Clinical oral implants research · 2026
Trueness of Dental Implant Placement Using Dynamic Navigation or Non-Guided Approach by Novice Surgeons: A Randomized, Controlled Clinical Trial.
СтатьяРандомизированное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ruiz-Romero Víctor, Camps-Font Octavi, Jorba-Garcia Adria, Sánchez-Torres Alba, Figueiredo Rui, Valmaseda-Castellón Eduard
Аннотация
OBJECTIVES: To compare the trueness of implant placement in novice surgeons using dynamic computer-assisted implant surgery (d-CAIS) versus a non-guided approach, assessing surgery time efficiency and patient-reported outcomes, including satisfaction, postoperative pain, and quality of life.
MATERIAL AND METHODS: A double-arm randomized clinical trial was conducted. Consecutive partially edentulous patients were randomly assigned to d-CAIS or non-guided. Trueness outcomes, including apex and platform linear deviation (mm) and angular deviation (degrees), were measured by superimposing pre- and postoperative CBCT scans. Pre- and postoperative questionnaires assessed patient self-reported satisfaction and quality of life during surgery and in the postoperative period.
RESULTS: Sixty patients (72 implants) were included. Thirty patients received 36 implants using d-CAIS, while another 30 patients received 36 implants with the non-guided technique. d-CAIS significantly reduced angular (MD: -5.51°; p < 0.001), lateral platform (MD: -0.79 mm; p = 0.037), global platform (MD: -0.89 mm; p = 0.024), and global apex deviations (MD: -1.23 mm; p = 0.001). Although the implant placement time was significantly shorter with d-CAIS (p = 0.022), there was no statistically significant difference in overall surgery time between the groups (MD: -6.18 min; p = 0.190). Postoperative pain and analgesic consumption were similar, with high self-reported satisfaction. The surgical procedure did not result in significant changes in patient quality of life.
CONCLUSIONS: Implant placement using d-CAIS by novice surgeons shows higher trueness, without increasing surgery time. It also ensures high patient satisfaction and quality of life, with pain levels comparable to those of the non-guided technique.
CLINICALTRIALS: gov registration number: NCT06028750.
MATERIAL AND METHODS: A double-arm randomized clinical trial was conducted. Consecutive partially edentulous patients were randomly assigned to d-CAIS or non-guided. Trueness outcomes, including apex and platform linear deviation (mm) and angular deviation (degrees), were measured by superimposing pre- and postoperative CBCT scans. Pre- and postoperative questionnaires assessed patient self-reported satisfaction and quality of life during surgery and in the postoperative period.
RESULTS: Sixty patients (72 implants) were included. Thirty patients received 36 implants using d-CAIS, while another 30 patients received 36 implants with the non-guided technique. d-CAIS significantly reduced angular (MD: -5.51°; p < 0.001), lateral platform (MD: -0.79 mm; p = 0.037), global platform (MD: -0.89 mm; p = 0.024), and global apex deviations (MD: -1.23 mm; p = 0.001). Although the implant placement time was significantly shorter with d-CAIS (p = 0.022), there was no statistically significant difference in overall surgery time between the groups (MD: -6.18 min; p = 0.190). Postoperative pain and analgesic consumption were similar, with high self-reported satisfaction. The surgical procedure did not result in significant changes in patient quality of life.
CONCLUSIONS: Implant placement using d-CAIS by novice surgeons shows higher trueness, without increasing surgery time. It also ensures high patient satisfaction and quality of life, with pain levels comparable to those of the non-guided technique.
CLINICALTRIALS: gov registration number: NCT06028750.