Accuracy of robotic computer-assisted implant surgery in clinical studies: a systematic review and meta-analysis
Abstract Objectives To analyze the accuracy of the robotic system in clinical studies and assess potential factors that might affect the accuracy of robotic implant placement. Materials and methods PubMed, Embase, and Cochrane Central Register of Controlled Trials were used to search for studies pub...
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BMC
2025-04-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-025-05837-2 |
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| author | Zixin Luo An Li Alexey Unkovskiy Jiang Li Florian Beuer Zhe Wu Ping Li |
| author_facet | Zixin Luo An Li Alexey Unkovskiy Jiang Li Florian Beuer Zhe Wu Ping Li |
| author_sort | Zixin Luo |
| collection | DOAJ |
| description | Abstract Objectives To analyze the accuracy of the robotic system in clinical studies and assess potential factors that might affect the accuracy of robotic implant placement. Materials and methods PubMed, Embase, and Cochrane Central Register of Controlled Trials were used to search for studies published from August 2014 till October 2024. Studies on robotic computer-assisted implant surgery (R-CAIS) were identified. Furthermore, manual searches were performed for selected journals. Only clinical studies were included. Subgroup analysis was performed based on robot autonomy, different dentitions, and the working principle of the camera. Results Sixteen studies met the inclusion criteria, evaluating 908 implants. The meta-analysis of accuracy showed that the average global platform deviation, global apex deviation, and angular deviation were 0.69 mm (95% CI: 0.61‒0.77, I 2 = 94%), 0.72 mm (95% CI: 0.64‒0.79, I 2 = 93%), and 1.62° (95% CI: 1.34°‒1.89°, I 2 = 96%), respectively. In subgroup analysis, Meta-generic inverse variance analysis observed statistically significant differences in global platform deviation and apex deviation between robots using infrared and mechanical tracking (p < 0.01), as well as between those using visible light and mechanical tracking (p < 0.01). No significant differences were observed between autonomous and semi-active systems and different dentitions. Conclusion The R-CAIS technology demonstrated a high level of accuracy. However, further large-scale, multi-center, randomized, controlled clinical trials are necessary to compare robotic implant placement with other techniques, and the additional factors influencing robotic implant placement must be explored. |
| format | Article |
| id | doaj-art-d8baf97e97794cbc9761622e5944a2b0 |
| institution | OA Journals |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-d8baf97e97794cbc9761622e5944a2b02025-08-20T02:12:07ZengBMCBMC Oral Health1472-68312025-04-0125111410.1186/s12903-025-05837-2Accuracy of robotic computer-assisted implant surgery in clinical studies: a systematic review and meta-analysisZixin Luo0An Li1Alexey Unkovskiy2Jiang Li3Florian Beuer4Zhe Wu5Ping Li6School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical UniversityDepartment of Periodontology, Stomatological Hospital, School of Stomatology, Southern Medical UniversityDepartment of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité- Universitätsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt- Universität zu BerlinSchool and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical UniversityDepartment of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité- Universitätsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt- Universität zu BerlinSchool and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical UniversitySchool and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical UniversityAbstract Objectives To analyze the accuracy of the robotic system in clinical studies and assess potential factors that might affect the accuracy of robotic implant placement. Materials and methods PubMed, Embase, and Cochrane Central Register of Controlled Trials were used to search for studies published from August 2014 till October 2024. Studies on robotic computer-assisted implant surgery (R-CAIS) were identified. Furthermore, manual searches were performed for selected journals. Only clinical studies were included. Subgroup analysis was performed based on robot autonomy, different dentitions, and the working principle of the camera. Results Sixteen studies met the inclusion criteria, evaluating 908 implants. The meta-analysis of accuracy showed that the average global platform deviation, global apex deviation, and angular deviation were 0.69 mm (95% CI: 0.61‒0.77, I 2 = 94%), 0.72 mm (95% CI: 0.64‒0.79, I 2 = 93%), and 1.62° (95% CI: 1.34°‒1.89°, I 2 = 96%), respectively. In subgroup analysis, Meta-generic inverse variance analysis observed statistically significant differences in global platform deviation and apex deviation between robots using infrared and mechanical tracking (p < 0.01), as well as between those using visible light and mechanical tracking (p < 0.01). No significant differences were observed between autonomous and semi-active systems and different dentitions. Conclusion The R-CAIS technology demonstrated a high level of accuracy. However, further large-scale, multi-center, randomized, controlled clinical trials are necessary to compare robotic implant placement with other techniques, and the additional factors influencing robotic implant placement must be explored.https://doi.org/10.1186/s12903-025-05837-2Computer-assisted implant surgeryAccuracyDental implantRobot-assisted surgery |
| spellingShingle | Zixin Luo An Li Alexey Unkovskiy Jiang Li Florian Beuer Zhe Wu Ping Li Accuracy of robotic computer-assisted implant surgery in clinical studies: a systematic review and meta-analysis BMC Oral Health Computer-assisted implant surgery Accuracy Dental implant Robot-assisted surgery |
| title | Accuracy of robotic computer-assisted implant surgery in clinical studies: a systematic review and meta-analysis |
| title_full | Accuracy of robotic computer-assisted implant surgery in clinical studies: a systematic review and meta-analysis |
| title_fullStr | Accuracy of robotic computer-assisted implant surgery in clinical studies: a systematic review and meta-analysis |
| title_full_unstemmed | Accuracy of robotic computer-assisted implant surgery in clinical studies: a systematic review and meta-analysis |
| title_short | Accuracy of robotic computer-assisted implant surgery in clinical studies: a systematic review and meta-analysis |
| title_sort | accuracy of robotic computer assisted implant surgery in clinical studies a systematic review and meta analysis |
| topic | Computer-assisted implant surgery Accuracy Dental implant Robot-assisted surgery |
| url | https://doi.org/10.1186/s12903-025-05837-2 |
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