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Dynamic Computer-Assisted Surgery in Oral Surgery: A Systematic Review.
Ariadna Requena-Gatell1, Tania Moya-Martínez1, Alba Sánchez-Torres1,2
1Department of Dentistry, School of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain.
Journal of Clinical Medicine
|January 28, 2026
Summary
Dynamic computer-assisted surgery (dCAS) shows promise in improving accuracy for endodontic procedures and reducing operative time for complex tooth extractions. Complication rates appear comparable to conventional freehand techniques, though more research is needed.
Area of Science:
- Oral Surgery
- Medical Technology
- Surgical Navigation
Background:
- Dynamic computer-assisted surgery (dCAS) utilizes 3D image-based tracking for real-time adjustments.
- Current applications of dCAS in oral surgery are limited beyond implantology.
- This review assesses dCAS in oral surgery excluding implant placement.
Purpose of the Study:
- Evaluate advantages, limitations, and complications of dCAS in oral surgery.
- Compare dCAS to conventional freehand (FH) techniques.
- Assess clinical implications of dCAS beyond implant procedures.
Main Methods:
- Systematic review following PRISMA guidelines.
- Literature search in PubMed, Scopus, and Cochrane Library.
- Risk of bias assessment using RoB 2 and ROBINS-I tools.
Main Results:
- Ten studies on dCAS in complex tooth extractions and endodontic surgery included.
- Significant accuracy improvement noted in endodontic procedures.
- Comparable postoperative complication rates to FH techniques observed.
Conclusions:
- dCAS can enhance accuracy and efficiency in endodontic surgery.
- dCAS may reduce operative time for complex mandibular third molar extractions.
- Limited, heterogeneous evidence necessitates further clinical validation.
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