Skip to main content Skip to main navigation menu Skip to site footer
Review
Published: 02-12-2021

Guided surgery in dental implant: a systematic review

University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
Guided surgery Dental implant Computed tomography Computer-guided

Abstract

Introduction: In the context of implant dentistry, dental implants represent about 1,000,000 procedures per year worldwide. Virtual implant planning systems integrate cone beam computed tomography (CT) data to assess the amount of bone and virtual models for the project of a dental implant. Objective: It presented, through a systematic review, the main considerations of guided surgery in implant dentistry through evidence from clinical studies and important systematic reviews on the subject. Methods: The research was carried out from May 2021 to June 2021 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar, following the Systematic Review-PRISMA rules. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: A total of 112 articles were found on guided surgery and implantology. Initially, duplication of articles was excluded. In total, 54 articles were fully evaluated and 23 were included and evaluated in this study. In the GS scenario, advances in technology have contributed to the improvement of models with favorable positioning of implants in aesthetic terms. This provides the predictability of techniques and difficulties that may be encountered during surgical intervention, reducing time and the possibility of errors, allowing for an overall reduction in the costs of oral rehabilitation. Conclusion: Guided surgery is considered accurate and reliable compared to free implant surgery. However, the learning curve is undeniable and a clinician with basic surgical skills, including conventional implant dentistry.

Metrics

Metrics Loading ...

