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Can computer‐assisted implant surgery improve clinical outcomes and reduce the frequency and intensity of complications in implant dentistry? A critical review

Computer‐assisted implant surgery (CAIS), either static or dynamic, is well documented to significantly improve the accuracy of implant placement. Whether the increased accuracy leads to a corresponding improvement in clinical outcomes has not yet been systematically investigated. The aim of this cr...

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Autores principales: Pimkhaokham, Atiphan, Jiaranuchart, Sirimanas, Kaboosaya, Boosana, Arunjaroensuk, Sirida, Subbalekha, Keskanya, Mattheos, Nikos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9805105/
https://www.ncbi.nlm.nih.gov/pubmed/35924457
http://dx.doi.org/10.1111/prd.12458
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author Pimkhaokham, Atiphan
Jiaranuchart, Sirimanas
Kaboosaya, Boosana
Arunjaroensuk, Sirida
Subbalekha, Keskanya
Mattheos, Nikos
author_facet Pimkhaokham, Atiphan
Jiaranuchart, Sirimanas
Kaboosaya, Boosana
Arunjaroensuk, Sirida
Subbalekha, Keskanya
Mattheos, Nikos
author_sort Pimkhaokham, Atiphan
collection PubMed
description Computer‐assisted implant surgery (CAIS), either static or dynamic, is well documented to significantly improve the accuracy of implant placement. Whether the increased accuracy leads to a corresponding improvement in clinical outcomes has not yet been systematically investigated. The aim of this critical review was to investigate whether the use of CAIS can lead to reduction of complications as well as improved clinical and patient‐reported outcomes (PROs) when compared with conventional freehand implant surgery. A comprehensive online search was conducted to identify studies where implants were installed with static computer‐assisted implant surgery (s‐CAIS)or dynamic computer‐assisted implant surgery(d‐CAIS) or combinations of the two, either compared with conventional free‐hand implant placement or not. Seventy‐seven studies were finally included in qualitative analysis, while data from three studies assessing postsurgical pain were suitable for a meta‐analysis. Only a small number of the available studies were comparative. The current evidence does not suggest any difference with regard to intraoperative complications, immediate postsurgical healing, osseointegration success, and survival of implants placed with CAIS or freehand protocols. Intraoperative and early healing events as reported by patients in randomized clinical trials (RCTs) did not differ significantly between CAIS used with flap elevation and conventional implant placement. There is limited evidence that increased accuracy of placement with CAIS is correlated with superior esthetic outcomes. Use of CAIS does not significantly reduce the length of surgeries in cases of single implants and partially edentulous patients, although there appears to be a more favorable impact in fully edentulous patients. Although CAIS alone does not seem to improve healing and the clinical and PRO, to the extent that it can increase the utilization of flapless surgery and predictability of immediacy protocols, its use may indirectly lead to substantial improvements in all of the above parameters.
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spelling pubmed-98051052023-01-06 Can computer‐assisted implant surgery improve clinical outcomes and reduce the frequency and intensity of complications in implant dentistry? A critical review Pimkhaokham, Atiphan Jiaranuchart, Sirimanas Kaboosaya, Boosana Arunjaroensuk, Sirida Subbalekha, Keskanya Mattheos, Nikos Periodontol 2000 Review Articles Computer‐assisted implant surgery (CAIS), either static or dynamic, is well documented to significantly improve the accuracy of implant placement. Whether the increased accuracy leads to a corresponding improvement in clinical outcomes has not yet been systematically investigated. The aim of this critical review was to investigate whether the use of CAIS can lead to reduction of complications as well as improved clinical and patient‐reported outcomes (PROs) when compared with conventional freehand implant surgery. A comprehensive online search was conducted to identify studies where implants were installed with static computer‐assisted implant surgery (s‐CAIS)or dynamic computer‐assisted implant surgery(d‐CAIS) or combinations of the two, either compared with conventional free‐hand implant placement or not. Seventy‐seven studies were finally included in qualitative analysis, while data from three studies assessing postsurgical pain were suitable for a meta‐analysis. Only a small number of the available studies were comparative. The current evidence does not suggest any difference with regard to intraoperative complications, immediate postsurgical healing, osseointegration success, and survival of implants placed with CAIS or freehand protocols. Intraoperative and early healing events as reported by patients in randomized clinical trials (RCTs) did not differ significantly between CAIS used with flap elevation and conventional implant placement. There is limited evidence that increased accuracy of placement with CAIS is correlated with superior esthetic outcomes. Use of CAIS does not significantly reduce the length of surgeries in cases of single implants and partially edentulous patients, although there appears to be a more favorable impact in fully edentulous patients. Although CAIS alone does not seem to improve healing and the clinical and PRO, to the extent that it can increase the utilization of flapless surgery and predictability of immediacy protocols, its use may indirectly lead to substantial improvements in all of the above parameters. John Wiley and Sons Inc. 2022-08-04 2022-10 /pmc/articles/PMC9805105/ /pubmed/35924457 http://dx.doi.org/10.1111/prd.12458 Text en © 2022 The Authors. Periodontology 2000 published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Articles
Pimkhaokham, Atiphan
Jiaranuchart, Sirimanas
Kaboosaya, Boosana
Arunjaroensuk, Sirida
Subbalekha, Keskanya
Mattheos, Nikos
Can computer‐assisted implant surgery improve clinical outcomes and reduce the frequency and intensity of complications in implant dentistry? A critical review
title Can computer‐assisted implant surgery improve clinical outcomes and reduce the frequency and intensity of complications in implant dentistry? A critical review
title_full Can computer‐assisted implant surgery improve clinical outcomes and reduce the frequency and intensity of complications in implant dentistry? A critical review
title_fullStr Can computer‐assisted implant surgery improve clinical outcomes and reduce the frequency and intensity of complications in implant dentistry? A critical review
title_full_unstemmed Can computer‐assisted implant surgery improve clinical outcomes and reduce the frequency and intensity of complications in implant dentistry? A critical review
title_short Can computer‐assisted implant surgery improve clinical outcomes and reduce the frequency and intensity of complications in implant dentistry? A critical review
title_sort can computer‐assisted implant surgery improve clinical outcomes and reduce the frequency and intensity of complications in implant dentistry? a critical review
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9805105/
https://www.ncbi.nlm.nih.gov/pubmed/35924457
http://dx.doi.org/10.1111/prd.12458
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