Accuracy of Implant Placement Using Digital Prosthetically-Derived Surgical Guides: A Systematic Review

Abstract

Dental implant placement is crucial in oral rehabilitation, requiring precision for successful outcomes. Digital technologies, including surgical guides, enhance predictability and efficiency in implant procedures. However, their impact on implant positioning accuracy is still under investigation. This systematic review aimed to evaluate the literature on implant accuracy using digital prosthetically-derived surgical guides. Registered in PROSPERO (CRD 42023483194), the review employed a PICO strategy and searched PubMed for English-language, in vivo studies from 2013 to 2023 on restrictive digital prosthetically-derived surgical guides. Two reviewers independently assessed records, with a third verifying the decisions. PRISMA guidelines were followed, yielding 24 results after excluding nine duplicates. Ten studies met the criteria after title, abstract, and keyword review, with three included after verification. These studies showed coronal deviations of 0.44 mm to 0.56 mm, apical deviations of 0.64 mm to 1.03 mm, angular deviations of 2.03° to 2.42°, and vertical deviations of 0.19 mm to 0.45 mm. Superior accuracy was noted with static guided techniques, while bilateral guides offered stability and printed guides were cost-effective. A surgical guide that comes from a planning with a primary wax-up of the prosthesis leads to the placement of a dental implant that can be functionally and esthetically rehabilitated. Further research is needed to standardize outcomes and improve implant protocols and patient outcomes.

Keywords

• dental implants
• flapless implant surgery
• template-guided surgery
• digital prosthetically-derived surgical guides
• accuracy