Our Summary

This research paper is about a review conducted on the accuracy of dental implant placement using computer-guided surgery. The researchers compared results from lab studies (in vitro), studies conducted on human bodies (cadaver), and real-life clinical studies. They also looked at the difference between fully computer-guided surgeries and partially computer-guided surgeries (half-guided).

After going through 186 articles published between January 2005 and February 2015, they found 34 that met their criteria. These articles provided data on over 3,000 implants.

They found that lab studies showed better accuracy in terms of the implant’s angle and its position at the tip (apical deviation) compared to both cadaver and clinical studies. However, the difference in accuracy regarding the implant’s position at the top (coronal deviation) and its depth (vertical deviation) was not significant.

When comparing fully computer-guided surgeries and half-guided surgeries, the fully computer-guided ones were more accurate in all three types of studies. They showed less deviation in the implant’s position at the top for cadaver studies, less deviation at the tip for clinical studies, and less angular deviation for both types of studies.

In simpler terms, using computer-guided systems to place dental implants was found to be more accurate in lab conditions than in real-life or cadaver conditions, especially regarding the implant’s angle and tip position. Also, surgeries that were fully guided by computers were more accurate than those only partially guided.

FAQs

  1. What did the research review find about the accuracy of computer-guided dental implant surgery?
  2. How do the results of fully computer-guided surgeries compare to partially computer-guided surgeries in terms of accuracy?
  3. Did the study find a difference in the accuracy of implant placement in lab conditions versus real-life or cadaver conditions?

Doctor’s Tip

One helpful tip a doctor might give a patient about dental implant surgery is to inquire about the use of computer-guided systems for the procedure. This research suggests that fully computer-guided surgeries are more accurate in placing dental implants compared to partially guided surgeries. By opting for a fully computer-guided surgery, patients may have a higher chance of achieving precise implant placement, which can contribute to better long-term outcomes. It’s always important to discuss all available options with your dentist or oral surgeon to ensure the best possible results for your dental implant surgery.

Suitable For

Patients who are typically recommended for dental implant surgery are those who have lost one or more teeth due to injury, decay, or periodontal disease. They should have good oral health, including healthy gums and enough bone in the jaw to support the implant. Patients with medical conditions that may affect healing, such as diabetes or autoimmune disorders, may need to be evaluated on a case-by-case basis. Additionally, patients should have realistic expectations about the procedure and be committed to maintaining good oral hygiene post-surgery.

Timeline

Before dental implant surgery:

  • Patient consults with dentist to discuss options and determine if they are a good candidate for dental implants
  • Dental scans and impressions are taken to create a treatment plan
  • Patient may need to undergo bone grafting or other preparatory procedures if necessary
  • Patient receives instructions on how to prepare for surgery, including any necessary medications, fasting instructions, and transportation arrangements

After dental implant surgery:

  • Patient may experience some swelling, discomfort, and bruising in the days following surgery
  • Patient will need to follow post-operative care instructions provided by the dentist, including proper oral hygiene practices and restrictions on certain foods and activities
  • Patient will have follow-up appointments to monitor healing and check the progress of the implant
  • Once the implant has fully integrated with the jawbone, the patient will receive a permanent crown or restoration to complete the implant process

Overall, the timeline for dental implant surgery can vary depending on the individual patient’s needs and healing process, but typically involves several pre-operative and post-operative steps to ensure a successful outcome.

What to Ask Your Doctor

  1. What is the success rate of dental implant surgery using computer-guided systems compared to traditional methods?
  2. What are the potential risks and complications associated with dental implant surgery using computer-guided systems?
  3. How long does the recovery process typically take after dental implant surgery using computer-guided systems?
  4. Will I need to undergo any additional procedures or treatments before or after the surgery?
  5. How many dental implants have you placed using computer-guided systems, and what is your experience with this technology?
  6. What type of imaging technology will be used to plan and guide the placement of the dental implants?
  7. How will the accuracy of the dental implant placement be assessed during and after the surgery?
  8. What are the factors that can affect the accuracy of dental implant placement using computer-guided systems?
  9. How long can I expect the dental implants to last, and what maintenance will be required to ensure their longevity?
  10. Are there any lifestyle changes or restrictions I should be aware of following dental implant surgery using computer-guided systems?

Reference

Authors: Bover-Ramos F, Viña-Almunia J, Cervera-Ballester J, Peñarrocha-Diago M, García-Mira B. Journal: Int J Oral Maxillofac Implants. 2018 January/February;33(1):101–115. doi: 10.11607/jomi.5556. Epub 2017 Jun 20. PMID: 28632253