Digital Workflow and Guided Surgery in Implant Therapy—Literature Review and Practical Tips to Optimize Precision

Abstract

The application of digital technology in implant dentistry refines prosthetically-driven treatment planning by integrating virtual facial and intraoral models with cone-beam computed tomography (CBCT) images. This integration enables the development of more personalized treatment plans, ensures precise implant positioning, and strengthens communication between clinicians and patients, thereby reducing potential errors and risks. Computer-aided implant surgery consists of two primary approaches: static-guided surgery, which uses a physical surgical stent to guide the osteotomy based on the preoperatively planned virtual implant position, and dynamic-guided surgery, which employs an optical tracking system with a real-time monitor display for the visualization of implant osteotomy inside the alveolar bone. Each approach offers distinct advantages and poses unique clinical challenges. This paper provides an overview of the current applications and literature on digital treatment planning and computer-aided implant surgery, discussing the advantages and limitations of each approach. Clinical cases are presented to illustrate the digital workflow and highlight key considerations for implementing these methods. Currently, the use of digital workflow in implant dentistry is rising, and it is essential to strike a balance between precision and practicality. The future is promising, with generalized adoption anticipated.