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Analyzing Linear and Angular Deviations After Guided Surgery for Dental Implant Placement: A Preliminary Study.

Catarina Mendes Fonseca, Patrícia Alexandra Barroso da Fonseca, Margarida Martins Quezada

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    Static computer-aided implant surgery (sCAIS) shows feasibility for guided implant placement. While accurate, deviations occur, especially at the implant apex, requiring careful consideration in bone-limited cases.

    Keywords:
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    Area of Science:

    • Dental Implantology
    • Computer-Aided Surgery
    • Digital Dentistry

    Background:

    • Static computer-aided implant surgery (sCAIS) utilizes digital planning and surgical guides for precise implant placement.
    • Assessing the accuracy of sCAIS is crucial for its clinical adoption and refinement.

    Purpose of the Study:

    • To evaluate the accuracy and precision of prosthetically driven implant placement using static computer-aided implant surgery.
    • To quantify linear and angular deviations in implant positioning achieved with sCAIS.

    Main Methods:

    • A study involving 53 implants positioned using tooth-supported or tooth-and-tissue-supported templates.
    • Comparison of two guided surgery approaches: pilot drill guided and fully guided.
    • Superimposition of pre-operative and post-operative 3D data using coDiagnostiX software to calculate deviations.

    Main Results:

    • Average angular deviation of 3.90 degrees was recorded.
    • Mean 3D linear deviation was 1.04 mm at the implant coronal point and 1.56 mm at the apex.

    Conclusions:

    • The digital workflow for guided implant surgery is feasible and offers a promising treatment modality.
    • Deviations in implant placement are observed, particularly in the apical region.
    • Caution is advised in cases with limited bone availability when using sCAIS.