Dental implant placement accuracy with robotic surgery compared to free-hand, static and dynamic computer assisted techniques: Systematic review and meta-analysis
Background: This systematic review and meta-analysis compared the accuracy of robotic-assisted dental implant placement (r-CAIS) with conventional freehand, static computer-assisted (s-CAIS), and dynamic computer-assisted (d-CAIS) techniques. Methods: A comprehensive search was conducted in PubMed,...
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Elsevier
2025-01-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426824001817 |
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| author | Hariram Sankar M. Shalini Anjana Rajagopalan Satish Gupta Amit Kumar Rukhsar Shouket |
| author_facet | Hariram Sankar M. Shalini Anjana Rajagopalan Satish Gupta Amit Kumar Rukhsar Shouket |
| author_sort | Hariram Sankar |
| collection | DOAJ |
| description | Background: This systematic review and meta-analysis compared the accuracy of robotic-assisted dental implant placement (r-CAIS) with conventional freehand, static computer-assisted (s-CAIS), and dynamic computer-assisted (d-CAIS) techniques. Methods: A comprehensive search was conducted in PubMed, Google Scholar, Semantic Scholar, and the Cochrane Library from January 2000 to January 2024. Studies meeting PICOST criteria, including clinical and in vitro studies, were included. Data on coronal, apical, and angular deviations were extracted for meta-analysis. The risk of bias (RoB) was assessed using the QUIN RoB and JBI RoB tools. Results: A total of 134 models and 100 patients with edentulous and partially edentulous arches were included. Eight studies (four in vitro, four in vivo) were reviewed, demonstrating that r-CAIS offers superior accuracy compared to freehand, s-CAIS, and d-CAIS techniques. Among the studies, two in vitro and two in vivo studies had a low RoB, while others had a high RoB. The meta-analysis of five studies showed significant improvements in coronal, apical, and angular deviations with robotic systems. Conclusion: Robotic-assisted systems showed greater accuracy than traditional non-robotic systems. However, this finding should be interpreted with caution due to the limited number of clinical studies and potential funding biases. Moreover, the high cost of robotic systems presents challenges for routine clinical implementation. Future research should focus on cost-effectiveness and seek broader clinical validation. |
| format | Article |
| id | doaj-art-a8555e4117ae4110be47e0fbb86830ca |
| institution | Kabale University |
| issn | 2212-4268 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-a8555e4117ae4110be47e0fbb86830ca2025-02-09T05:00:11ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682025-01-011516976Dental implant placement accuracy with robotic surgery compared to free-hand, static and dynamic computer assisted techniques: Systematic review and meta-analysisHariram Sankar0M. Shalini1Anjana Rajagopalan2Satish Gupta3Amit Kumar4Rukhsar Shouket5Department of Dentistry, All India Institute of Medical Sciences, Bathinda, IndiaDepartment of Dentistry, All India Institute of Medical Sciences, Bathinda, India; Corresponding author.Department of Dentistry, All India Institute of Medical Sciences, Bathinda, IndiaDepartment of Dentistry, All India Institute of Medical Sciences, Bathinda, IndiaDepartment of Public Health Dentistry, Santosh Dental College and Hospital, Ghaziabad, Uttar Pradesh, IndiaDepartment of Dentistry, All India Institute of Medical Sciences, Bathinda, IndiaBackground: This systematic review and meta-analysis compared the accuracy of robotic-assisted dental implant placement (r-CAIS) with conventional freehand, static computer-assisted (s-CAIS), and dynamic computer-assisted (d-CAIS) techniques. Methods: A comprehensive search was conducted in PubMed, Google Scholar, Semantic Scholar, and the Cochrane Library from January 2000 to January 2024. Studies meeting PICOST criteria, including clinical and in vitro studies, were included. Data on coronal, apical, and angular deviations were extracted for meta-analysis. The risk of bias (RoB) was assessed using the QUIN RoB and JBI RoB tools. Results: A total of 134 models and 100 patients with edentulous and partially edentulous arches were included. Eight studies (four in vitro, four in vivo) were reviewed, demonstrating that r-CAIS offers superior accuracy compared to freehand, s-CAIS, and d-CAIS techniques. Among the studies, two in vitro and two in vivo studies had a low RoB, while others had a high RoB. The meta-analysis of five studies showed significant improvements in coronal, apical, and angular deviations with robotic systems. Conclusion: Robotic-assisted systems showed greater accuracy than traditional non-robotic systems. However, this finding should be interpreted with caution due to the limited number of clinical studies and potential funding biases. Moreover, the high cost of robotic systems presents challenges for routine clinical implementation. Future research should focus on cost-effectiveness and seek broader clinical validation.http://www.sciencedirect.com/science/article/pii/S2212426824001817Computer-assisted implant surgeryDental implantologyImplant accuracyRobotic-assisted implant surgeryRobotic surgery |
| spellingShingle | Hariram Sankar M. Shalini Anjana Rajagopalan Satish Gupta Amit Kumar Rukhsar Shouket Dental implant placement accuracy with robotic surgery compared to free-hand, static and dynamic computer assisted techniques: Systematic review and meta-analysis Journal of Oral Biology and Craniofacial Research Computer-assisted implant surgery Dental implantology Implant accuracy Robotic-assisted implant surgery Robotic surgery |
| title | Dental implant placement accuracy with robotic surgery compared to free-hand, static and dynamic computer assisted techniques: Systematic review and meta-analysis |
| title_full | Dental implant placement accuracy with robotic surgery compared to free-hand, static and dynamic computer assisted techniques: Systematic review and meta-analysis |
| title_fullStr | Dental implant placement accuracy with robotic surgery compared to free-hand, static and dynamic computer assisted techniques: Systematic review and meta-analysis |
| title_full_unstemmed | Dental implant placement accuracy with robotic surgery compared to free-hand, static and dynamic computer assisted techniques: Systematic review and meta-analysis |
| title_short | Dental implant placement accuracy with robotic surgery compared to free-hand, static and dynamic computer assisted techniques: Systematic review and meta-analysis |
| title_sort | dental implant placement accuracy with robotic surgery compared to free hand static and dynamic computer assisted techniques systematic review and meta analysis |
| topic | Computer-assisted implant surgery Dental implantology Implant accuracy Robotic-assisted implant surgery Robotic surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2212426824001817 |
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