{"title":"Comparative Analysis of Reverse Torque Values Between Customized CAD/CAM and Prefabricated Abutments and Screws: An In Vitro Study.","authors":"Pelin Gocmez, Berk Bilgen, Ali Balık","doi":"10.11607/jomi.10999","DOIUrl":"10.11607/jomi.10999","url":null,"abstract":"<p><strong>Purpose: </strong>To examine and compare the mechanical success of customized CAD/CAM and prefabricated abutments and screws before and after cyclic loading by measuring removal torque values.</p><p><strong>Materials and methods: </strong>A total of 28 dental implants with identical characteristics were divided into two equal groups. The control group comprised prefabricated abutments and screws, and the study group comprised customized CAD/CAM abutments and screws. Removal torque values (RTVs) were measured before and after 50,000 and 1 million cycles of loading in both groups. Additionally, to evaluate the screw fatigue performance, they were retightened to 30 Ncm torque and RTV measurements were repeated. The data were analyzed using a one-way analysis of variance (ANOVA), a Newman Keuls test, and a paired t-test.</p><p><strong>Results: </strong>No significant difference was observed in RTVs before cyclic loading within each group. However, the RTVs measured before cyclic loading were found to be significantly lower in the study group compared to the control group. Both groups exhibited a significant decrease in RTV after cyclic loading. The RTV of the study group was significantly lower than the control group, especially after 1 million cycles. No significant difference was found in the screw fatigue performance of both groups.</p><p><strong>Conclusions: </strong>The significantly lower RTVs of customized CAD/CAM abutments and screws before and after cyclic loading have raised questions about their effectiveness and widespread use. This study underscores the necessity for further clinical investigations comparing the mechanical success of custom and prefabricated abutments and screws.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"364-370"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chiara Cinquini, Ester Parisi, Niccolò Baldi, Mario Miccoli, Fortunato Alfonsi, Antonio Barone
{"title":"Esthetic Outcomes of Immediately Placed Implants with Convergent Transmucosal Profiles: A Retrospective Single-Cohort Study.","authors":"Chiara Cinquini, Ester Parisi, Niccolò Baldi, Mario Miccoli, Fortunato Alfonsi, Antonio Barone","doi":"10.11607/jomi.11103","DOIUrl":"10.11607/jomi.11103","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the esthetic outcomes and the patient-reported outcome measures (PROMs) of immediately placed implants with a convergent transmucosal profile.</p><p><strong>Materials and methods: </strong>This single-cohort, monocentric, and retrospective clinical study was conducted on patients treated with immediately placed implants in the esthetic zone (from premolar to premolar in both arches). All the eligible patients were recalled for a clinical and radiographic follow-up visit.</p><p><strong>Results: </strong>This study included 20 patients (20 implants; 8 males and 12 females) with an average age of 55.5 ± 6.8 years and a mean follow-up of 46.5 ± 15.3 months. At the time of follow-up, immediately placed implants showed a mean marginal bone loss of 0.42 ± 0.49 mm. A statistically significant improvement of the esthetic parameters from the immediate implant placement (baseline) to the last available follow-up was found for the pink and white esthetic scores (PES/WES) (P =.001) and the papilla index (PI) at the mesial and distal sites (P < .001). All the patients reported a high satisfaction (visual analog scale [VAS] > 9) both from an esthetic and functional point of view.</p><p><strong>Conclusions: </strong>Immediately placed implants with a convergent transmucosal profile in the esthetic zone showed good clinical and esthetic outcomes, with stable results over time.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":" ","pages":"291-298"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Osseodensification in Oral Implantology: A Bibliometric Analysis.","authors":"Adil Basman, Yusuf Tatoglu","doi":"10.11607/jomi.11230","DOIUrl":"https://doi.org/10.11607/jomi.11230","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to perform a comprehensive bibliometric analysis of the available literature on osseodensification as a surgical method for implant site preparation, to identify research trends and areas that require further investigation.