
- DGS showed significantly greater accuracy than FH for coronal, angular, and apical deviations (p < 0.001).
- Significant differences in vertical deviation were observed among techniques, favoring DGS over FH (p = 0.038).
Conclusions:
- Dynamic guided surgery (DGS) is a validated alternative, achieving accuracy similar to static guided surgery (SGS).
- DGS provides enhanced accuracy, security, and precision compared to the freehand (FH) method for surgical plan transfer.
- DGS represents a reliable advancement in computer-guided implant surgery.
