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Clin Oral Implants Res. 2018 Oct;29 Suppl 16:416-435. doi: 10.1111/clr.13346.

The accuracy of static computer-aided implant surgery: A systematic review and meta-analysis.

Author information

1
Department of Oral Implantology and Fixed prosthodontics, University of Amsterdam, Amsterdam, The Netherlands.
2
Department of Clinical Biology, Institute of Public Health, Brussels, Belgium.
3
Private office, Brighton, Victoria, Australia.

Abstract

OBJECTIVES:

To assess the literature on the accuracy of static computer-assisted implant surgery in implant dentistry.

MATERIALS AND METHODS:

Electronic and manual literature searches were conducted to collect information about the accuracy of static computer-assisted implant systems. Meta-regression analysis was performed to summarise the accuracy studies.

RESULTS:

From a total of 372 articles. 20 studies, one randomised controlled trial (RCT), eight uncontrolled retrospective studies and 11 uncontrolled prospective studies were selected for inclusion for qualitative synthesis. A total of 2,238 implants in 471 patients that had been placed using static guides were available for review. The meta-analysis of the accuracy (20 clinical) revealed a total mean error of 1.2 mm (1.04 mm to 1.44 mm) at the entry point, 1.4 mm (1.28 mm to 1.58 mm) at the apical point and deviation of 3.5°(3.0° to 3.96°). There was a significant difference in accuracy in favour of partial edentulous comparing to full edentulous cases.

CONCLUSION:

Different levels of quantity and quality of evidence were available for static computer-aided implant surgery (s-CAIS). Based on the present systematic review and its limitations, it can be concluded that the accuracy of static computer-aided implant surgery is within the clinically acceptable range in the majority of clinical situations. However, a safety marge of at least 2 mm should be respected. A lack of homogeneity was found in techniques adopted between the different authors and the general study designs.

PMID:
30328191
DOI:
10.1111/clr.13346

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