</p><p><strong>Materials and methods: </strong>A refined search was conducted in the Web of Science Core Collection using keywords related to osseodensification. No language restrictions were applied. Publications published. between February 2016 and November 2023 were analyzed for bibliographic characteristics, including study design, level of evidence (LoE), countries, authorship, journal impact factor, and author keywords using VOSviewer software as well as funding analysis were conducted.</p><p><strong>Results: </strong>A total of 63 publications were included to the study. The analyzed publications gathered 673 citations, with a mean of 10.68±17.37 citations. No significant difference in citation count was observed between original articles and reviews (p=0.884). 265 authors from 29 countries contributed to the publications with an international collaboration of 82%. The USA was the most prominent country with 23 publications. 52% of the publications were preclinical with LoE 0, followed by 13% with LoE IV and 11% with LoE II. Primary research topics included implant stability, osseointegration, and bone density.</p><p><strong>Conclusion: </strong>Osseodensification shows promise as an alternative technique for implant site preparation, enhancing primary stability in low-density bone regions. While preclinical studies indicate favorable outcomes, further clinical research is necessary to validate these findings.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-29"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Comparison of Patient-Related Outcome Measures after Free Gingival Graft Surgery Between Teeth and Implants: A Prospective, Parallel-Designed, Clinical Study.","authors":"Serap Karakıs Akcan, Berceste Guler Ayyildiz","doi":"10.11607/jomi.11118","DOIUrl":"https://doi.org/10.11607/jomi.11118","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to compare the patient's quality of life (QoL) after Free gingival graft (FGG) application around teeth and implants and to evaluate the factors affecting it.</p><p><strong>Materials and methods: </strong>Thirty-two participants were included in the study, with FGG performed on 27 natural teeth in 16 participants (T-FGG group) and 24 implants in 16 participants (I-FGG group). QoL was assessed using the General Oral Health Assessment Index (GOHAI) at preoperatively (T0), seven days (T7) and first month (T30) postoperatively. Patient satisfaction was evaluated at T30. Graft dimensions (height, width, thickness), and operation time were recorded. Keratinized tissue width (KTW) was measured baseline and at T30. Graft volume (GV) and vertical collapse rate (VCR) were also calculated for analysis.</p><p><strong>Results: </strong>The GOHAI-total scores were found higher for the T7 and T30 in the I-FGG compared to the T-FGG. Behavioral impact (GOHAI-BI) and Functional limitation (GOHAI-FL) subscores were found to be significantly higher in I-FGG than T-FGG on T6 and T7. According to multiple linear regression analysis, GOHAI score of female patients were 8.749 points higher than male patients at T7. Patients in the I-FGG had a GOHAI score of 5.488 points higher than T FGG at T30 (p <0.05). The VCR for T-FGG and I-FGG groups was found 23.57% and 28.92%, respectively, and there was no statistically significant differences (p>0.05). VCR was positively correlated with BI for T-FGG and negatively correlated with FL for I-FGG, at T30 (p<0.05).</p><p><strong>Conclusions: </strong>The negative effect of implant experience and female gender on QoL after FGG seems to be more effective than other clinical and intraoperative variables for first month and relationship with VCR and confound factors need to be clarified. Clinical trial number is NCT04813081/24.03.2021, retrospectively registered.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hung-Chi Liao, Joseph Y K Kan, Kitichai Rungcharassaeng, Guo-Hao Lin, Joey Chen, Otto Zuhr, Markus Hürzeler, Jaime Lozada
