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Guided and Navigation Implant Surgery: A Systematic Review.

Tara Aghaloo, Danny Hadaya, Todd R Schoenbaum

    The International Journal of Oral & Maxillofacial Implants
    |July 12, 2023
    PubMed
    Summary

    Guided and navigation surgical approaches for dental implant placement show comparable survival rates to historical controls. Both methods offer similar accuracy in implant positioning, indicating effectiveness in modern dental surgery.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Biomaterials Science
    • Medical Device Technology

    Background:

    • Dental implant placement aims to restore function and aesthetics in patients with missing teeth.
    • Evaluating surgical approaches like guided and navigation surgery is crucial for optimizing outcomes.
    • Conventional implant surgery serves as a benchmark for assessing novel techniques.

    Approach:

    • A systematic literature search was performed in PubMed/Medline and the Cochrane Library.
    • Meta-analyses synthesized data on implant survival rates and accuracy (angular, depth, horizontal deviation).
    • The study adhered to PRISMA 2020 guidelines, including 56 articles for quantitative analysis.

    Key Points:

    • Static guided surgery yielded a 97% survival rate, with mean angular deviation of 3.8°, depth deviation of 0.5 mm, and horizontal neck deviation of 1.2 mm.
    • Navigation surgery showed mean angular deviation of 3.4°, horizontal neck deviation of 0.9 mm, and apex deviation of 1.2 mm.
    • Both guided and navigation approaches demonstrated comparable implant survival rates to historical controls.

    Conclusions:

    • Static guided and navigation surgical techniques offer comparable survival rates to conventional methods.
    • The accuracy of dental implant placement does not significantly differ between guided and navigation approaches.
    • These findings support the efficacy of both guided and navigation surgery in contemporary dental implantology.