Abstract
Digitally-designed static surgical guides provide an acceptable level of accuracy
and predictability for the placement of dental implants. However, to our knowledge,
few published studies have compared the long-term survival of implants placed in this
way with those placed using other methods. A systematic search of electronic databases
using a population, intervention, comparison, and outcome (PICO) framework was conducted
of Medline and EMBASE, as well as grey literature and hand searches, to obtain all
relevant work pertaining to the survival of dental implants placed by guided surgery.
The studies were required to have at least 10 patients with a follow up of at least
five years. A total of 621 titles were screened. Four studies met the inclusion criteria
for quantitative analysis, and they all reported the exclusive use of Nobel Biocare
implants and the NobelGuide system (Nobel Biocare Services). Cumulative survival rates
ranged from 94.5% to 100% over five years. The survival rates of implants placed using
digitally-designed static surgical guides are comparable to the estimated overall
survival rate (95.6% over five years), despite the complex nature of the treatments
done with guided surgery. Clinicians who do these operations should, however, have
the experience and ability to revert to conventional freehand techniques if complications
arise.
Keywords
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References
- Computer-supported implant planning and guided surgery: a narrative review.Clin Oral Implants Res. 2015; 26: 69-76
- Different techniques of static/dynamic guided implant surgery: modalities and indications.Periodontol. 2000; 2014: 214-227
- Clinical advantages of computer-guided implant placement: a systematic review.Clin Oral Implants Res. 2012; 23: 124-135
- Accuracy of free hand vs pilot drill and fully guided oral implant placement.Clin Oral Implants Res. 2017; 28 (Available from URL: https://onlinelibrary.wiley.com/doi/epdf/10.1111/clr.450_13042 (last accessed 4 December 2019)): 453
- Computer-guided versus free-hand placement of immediately loaded dental implants: 1-year post-loading results of a multicentre randomised controlled trial.Eur J Oral Implantol. 2014; 7: 229-242
- Implant surgery using bone- and mucosa-supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques.Clin Oral Implants Res. 2010; 21: 980-988
- Placement of posterior maxillary implants in partially edentulous patients with severe bone deficiency using CAD/CAM guidance to avoid sinus grafting: a clinical report of procedure.Int J Oral Maxillofac Implants. 2009; 24: 96-102
- Why guided when freehand is easier, quicker, and less costly?.J Oral Implantol. 2014; 40: 670-678
- Computer-assisted flapless implant placement reduces the incidence of surgery-related bacteremia.Clin Oral Investig. 2013; 17: 1985-1993
- Computer-guided vs freehand placement of immediately loaded dental implants: 5-year postloading results of a randomised controlled trial.Eur J Oral Implantol. 2018; 11: 203-213
- Computer technology applications in surgical implant dentistry: a systematic review.Int J Oral Maxillofac Implants. 2014; 29: 25-42
- Accuracy of computer-aided implant placement.Clin Oral Implants Res. 2012; 23: 112-123
- A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry.Clin Oral Implants Res. 2009; 20: 73-86
- The intrinsic error of a stereolithographic surgical template in implant guided surgery.Int J Oral Maxillofac Surg. 2013; 42: 264-275
- Tolerance within a surgical guide.Clin Oral Implants Res. 2010; 21: 455-458
- Group 5 ITI Consensus Report: digital technologies.Clin Oral Implants Res. 2018; 29: 436-442
- Aesthetic implant restorations in partially edentulous patients - a critical appraisal.Periodontol 2000. 1998; 17: 132-150
- Understanding adverse events: human factors.Qual Heal Care. 1995; 4: 80-89
- Internal bone temperature change during guided surgery preparations for dental implants: an in vitro study.Int J Oral Maxillofac Implants. 2013; 28: 1464-1469
- Evaluation of bone heating, drill deformation, and drill roughness after implant osteotomy: guided surgery and classic drilling procedure.Int J Oral Maxillofac Implants. 2014; 29: 51-58
- Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit.J Prosthet Dent. 1983; 50: 101-107
- Factors affecting heat generation during implant site preparation: a review of biologic observations and future considerations.Int J Oral Maxillofac Implants. 1999; 14: 127-136
- Influence of heat stress to matrix on bone formation.Clin Oral Implants Res. 2009; 20: 782-790
- The effect of guided flapless implant procedure on heat generation from implant drilling.J Craniomaxillofac Surg. 2014; 42: 725-729
- Guided implant surgery in the edentulous maxilla: a systematic review.Int J Oral Maxillofac Implants. 2016; 31: s103-17
- Guided surgery with tooth-supported templates for single missing teeth: a critical review.Eur J Oral Implantol. 2016; 9: S135-53
Google Scholar. Available from URL: https://scholar.google.co.uk (last accessed 6 December 2019).
System for Information on Grey Literature in Europe (SIGLE). Available from URL: http://www.opengrey.eu (last accessed 6 December 2019).
National Institute for Health and Care Excellence (NICE) evidence database. Available from URL: https://www.evidence.nhs.uk (last accessed 6 December 2019).
The Association of Dental Implantology (ADI). Available from URL: http://www.adi.org.uk (last accessed 6 December 2019).
International Team for Implantology (ITI). Available from URL: https://www.iti.org (last accessed 6 December 2019).
