{"title":"在牙种植体放置过程中，静态和动态计算机辅助种植手术的准确性：系统回顾和荟萃分析。","authors":"Aditya Kulkarni, Prafull Pujari, Arun Kumar Patnana, Satya Narain, Mohit Galani, Narasimha Rao V Vanga","doi":"10.1007/s12663-025-02578-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the accuracy of static and dynamic computer-assisted implant surgery during dental implant placement.</p><p><strong>Material and methods: </strong>A literature search was performed for articles evaluating the accuracy of implant placement using static and dynamic computer-assisted implant surgery in four electronic databases. Accuracy of implant placement was evaluated based on the platform, angular and apex deviations as the outcome measures. The Cochrane Risk of Bias tool (RoB 2) was used to evaluate the risk of bias (ROB) in the included articles. The fixed effect model was used for statistical analyses of the pooled data from the included studies. The overall quality of evidence was assessed using the GRADEpro GDT software.</p><p><strong>Results: </strong>Three RCTs were selected based on the inclusion and exclusion criteria. The overall ROB was low in one study, and some concerns in two studies. The pooled data from the included trials have shown that the platform (MD, 0.12; CI, -0.04 to 0.27, <i>P</i> = 0.15, I<sup>2</sup> = 0%) and angular deviation (MD, 0.03; CI, -0.50 to 0.56, <i>P</i> = 0.92, I<sup>2</sup> = 0%) are higher in the dynamic computer-assisted implant surgical (D-CAIS) technique. The apex deviation is higher in the static computer-assisted implant surgical (S-CAIS) technique (MD, -0.05; CI, -0.23 to 0.13, <i>P</i> = 0.61, I<sup>2</sup> = 10%) with no statistically significant difference. The overall quality of evidence for all the outcomes assessed is \"moderate.\"</p><p><strong>Conclusion: </strong>The platform and angular deviations are higher in the D-CAIS, and the apex deviation is higher in the S-CAIS with no statistically significant difference.</p><p><strong>Graphical abstract: </strong></p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 4","pages":"855-864"},"PeriodicalIF":0.6000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316604/pdf/","citationCount":"0","resultStr":"{\"title\":\"Accuracy of Static and Dynamic Computer-Assisted Implant Surgery During Dental Implant Placement: A Systematic Review and Meta-analysis.\",\"authors\":\"Aditya Kulkarni, Prafull Pujari, Arun Kumar Patnana, Satya Narain, Mohit Galani, Narasimha Rao V Vanga\",\"doi\":\"10.1007/s12663-025-02578-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To evaluate the accuracy of static and dynamic computer-assisted implant surgery during dental implant placement.</p><p><strong>Material and methods: </strong>A literature search was performed for articles evaluating the accuracy of implant placement using static and dynamic computer-assisted implant surgery in four electronic databases. Accuracy of implant placement was evaluated based on the platform, angular and apex deviations as the outcome measures. The Cochrane Risk of Bias tool (RoB 2) was used to evaluate the risk of bias (ROB) in the included articles. The fixed effect model was used for statistical analyses of the pooled data from the included studies. The overall quality of evidence was assessed using the GRADEpro GDT software.</p><p><strong>Results: </strong>Three RCTs were selected based on the inclusion and exclusion criteria. The overall ROB was low in one study, and some concerns in two studies. The pooled data from the included trials have shown that the platform (MD, 0.12; CI, -0.04 to 0.27, <i>P</i> = 0.15, I<sup>2</sup> = 0%) and angular deviation (MD, 0.03; CI, -0.50 to 0.56, <i>P</i> = 0.92, I<sup>2</sup> = 0%) are higher in the dynamic computer-assisted implant surgical (D-CAIS) technique. The apex deviation is higher in the static computer-assisted implant surgical (S-CAIS) technique (MD, -0.05; CI, -0.23 to 0.13, <i>P</i> = 0.61, I<sup>2</sup> = 10%) with no statistically significant difference. The overall quality of evidence for all the outcomes assessed is \\\"moderate.\\\"</p><p><strong>Conclusion: </strong>The platform and angular deviations are higher in the D-CAIS, and the apex deviation is higher in the S-CAIS with no statistically significant difference.</p><p><strong>Graphical abstract: </strong></p>\",\"PeriodicalId\":47495,\"journal\":{\"name\":\"Journal of Maxillofacial & Oral Surgery\",\"volume\":\"24 4\",\"pages\":\"855-864\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316604/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Maxillofacial & Oral Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s12663-025-02578-1\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/22 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Maxillofacial & Oral Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12663-025-02578-1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/22 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Accuracy of Static and Dynamic Computer-Assisted Implant Surgery During Dental Implant Placement: A Systematic Review and Meta-analysis.
Objectives: To evaluate the accuracy of static and dynamic computer-assisted implant surgery during dental implant placement.
Material and methods: A literature search was performed for articles evaluating the accuracy of implant placement using static and dynamic computer-assisted implant surgery in four electronic databases. Accuracy of implant placement was evaluated based on the platform, angular and apex deviations as the outcome measures. The Cochrane Risk of Bias tool (RoB 2) was used to evaluate the risk of bias (ROB) in the included articles. The fixed effect model was used for statistical analyses of the pooled data from the included studies. The overall quality of evidence was assessed using the GRADEpro GDT software.
Results: Three RCTs were selected based on the inclusion and exclusion criteria. The overall ROB was low in one study, and some concerns in two studies. The pooled data from the included trials have shown that the platform (MD, 0.12; CI, -0.04 to 0.27, P = 0.15, I2 = 0%) and angular deviation (MD, 0.03; CI, -0.50 to 0.56, P = 0.92, I2 = 0%) are higher in the dynamic computer-assisted implant surgical (D-CAIS) technique. The apex deviation is higher in the static computer-assisted implant surgical (S-CAIS) technique (MD, -0.05; CI, -0.23 to 0.13, P = 0.61, I2 = 10%) with no statistically significant difference. The overall quality of evidence for all the outcomes assessed is "moderate."
Conclusion: The platform and angular deviations are higher in the D-CAIS, and the apex deviation is higher in the S-CAIS with no statistically significant difference.
期刊介绍：
This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.
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