Accuracy of different systems of guided implant surgery and methods for quantification: a systematic review

The aim of this systematic review was to assess the scientific literature on the accuracy of guided implant surgery and the methods used for its quantification. Two reviewers searched PubMed and the Cochrane Library to identify relevant articles published before 2023. Two methodological quality-asse...

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Detalles Bibliográficos
Autores: Marquez Bautista, N., Meniz García, Cristina María, López Carriches, María Carmen, Sánchez-Labrador, L., Cortés Bretón Brinkmann, Jorge, Madrigal Martínez-Pereda, Cristina María
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/115517
Acceso en línea:https://hdl.handle.net/20.500.14352/115517
Access Level:acceso abierto
Palabra clave:616.314-089.843
Accuracy
Guided surgery
Computer-aided planning
Computer-assisted
Dental Implants
Systematic review
Cirugía bucofacial
Implantes dentales
3213.13 Ortodoncia-Estomatología
3213 Cirugía
Descripción
Sumario:The aim of this systematic review was to assess the scientific literature on the accuracy of guided implant surgery and the methods used for its quantification. Two reviewers searched PubMed and the Cochrane Library to identify relevant articles published before 2023. Two methodological quality-assessment tools were used to assess the quality of the studies included. Inter-investigator reliability was verified using kappa statistics. Twenty-three clinical studies out of the 3299 articles initially identified met the inclusion criteria. The “radiographic matching method” and “digital registration method” were used to assess accuracy in guided surgery. The mean angular, coronal, and apical deviations of mucosa-supported guides ranged from 2.7° to 5.14°, 0.87 mm to 2.05 mm, and 1.08 mm to 2.28 mm, respectively. With bone-supported guides, these ranged from 2.49° to 5.08°, 0.71 mm to 1.60, and 0.77 mm to 1.65 mm, respectively. In tooth-supported guides, deviations were from 2.5° to 5.62°, 0.39 mm to 1.63 mm and 0.28 mm, and 1.84 mm, respectively. Regardless of the evaluation method, all systems exhibit some error. The minimum and maximum deviation ranges found between the planned and placed implants show that, although deviations occur, guided surgery is not far from accurate.