{"title":"Peri-implant Tissue Changes Around Maxillary Anterior Immediate Tooth Replacement With and Without Socket- Shield: 1-Year Randomized Controlled Clinical Trial.","authors":"Hung-Chi Liao, Joseph Y K Kan, Kitichai Rungcharassaeng, Guo-Hao Lin, Joey Chen, Otto Zuhr, Markus Hürzeler, Jaime Lozada","doi":"10.11607/jomi.11308","DOIUrl":"10.11607/jomi.11308","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate implant success rates and facial mucosal profile changes in maxillary single immediate implant placement and provisionalization with the socket-shield (IIPP+SS) technique and without the socket-shield (IIPP-SS) technique.</p><p><strong>Materials and methods: </strong>A total of 30 dental implants in 25 patients were assigned to either the IIPP-SS group (15 implants) or the IIPP+SS (15 implants) group. Clinical and radiographic outcomes were collected preoperatively (T0) as well as at 2-week (T1), 6-month (T6), and 12-month (T12) postoperative follow-ups. The implant success rate, marginal bone level changes, facial mucosal level changes, and papilla level changes were evaluated at different time points. Facial mucosal profile changes were assessed individually for hard and soft tissue zones and as a whole using volumetric analysis.</p><p><strong>Results: </strong>Two implants were excluded (one patient dropped out and one implant failed) from the data analysis in this study, resulting in an overall implant success rate of 96.6% (28/29) after 1 year. Fewer facial mucosal profile changes were noted in the IIPP+SS group than in the IIPP-SS group; however, the difference was only marginally statistically significant (P = .06). No statistically significant difference was found in the facial mucosal level changes (P = .18) and papilla level changes (P = .67 for the mesial papilla level, P = .41 for the distal papilla level) between the IIPP-SS and IIPP+SS groups.</p><p><strong>Conclusions: </strong>Within the limitations of this 1-year randomized controlled clinical trial, the IIPP+SS group appeared to maintain the implant facial mucosal profile slightly better than IIPP alone. Both treatment modalities provide clinically satisfactory outcomes biologically, functionally, and esthetically.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Meta-Analysis Comparing Clinical Outcomes of Minimally Invasive Extraction with Immediate Implantation versus Traditional Extraction with Delayed Implantation.","authors":"Xuejing Hu, Ju Sun","doi":"10.11607/jomi.11377","DOIUrl":"https://doi.org/10.11607/jomi.11377","url":null,"abstract":"<p><strong>Objective: </strong>To compare the clinical outcomes of minimally invasive extraction with immediate implantation (MIEI) to traditional extraction with delayed implantation (TEDI) in dental procedures.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted across multiple databases. Twelve randomized controlled trials involving 934 patients were included. Primary outcomes assessed were pink esthetic score (PES), white esthetic score (WES), implant success rate, patient satisfaction, and complication incidence. Standardized mean difference (SMD) and risk ratio (RR) with 95% confidence intervals (CI) were calculated using random-effects models.</p><p><strong>Results: </strong>MIEI significantly improved PES (SMD = 1.60, 95% CI: 0.87, 2.33) and WES (SMD = 2.08, 95% CI: 1.64, 2.53) compared to TEDI. No significant differences were found in implant success rates (RR = 1.00, 95% CI: 0.89, 1.14) or patient satisfaction (RR = 1.11, 95% CI: 0.94, 1.31). However, MIEI demonstrated a lower incidence of complications (RR = 0.40, 95% CI: 0.19, 0.86).</p><p><strong>Conclusions: </strong>MIEI offers superior esthetic outcomes and reduced complications compared to TEDI, while maintaining comparable success rates and patient satisfaction. These findings suggest that MIEI may be a preferable approach for suitable cases, particularly in esthetically demanding areas.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-32"},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roberto Crespi, Giovanni-Battista Menchini-Fabris, Paolo Toti, Georgios E Romanos
