2018/10/01 by Ali Tahmaseb, Vivian Wu, Daniel Wismeijer +4 · 1 citation
Dentistry · #Dental Implant Techniques and Outcomes #Dental Radiography and Imaging #Dental materials and restorations
paper · pdf · doi:10.1111/clr.13346
openalex publication_date 2018/10/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/30
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.