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Beyond Accuracy: Clinical Outcomes of Computer Assisted Implant Surgery
Sofya Sadilina1, Kay Vietor2, Romain Doliveux3,4
1Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zürich, Zürich, Switzerland.
Clinical and Experimental Dental Research
|May 16, 2025
Summary
Computer Assisted Implant Surgery (CAIS) offers superior accuracy in implant placement. While other outcomes are comparable to traditional methods, further research into CAIS within complete treatment workflows is needed.
Area of Science:
- Dental Implantology
- Surgical Technology
- Evidence-Based Dentistry
Background:
- Computer Assisted Implant Surgery (CAIS) is increasingly adopted in clinical practice.
- Various technologies and modalities exist for CAIS, including static, dynamic, and robotic systems.
- A comprehensive understanding of CAIS outcomes is crucial for its effective implementation.
Purpose of the Study:
- To synthesize evidence, reported experience, and best practices for Computer Assisted Implant Surgery (CAIS).
- To evaluate clinically relevant outcomes of static, dynamic, and robotic CAIS.
- To provide insights into the current state and future research directions for guided implant surgery.
Main Methods:
- A literature review was conducted, compiling evidence up to November 2024.
- Expert panel discussions synthesized findings into clinically relevant questions.
- Focus on evidence-based synthesis of static, dynamic, and robotic CAIS outcomes.
Main Results:
- Overwhelming evidence supports CAIS superiority in implant placement accuracy and some esthetic outcomes.
- Implant stability, survival rates, complications, bone loss, and tissue health show similar results to non-guided surgery.
- Efficiency of CAIS is poorly defined; studies often focus on procedures, not entire treatment workflows, potentially underestimating CAIS benefits.
Conclusions:
- Guided CAIS achieves clinical outcomes comparable to non-guided implant surgery.
- Further research assessing CAIS within comprehensive treatment workflows is recommended.
- Understanding the full potential of CAIS requires evaluating it as an integrated part of patient care.
