Computer-Assisted Implant Surgery: Patients' Experience and Perspectives

IF 2.2 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Xin Hui Yeo, Lin Jing Uei, Man Yi, Kajorn Kungsadalpipob, Keskanya Subbalehka, Bilal Al-Nawas, Nikos Mattheos
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引用次数: 0

Abstract

Objectives

Although computer-assisted implant surgery (CAIS) has increased significantly the precision of dental implant placement, documentation of the impact of such technologies in the patient-reported experience and outcomes remains, however, limited. The aim of this white paper was to assess the impact of CAIS on key aspects of the patient experience, such as its potential benefits on (1) patients' understanding and engagement with implant surgery, (2) patient's confidence with treatment outcomes, (3) patients' preferences, (4) intra- and (5) Postoperative experience and (6) long-term patient-reported outcomes and oral health-related quality of life.

Material and Methods

A review of the literature compiled existing evidence from clinical studies up to November 2024, which was later discussed and synthesized with expert opinions and the best currently documented experience and practice.

Results

No evidence was found that CAIS improves patient engagement or confidence with treatment outcomes, while comparative studies showed no difference in the intra- and postoperative experience when CAIS is used. Impact of the cost of CAIS procedures on patients perceptions and preferences has also not been explored, with the majority of studies significantly subsidizing patient costs, in particular randomized trials. At the same time, studies that compare interventions cannot assess the overall benefits of a complex workflow such as immediacy or minimally invasive approaches, to which CAIS is an essential part.

Conclusions

Research on patient outcomes with CAIS might not fully reflect the potential of these technologies when limited to the level of the surgical intervention. Major anticipated benefits of CAIS for the patient such as the potential to reduce complexity and facilitate faster, safer and more predictable execution of digitally designed treatments, could be better approached in the future by studies aimed at assessing patient-reported outcomes from entire treatment workflows.

Abstract Image

计算机辅助植入手术:患者的经验和观点
尽管计算机辅助种植手术(CAIS)显著提高了牙种植体放置的精度,但关于这些技术在患者报告的经验和结果中的影响的文献仍然有限。本白皮书的目的是评估CAIS对患者体验的关键方面的影响,例如其在以下方面的潜在益处:(1)患者对种植体手术的理解和参与;(2)患者对治疗结果的信心;(3)患者的偏好;(4)手术内和(5)术后体验;(6)患者报告的长期结果和口腔健康相关的生活质量。材料与方法文献综述汇集了截至2024年11月的临床研究的现有证据,随后与专家意见和当前记录的最佳经验和实践进行了讨论和综合。结果没有证据表明CAIS提高了患者对治疗结果的参与度或信心,而比较研究显示,使用CAIS时,患者的术前和术后体验没有差异。CAIS程序的成本对患者的看法和偏好的影响也没有被探索,大多数研究显著补贴患者的成本,特别是随机试验。与此同时,比较干预措施的研究无法评估复杂工作流程的总体效益,例如即时或微创方法,CAIS是其中的重要组成部分。结论:当局限于手术干预水平时,对CAIS患者预后的研究可能无法充分反映这些技术的潜力。CAIS对患者的主要预期好处,如降低复杂性和促进更快、更安全、更可预测地执行数字设计治疗的潜力,可以在未来通过旨在评估患者报告的整个治疗工作流程的结果的研究来更好地接近。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical and Experimental Dental Research
Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.30
自引率
5.60%
发文量
165
审稿时长
26 weeks
期刊介绍: Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.
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