References

  1. You JS, Kim SG, OH JS, Kim JS. Effects of Platelet-Derived Material (Platelet-Rich Fibrin) on Bone Regeneration. Implant Dent. 2019 Mar 8 [doi: 10.1097/ID.0000000000000877].
  2. Pye AD, Lockhart DEA, Dawson MP, Murray CA, Smith AJ. A review of dental implants and infection. J Hosp Infect ; 2009, 72:104–110.
  3. Bra°nemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O et al. Osseointegrated implants in the treatment of edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977, 16:1–192.
  4. Bugarin Júnior JG, Garrafaii V. Bioethics and biosafety: the use of biomaterials in dental practice. Rev Saúde Pública; 2007, 41(2):223-8.
  5. Kernen F, Kramer J, Wanner L, Wismeijer D, Nelson K, Flügge T. A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing. BMC Oral Health. 2020 Sep 10;20(1):251. doi: 10.1186/s12903-020-01208-1. PMID: 32912273; PMCID: PMC7488021.
  6. Mazaro JVQ, Godoy Pai, Junior JFS, Mello CC, Pellizzer EP, Zavanelli AC; Regeneração óssea guiada em implantodontia: relato de caso ; RFO, Passo Fundo, 2014, v. 19, n. 1, p. 121-128.
  7. Tahmaseb A, WU V, Wismeijer D, et al. The accuracy of static computer-aided implant surgery: a systematic review and meta-analysis. Clin Oral Implants Res; 2018, 29(Suppl 16):416–35.
  8. Greenberg AM. Digital technologies for dental implant treatment planning and guided surgery. Oral Maxillofac Surg Clin North Am. 2015 May;27(2):319-40. doi: 10.1016/j.coms.2015.01.010. PMID: 25951962.
  9. Chen P, Nikoyan L. Guided Implant Surgery: A Technique Whose Time Has Come. Dent Clin North Am. 2021 Jan;65(1):67-80. doi: 10.1016/j.cden.2020.09.005. Epub 2020 Nov 2. PMID: 33213716.
  10. Tahmaseb A, Wismeijer D, Coucke W, et al. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants; 2014, 29(Suppl):25–42.
  11. Jung RE, Schneider D, Ganeles J, et al. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants; 2009, 24(Suppl):92–109.
  12. D’haese J, Van De Velde T, Komiyama A, et al. Accuracy and complications using computer-designed stereolithographic surgical guides for oral rehabilitation by means of dental implants: a review of the literature. Clin Implant Dent Relat Res; 2012, 14:321–35.
  13. Oh JH, An X, Jeong SM, et al. Digital workflow for computer-guided implant surgery in edentulous patients: a case report. J Oral Maxillofac Surg ; 2017, 75: 2541–9.
  14. El Kholy K, Janner SFM, Schimmel M, et al. The influence of guided sleeve height, drilling distance, and drilling key length on the accuracy of static computerassisted implant surgery. Clin Implant Dent Relat Res; 2019, 21(1):101–7.
  15. Zhou W, Liu Z, Song L, et al. Clinical factors affecting the accuracy of guided implant surgery-a systematic review and meta-analysis. J Evid Based Dent Pract; 2018, 18:28– 40.
  16. Raico Gallardo YN, Da Silva-Olivio IRT, Mukai E, et al. Accuracy comparison of guided surgery for dental implants according to the tissue of support: a systematic review and meta-analysis. Clin Oral Implants Res;2017, 28:602–12.
  17. Seo C, Juodzbalys G. Accuracy of guided surgery via stereolithographic mucosasupported surgical guide in implant surgery for edentulous patient: a systematic review. J Oral Maxillofac Res; 2018, 9:e1.
  18. Cassetta M, Bellardini M. How much does experience in guided implant surgery play a role in accuracy? A randomized controlled pilot study. Int J Oral Maxillofac Surg; 2017, 46:922–30.
  19. Rungcharassaeng K, Caruso JM, Kan JY, et al. Accuracy of computer-guided surgery: a comparison of operator experience. J Prosthet Dent; 2015, 114:407–13.
  20. Shenaq DS, Matros E. Virtual planning and navigational technology in reconstructive surgery. J Surg Oncol. 2018, Oct;118(5):845-852. doi: 10.1002/jso.25255. Epub 2018 Oct 7.
  21. D'haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer-guided implant surgery. Periodontol 2000. 2017 Feb;73(1):121-133. doi: 10.1111/prd.12175.
  22. Pommer B, Busenlechner D, Fürhauser R, Watzek G, Mailath-Pokorny G, Haas R. Trends in techniques to avoid bone augmentation surgery: Application of short implants, narrow-diameter implants and guided surgery. J Craniomaxillofac Surg. 2016 Oct;44(10):1630-1634. doi: 10.1016/j.jcms.2016.08.012.
  23. Oliveira G, Mattos W, Albaricci M, Marcantonio É, Queiroz T, Margonar R. Original Research: Analysis of linear and angular deviations of implants installed with a tomographic guided surgery technique. A prospective cohort-study. J Oral Implantol. 2019 Jun 17. doi: 10.1563/aaid-joi-D-18-00265.
  24. Al Yafi F, Camenisch B, Al-Sabbagh M. Is Digital Guided Implant Surgery Accurate and Reliable? Dent Clin North Am. 2019 Jul;63(3):381-397. doi: 10.1016/j.cden.2019.02.006. Epub 2019 Apr 12.
  25. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n71
  26. H Balshem H, Grade guidelines: 3 ratng the quality of evidence. Journal of Clinical Epidemiology, Maryland Heights, 64 (4) (2011) 401-406.
  27. Higgins, S Green, Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0 [updated March 2011]. The Cochrane Collaboration; 2011.
  28. Kernen F, Kramer J, Wanner L, Wismeijer D, Nelson K, Flügge T. A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing. BMC Oral Health. 2020 Sep 10;20(1):251. doi: 10.1186/s12903-020-01208-1. PMID: 32912273; PMCID: PMC7488021.
  29. Kalaivani G, Balaji VR, Manikandan D, Rohini G. Expectation and reality of guided implant surgery protocol using computer-assisted static and dynamic navigation system at present scenario: Evidence-based literature review. J Indian Soc Periodontol. 2020 Sep-Oct;24(5):398-408. doi: 10.4103/jisp.jisp_92_20. Epub 2020 Sep 1. PMID: 33144766; PMCID: PMC7592620.
  30. Yogui FC, Verri FR, de Luna Gomes JM, Lemos CAA, Cruz RS, Pellizzer EP. Comparison between computer-guided and freehand dental implant placement surgery: A systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2021 Feb;50(2):242250. doi: 10.1016/j.ijom.2020.08.004. Epub 2020 Sep 10. PMID: 32921557.
  31. Probst FA, Schweiger J, Stumbaum MJ, Karampinos D, Burian E, Probst M. Magnetic resonance imaging based computer-guided dental implant surgery-A clinical pilot study. Clin Implant Dent Relat Res. 2020 Oct;22(5):612-621. doi: 10.1111/cid.12939. Epub 2020 Sep 9. PMID: 32902067.
  32. Cheng KJ, Kan TS, Liu YF, Zhu WD, Zhu FD, Wang WB, Jiang XF, Dong XT. Accuracy of dental implant surgery with robotic position feedback and registration algorithm: An in-vitro study. Comput Biol Med. 2021 Feb;129:104153. doi: 10.1016/j.compbiomed.2020.104153. Epub 2020 Nov 26. PMID: 33260102.
  33. De Santis D, Gelpi F, Zambotti T, Rossetto A, Luciano U, Zotti F, Iurlaro A, Zarantonello M, Finotti M, Alberti C, Zangani A, Capocasale G, Donadello D, Faccioni P, Nocini PF. The use of computer-guided flapless dental implant surgery (Nobel guide®) and immediate function to support a fixed full-arch prosthesis in fresh frozen homologous bone grafted patients: a retrospective cohort study with 5 to 8-year followup. J Biol Regul Homeost Agents. 2020 Nov-Dec;34(6 Suppl. 2):49-61. PMID: 33541064.
  34. Hilgenfeld T, Juerchott A, Jende JME, Rammelsberg P, Heiland S, Bendszus M, Schwindling FS. Use of dental MRI for radiation-free guided dental implant planning: a prospective, in vivo study of accuracy and reliability. Eur Radiol. 2020 Dec;30(12):6392-6401. doi: 10.1007/s00330-020-07262-1. Epub 2020 Sep 22. PMID: 32960331; PMCID: PMC7599174.

How to Cite

Guimarães, J. F. P., Caruzi Junior, L., & Kassis, E. N. (2021). Guided surgery in dental implant: a systematic review. MedNEXT Journal of Medical and Health Sciences, 2(5). https://doi.org/10.54448/mdnt21508