Clinical advantages of computer-guided implant placement: a systematic review.
Clin Oral Implants Res
; 23 Suppl 6: 124-35, 2012 Oct.
Article
em En
| MEDLINE
| ID: mdl-23062137
ABSTRACT
OBJECTIVES:
To systematically scrutinize the current scientific literature regarding the clinical advantages of computer guidance of implant placement. MATERIALS ANDMETHODS:
Four electronic databases were searched using specified indexing terms. The reference lists of publications were also searched manually. For inclusion, publications had to meet pre-established criteria.RESULTS:
The searches yielded 1028 titles and abstracts. After data extraction and interpretation, 28 publications and 2 systematic reviews remained for inclusion. Fifteen studies were prospective observational and four were retrospective observational. Nine studies included a control group (controlled clinical trials) of which seven were prospective and two retrospective. Only three of the prospective studies were randomized (RCT's). A total of 852 patients were treated with 4032 implants using computer-guided implant surgery. The number of patients included in each study ranged from 6 to 206. The age ranged from 16 to 92 years and the follow-up period varied between 1 and 49 months.CONCLUSIONS:
The limited scientific evidence available suggests that guided placement has at least as good implant survival as conventional protocols. However, several unexpected procedure-linked adverse events during guided implant placement indicate that the clinical demands on the surgeon were no less than those during conventional placement. A clinical advantage with flapless guided surgery is that the technique is likely to decrease pain and discomfort in the immediate postoperative period.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cirurgia Assistida por Computador
/
Implantação Dentária Endóssea
Tipo de estudo:
Clinical_trials
/
Guideline
/
Observational_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article