{"title":"Delayed Dental Implants in Pristine Large Buccal Bone Defects in the Anterior Maxilla.","authors":"Roberto Crespi, Giovanni-Battista Menchini-Fabris, Paolo Toti, Georgios E Romanos","doi":"10.11607/jomi.11305","DOIUrl":"https://doi.org/10.11607/jomi.11305","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the remodeling process of hard tissue components in fresh extraction sockets that underwent natural healing, followed by localized alveolar split-crest surgery for implant placement.</p><p><strong>Methods: </strong>Subjects with bone defects in the aesthetic maxillary region, characterized by decreased mineral density around the affected tooth, were treated through socket healing without bone substitutes, delayed alveolar splitting, and subsequent implant placement. Preoperative (baseline, before the first and second surgeries) and postoperative cone-beam computerized tomographic (CBCT) scans were analyzed to assess changes in bone volume and crestal width. Statistical analysis was performed using non-parametric tests, with a significance level set at p < 0.01.</p><p><strong>Results: </strong>Thirteen incisors were retrospectively evaluated. No major postoperative adverse events were recorded. After two years, the implants achieved a 100% survival rate. No episodes of peri-implant mucositis or peri-implantitis were reported. Radiographs taken three months after tooth extraction revealed bone mineralization without the use of bone substitutes; however, the volume was insufficient for immediate implant placement. Following tooth extraction, the split procedure and implant placement (first and second surgeries), total bone volume showed a significant increase (p = 0.0105) from baseline (919 ± 179 mm3) to the 2-year follow-up (955 ± 176 mm3). Similarly, crestal width demonstrated a significant augmentation (p = 0.0012), increasing from 6.1 ± 2.7 mm at baseline to 7.5 ± 2.0 mm at 2 years, with a mean gain of +1.4 ± 1.0 mm due to the split-crest procedure.</p><p><strong>Conclusions: </strong>After two years, the results indicated that natural healing of the extraction socket, without the use of bone substitutes, followed by delayed localized alveolar splitting, led to a significant increase in bone volume and preservation of the outermost alveolar bone layer. The observed post-extraction site augmentation was concentrated in the frontal area.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ahmed Moustafa, Mohamed Shawky, Sara El Moshy, Mohamed Mounir, Yasmine Nassar, Moataz Bahaa
{"title":"Bone Marrow Aspirate Concentrate and Xenograft Vs. Autograft and Xenograft in 3D Reconstruction of Atrophic Maxillary Ridges: A Split Mouth Randomized Controlled Trial.","authors":"Ahmed Moustafa, Mohamed Shawky, Sara El Moshy, Mohamed Mounir, Yasmine Nassar, Moataz Bahaa","doi":"10.11607/jomi.11310","DOIUrl":"https://doi.org/10.11607/jomi.11310","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to evaluate bone quality and quantity after threedimensional augmentation of vertically and horizontally atrophied maxillary ridges using bone marrow aspirate concentrate (BMAC) and xenograft versus autograft and xenograft, both using pre-bent titanium mesh over a virtually augmented model.</p><p><strong>Methods: </strong>10 fully edentulous patients with severe maxillary vertical and horizontal bone loss were recruited. Virtual vertical and horizontal bone augmentation was done for the deficient ridge to produce virtually augmented models for pre-bending of titanium meshes preoperatively. In the study side, the mesh was loaded with a mix of xenograft and BMAC from the anterior iliac crest, while in the control side the mesh was loaded with a 1:1 xenograft to autograft mix. The meshes were fixed in place using mini screws.</p><p><strong>Results: </strong>CBCT was performed 6 months postoperatively for all patients. The intervention side showed a mean vertical bone gain of (3.47±0.87) mm which was comparable to that of the control side (4.10±0.67) mm, and a mean horizontal bone gain of (3.476±0.59) mm which was higher than the control side (2.918±0.80) mm. while the mean resorption rate in the study group (106.2±108.6) mm was lower than the mean value in the control group (193.3±107.9) mm.The differences in bone gain were not statistically significant, However, a statistically significant higher bone area percent as well as a higher percentage of mature bone were detected in the study group (47.9%) and (67.7%) compared to the control group (28.5%) and (26.5%) respectively.</p><p><strong>Conclusion: </strong>The three-dimensional alveolar reconstruction using pre-bent titanium meshes loaded with xenograft mixed with BMAC could be a reliable, less morbid technique.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-32"},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mingfu Ye, Wenjun Liu, Javier Calatrava, Hom-Lay Wang, Wen-Xia Huang
