Beyond Accuracy: Clinical Outcomes of Computer Assisted Implant Surgery

Clinical and Experimental Dental Research, Journal Year: 2025, Volume and Issue: 11(3)

Published: May 16, 2025

ABSTRACT Objectives Computer Assisted Implant Surgery (CAIS) with different technologies and modalities is becoming increasingly utilized in clinical practice. The aim of this White Paper was to synthesize evidence, reported experience, best practices regard clinically relevant outcomes static, dynamic, robotic CAIS. Materials Methods A review the literature compiled existing evidence from studies up November 2024, which later discussed synthesized into questions a panel international experts. Results There overwhelming for superiority CAIS accuracy implant placement some limited superior esthetic outcomes. At same time, related primary stability, survival rates, intra‐ postoperative complications, marginal bone loss, peri‐implant tissue health appear similar between guided non‐guided surgery, while efficiency poorly defined studied. importance execution comprehensive, prosthetically driven treatment plan not reflected most studies, focus mainly on assessment procedures rather than entire workflows. Such inherent limitations available research might conceal potential Conclusions Guided can achieve at least as good surgery. Studies that assess benefits part workflow, isolated procedures, could improve our understanding these technologies.

Language: Английский

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Computer‐Assisted Implant Surgery: Patients' Experience and Perspectives

Clinical and Experimental Dental Research, Journal Year: 2025, Volume and Issue: 11(3)

Published: May 26, 2025

ABSTRACT Objectives Although computer‐assisted implant surgery (CAIS) has increased significantly the precision of dental placement, documentation impact such technologies in patient‐reported experience and outcomes remains, however, limited. The aim this white paper was to assess CAIS on key aspects patient experience, as its potential benefits (1) patients' understanding engagement with surgery, (2) patient's confidence treatment outcomes, (3) preferences, (4) intra‐ (5) Postoperative (6) long‐term oral health‐related quality life. Material Methods A review literature compiled existing evidence from clinical studies up November 2024, which later discussed synthesized expert opinions best currently documented practice. Results No found that improves or while comparative showed no difference postoperative when is used. Impact cost procedures patients perceptions preferences also not been explored, majority subsidizing costs, particular randomized trials. At same time, compare interventions cannot overall a complex workflow immediacy minimally invasive approaches, an essential part. Conclusions Research might fully reflect these limited level surgical intervention. Major anticipated for reduce complexity facilitate faster, safer more predictable execution digitally designed treatments, could be better approached future by aimed at assessing entire workflows.

Language: Английский

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Patient‐Reported Outcome Measures Following Implant Placement With Simultaneous Horizontal Bone Augmentation

Clinical Implant Dentistry and Related Research, Journal Year: 2025, Volume and Issue: 27(1)

Published: Feb. 1, 2025

ABSTRACT Objectives This study aimed to evaluate the impact of implant placement with simultaneous bone augmentation on patients' willingness repeat procedure. Secondary outcomes included assessing patient‐reported outcome measures, clinical‐ and surgical‐related factors affecting treatment outcomes. Methods Subjects who were currently undergoing or have undergone in esthetic region (maxillary second premolar premolar) assigned three groups: Group A (short‐term), B (1–5 years post‐surgery), C (> 5 post‐surgery). Clinical assessments, dichotomous questions, visual analogue scales used therapeutic according group interest. Results One hundred fifty patients completed ( n = 50 per group). In A, 16% experienced wound dehiscence (membrane exposure < 3 mm), 2% had postoperative bleeding, infection, swelling, abscess. Flaps extending beyond teeth significantly increased early membrane p 0.04). Patient‐reported discomfort 0.001) healing scores 0.04) decreased over time. Willingness procedure was 100%, 88%, 98% Groups B, C, respectively, satisfaction rates 98.2 ± 7.5, 91.2 10.6, 95.2 10.9. No significant differences found between for functional satisfaction. However, reported higher comfort 0.001). Younger adults women greater than older men. Conclusions Implant horizontal areas shows a high short‐, mid‐, long‐term. Additionally, this approach yields low complications discomfort, along patient related performance, esthetics, overall comfort.

