Trueness of Dental Implant Placement Using Dynamic Navigation or Non-Guided Approach by Novice Surgeons: A...

Area of Science:

• Dental Implantology
• Surgical Technology
• Clinical Outcomes Research

Background:

• Accurate dental implant placement is crucial for successful outcomes.
• Novice surgeons face challenges in achieving precise implant positioning.
• Computer-assisted surgery offers potential for improved accuracy and efficiency.

Purpose of the Study:

• To compare the trueness of dental implant placement between dynamic computer-assisted implant surgery (d-CAIS) and a non-guided approach in novice surgeons.
• To evaluate surgery time efficiency and patient-reported outcomes, including satisfaction, pain, and quality of life.

Main Methods:

• A double-arm randomized clinical trial included partially edentulous patients.
• Patients were randomized to either d-CAIS or a non-guided technique.
• Trueness was assessed by measuring linear and angular deviations using CBCT scans; patient outcomes were evaluated via questionnaires.

Main Results:

• d-CAIS significantly reduced angular, lateral platform, global platform, and global apex deviations compared to the non-guided technique.
• Implant placement time was shorter with d-CAIS, but overall surgery time did not differ significantly between groups.
• Patient-reported outcomes showed high satisfaction, similar postoperative pain, and no significant changes in quality of life.

Conclusions:

• Dynamic computer-assisted implant surgery (d-CAIS) enhances the trueness of implant placement by novice surgeons.
• d-CAIS does not increase overall surgery time and leads to high patient satisfaction.
• The technique provides comparable postoperative pain levels to non-guided methods, supporting its clinical utility.