- Immediately loaded CAD-CAM manufactured fixed complete dentures using flapless implant placement procedures: a cohort study of consecutive patients.J Prosthet Dent. 2007; 97: 331-339
- CAD/CAM technologies in the surgical and prosthetic treatment of the edentulous patient with biomymetic individualized approach.Oral Implantol (Rome). 2008; 1: 2-14
- Accuracy of two stereolithographic guide systems for computer-aided implant placement: a computed tomography-based clinical comparative study.J Periodontol. 2010; 81: 43-51
- Flapless surgery and immediately loaded implants: a retrospective comparison between implantation with and without computer-assisted planned surgical stent.Stomatologija. 2010; 12: 35-41
- A comparison of two implant techniques on patient-based outcome measures: a report of flapless vs conventional flapped implant placement.Clin Oral Implants Res. 2010; 21: 366-370
- Computer-aided implant placement in the reconstruction of a severely resorbed maxilla — a 5-year clinical study.Int J Periodontics Restorative Dent. 2010; 30: 627-637
- Complications of guided surgery and immediate loading in oral implantology : a report of 12 cases.Med Oral Patol Oral Cir Bucal. 2011; 16e220–4
- Computer-assisted virtual treatment planning combined with flapless surgery and immediate loading in the rehabilitation of partial edentulies.Oral Implantol (Rome). 2012; 5: 3-10
- Immediate loading of maxillary prostheses using flapless surgery, implant placement in predetermined positions, and prefabricated provisional restorations. Part 2: a retrospective 10-year clinical study.Int J Oral Maxillofac Implants. 2012; 27: 1199-1204
- Application and success of two stereolithographic surgical guide systems for implant placement with immediate loading.Int J Oral Maxillofac Implants. 2012; 27: 634-643
- Digital protocol for reference-based guided surgery and immediate loading: a prospective clinical study.Int J Oral Maxillofac Implants. 2012; 27: 1258-1270
- A retrospective comparison of implants in the pterygomaxillary region: implant placement with two-stage, single-stage, and guided protocols.Int J Oral Maxillofac Implants. 2013; 28: 184-189
- Accuracy of computer-aided template-guided oral implant placement : a prospective clinical study.J Periodontal Implant Sci. 2014; 44: 184-193
- Cumulative survival rate of implants placed “fully guided” using CT-guided surgery: a 7-year retrospective study.Compend Contin Educ Dent. 2014; 35 (590–8, 600)
- Cone beam computed tomography evaluation of regenerated buccal bone 5 years after simultaneous implant placement and guided bone regeneration procedures – a randomized, controlled clinical trial.Clin Oral Implants Res. 2015; 26: 28-34
- Full mouth implant rehabilitation with staged approach : 6-year clinical follow-up.J Esthet Restor Dent. 2015; 27: 213-223
- Five-year results of a randomized controlled trial comparing patients rehabilitated with immediately loaded maxillary cross-arch fixed dental prosthesis supported by four or six implants placed using guided surgery.Clin Implant Dent Relat Res. 2016; 18: 965-972
- Rehabilitation of full-mouth edentulism: immediate loading of implants inserted with computer-guided flapless surgery versus conventional dentures: a 5-year multicenter retrospective analysis and OHIP questionnaire.Implant Dent. 2017; 26: 54-58
- Terminal posterior tilted implants planned as a sinus graft alternative for fixed full-arch implant-supported maxillary restoration: a case series with 10- to 19-year results on 44 consecutive patients presenting for routine maintenance.Clin Implant Dent Relat Res. 2017; 19: 56-68
- Implant-supported immediately loaded fixed full-arch dentures: evaluation of implant survival rates in a case cohort of up to 7 years.Clin Implant Dent Relat Res. 2017; 19: 4-19
- Assessment of long-term survival of immediately loaded tilted implants supporting a maxillary full-arch fixed prosthesis.Int J Oral Maxillofac Implants. 2017; 32: 904-911
- The NobelGuide® All-on-4® treatment concept for rehabilitation of edentulous jaws: a retrospective report on the 7-years clinical and 5-years radiographic outcomes.Clin Implant Dent Relat Res. 2017; 19: 233-244
- Immediate loading of fixed complete denture prosthesis supported by 4-8 implants placed using guided surgery: a 5-year prospective study on 66 patients with 356 implants.Clin Implant Dent Relat Res. 2017; 19: 195-206
- Five-year follow-up of immediate fixed restorations of maxillary implants inserted in both fresh extraction and healed sites using the NobelGuide TM system.Clin Implant Dent Relat Res. 2015; 17: 221-233
- Clinical reliability of CAD/CAM cross-arch zirconia bridges on immediately loaded implants placed with computer-assisted/template-guided surgery: a retrospective study with a follow-up between 3 and 5 years.Clin Implant Dent Relat Res. 2015; 17: e86-96
- A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years.Clin Oral Implants Res. 2012; 23: 22-38
- Accuracy of computer-assisted template-based implant placement using two different surgical templates designed with or without metallic sleeves: a randomized controlled trial.Dent J (Basel). 2019; 7: pii:E41
- The accuracy of static computer-aided implant surgery: a systematic review and meta-analysis.Clin Oral Implants Res. 2018; 29: 416-435
- Computer technology applications in surgical implant dentistry: a systematic review.Int J Oral Maxillofac Implants. 2009; : 92-109
- Retrospective analysis on survival rate, template-related complications, and prevalence of peri-implantitis of 694 anodized implants placed using computer-guided surgery: results between 1 and 10 years of follow-up.Int J Oral Maxillofac Implants. 2017; 32: 1162-1171
- Digital implant planning and guided implant surgery - workflow and reliability.Br Dent J. 2019; 226: 101-108
Article info
Publication history
Published online: January 13, 2020
Accepted:
December 13,
2019
Identification
Copyright
© 2019 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