Language: Английский

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Contemporary Digital Dentistry for Complex Cases in the Anterior Maxilla

Journal of Esthetic and Restorative Dentistry, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 12, 2025

ABSTRACT Objectives To demonstrate how contemporary digitally driven workflow can enhance outcomes for complex esthetic dental cases, focusing on three distinct clinical scenarios involving implant placement, crown lengthening, and tooth autotransplantation (ATT). Overview Three multidisciplinary cases our digital workflows, integrating diagnosis, treatment planning, patient communication, guided execution. The first case involves replacing two anterior central incisors using surgery, prefabricated customized healing abutments, a restorative process. second showcases an crown‐lengthening procedure, where Multifunctional Anatomical Prototypes (MAPs) serve as both mock‐up surgical guides, enhancing communication expected ensuring precise tissue management to prevent soft rebound. final features ATT, virtual planning 3D‐printed replica guides ensure predictability in the therapeutic outcome. These enabled strategies underscore customization achievable with technology. Conclusions Dental treatments zone require meticulous execution achieve controlled results that satisfaction long‐term stability. Contemporary Digital Dentistry enhances predictability, creating pathway leads success.

Language: Английский

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Using postoperative CBCT to enhance preoperative planning integration in complete arch implant rehabilitation

Journal of Prosthetic Dentistry, Journal Year: 2025, Volume and Issue: unknown

Published: June 1, 2025

Language: Английский

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A NOVEL CODED HEALING ABUTMENT FOR A SIMPLIFIED DIGITAL WORKFLOW: A RETROSPECTIVE CLINICAL STUDY ON 103 PATIENTS WITH A ONE YEAR FOLLOW-UP

Journal of Dentistry, Journal Year: 2024, Volume and Issue: unknown, P. 105465 - 105465

Published: Nov. 1, 2024

Language: Английский

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Transitional implants in computer‐assisted implant surgery and fixed complete‐arch provisionalization: A retrospective case series

Clinical Implant Dentistry and Related Research, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 17, 2024

Abstract Introduction Using mini implants as transitional (TIs) for complete arch implant‐supported rehabilitations may overcome limitations associated with mucosa‐supported surgical guides and facilitate immediate fixed provisionalization. This study aimed to assess the success of TIs in supporting implant placement provisional prostheses. Methods Patients who received between 2012 2023 a prosthesis were evaluated retrospectively. Patient demographic data, TI functionality guide prosthesis, dates regular collected. Descriptive statistics used determine survival rate TIs. Results Twenty‐six patients, 35 jaws, 136 TIs, 216 included. The was 74.26%; however, use yielded 97% jaws complete‐arch throughout phase. An average 4 per maxilla 3 mandible supported guides. Thirty‐five prostheses placed on an mandible. Thirty‐four successfully by until final restoration delivery. conjunction 98%. Conclusions support be predictable approach high rate. All planned successful. Despite premature loss or replacement this able most could loaded.

Language: Английский

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The Influence of Abutment Selection in the Tridimensional Implant Position: Considerations for Predictable Implant Restorative Long‐Term Outcomes

Journal of Esthetic and Restorative Dentistry, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 2, 2024

ABSTRACT Objective To explore the influence of abutment selection on 3D implant positioning, emphasizing synergy between surgical and prosthetic considerations for achieving predictable long‐term outcomes in implant‐supported restorations. Main Considerations Implant dentistry has transitioned from a purely approach to prosthetically driven methodology that prioritizes restoration (ISR). This shift been bolstered by advancements digital technologies designs, which allow more precise positioning better management biological, mechanical, esthetic outcomes. The appropriate abutments plays pivotal role optimizing position, influencing peri‐implant tissue stability overall success restoration. manuscript explores into biorestorative concept, highlighting how virtual planning can preemptively assess configurations their interactions with surrounding tissues, guiding placement achieve desired results. Clinical Significance integration strategic prior ensures optimal respecting fundamental biological parameters. minimizes complications, improves stability, enhances patient aligning procedures specific needs.

Language: Английский

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