Clinical and in vitro application of robotic computer-assisted implant surgery: a scoping review

W K Zhou ¹, J J Wang ¹, Y H Jiang ¹

⁰State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China.

International Journal of Oral and Maxillofacial Surgery +

|

October 4, 2024

View abstract on PubMed

Summary

Robotic computer-assisted implant surgery (r-CAIS) shows high accuracy within 1mm and few complications. However, evidence for shorter surgical times is currently insufficient, requiring further clinical research.

Area Of Science

Medical Robotics
Dental Implantology
Surgical Navigation

Background

Robotic computer-assisted implant surgery (r-CAIS) represents a significant advancement over conventional methods.
The integration of robotics in implantology aims to enhance precision and patient outcomes.

Purpose Of The Study

To evaluate the accuracy, complication rates, and operative time of r-CAIS.
To test the hypothesis that r-CAIS achieves accuracy within 1mm with minimal complications and reduced surgical duration.

Main Methods

A scoping review was conducted following PRISMA-ScR guidelines.
A systematic search of PubMed, Scopus, Web of Science, and Google Scholar identified 3355 publications.
Twenty-eight publications were included after comprehensive analysis.

Main Results

The null hypothesis was partly supported: r-CAIS demonstrated high accuracy, with coronal and apical deviations generally within 1mm.
No significant adverse events or complications associated with r-CAIS were reported in the included studies.
Insufficient evidence exists to confirm a shorter surgical time with r-CAIS compared to conventional methods.

Conclusions

r-CAIS offers high precision in dental implant placement, with a favorable safety profile.
Further clinical research is necessary to validate the potential for reduced operative times.
The findings suggest r-CAIS is a promising technology, but more data is needed for definitive conclusions on efficiency.

Keywords:

Computer-assisted surgery Dental implants Intraoperative complications Operative time Postoperative complications Robotic surgical procedures