{"title":"Do Clinical Outcomes Differ With Single Vs Two Implant- Supported Mandibular Overdentures? A Meta-Analysis of Randomized Controlled Trials.","authors":"Mingfu Ye, Wenjun Liu, Javier Calatrava, Hom-Lay Wang, Wen-Xia Huang","doi":"10.11607/jomi.11358","DOIUrl":"https://doi.org/10.11607/jomi.11358","url":null,"abstract":"<p><strong>Background: </strong>It is unclear if single implant vs. two implant-supported mandibular overdentures have similar clinical outcomes especially pertaining to implant survival, marginal bone loss (MBL) and prosthetic complications. A systematic review and metaanalysis of randomized controlled trials (RCTs) was conducted to examine this clinical query.</p><p><strong>Methods: </strong>Main scientific databases (PubMed, Embase, Scopus, Web of Science, and Cochrane Library) were searched from inception until October 6th, 2024, for RCTs comparing single vs two implants for mandibular overdentures and reporting implant failures, MBL and prosthetic complications.</p><p><strong>Results: </strong>Eleven RCTs were included. Meta-analysis showed a tendency of reduced implant failure rates with single implants at 1 year (OR: 0.33 95% CI: 0.10, 1.15 I2=0%) and 5 years (OR: 0.11 95% CI: 0.01, 2.16), but the results were not statistically significant. However, pooled subgroup analysis of studies with a follow-up period of 2-3 years indicated a significantly reduced implant failure rate with one single as compared to two implants (OR: 0.12 95% CI: 0.03, 0.54 I2=0%). No significant differences in implant failure rate were observed between the two groups based on implant loading protocols. Meta-analysis also showed that there were no significant differences in the risk of MBL between single and two implant groups (MD: -0.15 95% CI: -0.31, 0.01 I2=43%). Pooled analysis also showed that the risk of overdenture fracture, relining, and metal housing re-attachment did not differ significantly between single and two implant groups.</p><p><strong>Conclusions: </strong>Evidence from a limited number of RCTs, mainly with small sample sizes, indicates that single implant-supported mandibular overdentures may have a tendency of lower implant failures as compared to two implant-supported mandibular overdentures. The risk of MBL and prosthetic complications may not differ with either treatment modality.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-27"},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alessandro Pozzi, Paolo Carosi, Claudia Lorenzi, James Chow, Hom-Lay Wang, German O Gallucci
{"title":"In Vivo Accuracy of Autonomous Dental Implant Robotic Surgery: Systematic Review and Meta-analysis.","authors":"Alessandro Pozzi, Paolo Carosi, Claudia Lorenzi, James Chow, Hom-Lay Wang, German O Gallucci","doi":"10.11607/jomi.11238","DOIUrl":"10.11607/jomi.11238","url":null,"abstract":"<p><strong>Purpose: </strong>To systematically analyze the accuracy of autonomous dental implant robotic (ADIR) surgery for dental implant placement.</p><p><strong>Materials and methods: </strong>PubMed, Embase, and Cochrane CENTRAL were searched on February 21, 2024. Any clinical studies, with the exception of case reports, assessing ADIR accuracy by superimposing preoperative digital planning with postoperative CBCT images were included. The risk of bias was assessed, and a meta-analysis was performed using a random-effect model to evaluate linear and angular deviations between planned and placed implants.</p><p><strong>Results: </strong>Data from six clinical studies reporting ADIR accuracy in 96 patients with 299 dental implants were included (102 implants in 69 partially edentulous patients, 197 implants in 27 complete-arch scenarios). The meta analysis at the implant level reported a mean overall accuracy of ADIR of 0.60 mm (95% CI [0.5133; 0.6965]) at the platform and 0.63 mm (95% CI [0.5663; 0.6909]) at the apex and 1.242 degrees (95% CI [1.2182; 1.6320]) of angular deviation. ADIR accuracy resulted in significantly higher values than static and dynamic computer-assisted implant surgery.</p><p><strong>Conclusions: </strong>Within the limitations of this review, ADIR surgery has shown to be feasible for placing implants in both partially and completely edentulous patients, achieving consistent mean linear and angular deviations of approximately 0.6 mm and 1.40 degrees, respectively. However, clinical practicality of ADIR surgery remains cumbersome, with well-trained operators needed to plan and assist ADIR procedures as well as a technical expert providing backup control.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}