Current state of dynamic surgery. A literature review

Abstract

Background Recently, dental implant technology has been widely used for oral reconstruction. Dental implants are the treatment of choice for those patients with dental absences. An optimal implant placement is based on the prosthetic driven concept in order to achieve an aesthetic and functional restoration with a long-term prognosis. There are two types of guided implant surgery that are described in the literature: Static Guided Surgery (SGS) and Dynamic Guided Surgery (DGS). The aim of this study is to be aware of the current state of dynamic surgery and compare in the literature the discrepancies between planning and placement of dental implants. Material and Methods The study consists of a bibliographic review on the topic. The research has been performed in the Medline/Pubmed of articles published by different professional associations and societies in the international context. Results Twenty two studies out of 100 articles from the initial search were finally included. Our results have been compared with other current available papers in the literature reviewed that obtained similar outcomes. Conclusions Dynamic navigation shows a better accuracy and precision of implant placement. To corroborate the results of this review as well as to evaluate the different variables that could influence the accuracy of this technique, future randomized control trials will be needed. Key words: Guided surgery, dynamic navigation, dynamic guided surgery, computer assisted surgery.

Accuracy of implant placement via dynamic navigation and autonomous robotic computer‐assisted implant surgery methods: A retrospective study

“…The accuracy is in accordance with that in recent systematic reviews (Pellegrino et al, 2021;Yu et al, 2023) showing that the angle, average coronal and apical deviations of d-CAIS are approximately 2-7°, 0.5-1.5 mm and 0.5-2.0 mm, respectively. Common reasons for the deviations of the d-CAIS system include the following: The weight and volume of the mobile locator affects the operation stability and increases operator fatigue (Chen, Bai, et al, 2023); the deflection caused by hand tremors due to dense bone when performing the osteotomies and placement of the implants (Block et al, 2017); incorrect calibration due to any small looseness or movement between the involved elements (Parra-Tresserra et al, 2021); the accuracy and quality of CBCT scan data. Note: No significant difference was observed (p > .05).…”

“…Optimal implant position is closely related to the health of peri‐implant soft and hard tissue, satisfactory aesthetic and prosthetic outcomes and long‐term success of the dental implants (Parra‐Tresserra et al., 2021). Digital implant technology has become popular, along with computed tomography scanning, image processing and three‐dimensional (3D) model reconstruction technology (Romanos, 2019).…”

“…Utilising cone‐beam computed tomography (CBCT) scanning, 3D images manipulation and planning software programs have assisted surgical implant placement accuracy with guided tools (Parra‐Tresserra et al., 2021) Currently, there are three main surgical protocols for CAIS: static CAIS (s‐CAIS); dynamic CAIS (d‐CAIS), using a dynamic navigation system; robotic CAIS (r‐CAIS), also referred to as robot‐assisted surgery (Bolding & Reebye, 2022). s‐CAIS, compared with freehand positioning, has improved placement accuracy, using additional fabricated surgical guide stents (Guentsch et al., 2023; Tahmaseb et al., 2018).…”

The accuracy of a novel image‐guided hybrid robotic system for dental implant placement: An in vitro study

“…To obtain a high accuracy in dental implant placement, computer-aided surgery was introduced in dental implant surgery, 1 which mainly included three types: static computer-aided implant surgery (sCAIS), dynamic computer-aided implant surgery (dCAIS), and robotic assisted implant surgery. 2,3 Static computer-aided implant surgery applies surgical guides to transfer predetermined implant locations and trajectories in the surgical field, while dCAIS can provide real-time relative locations of surgical instruments, patient images and planned implant paths to surgeon. Both of them present acceptable accuracy in dental implant surgery according to recent systematic reviews.…”

“…Dental implant surgery has become a widely accepted method to rehabilitate dentition defects and edentulous jaws. To obtain a high accuracy in dental implant placement, computer‐aided surgery was introduced in dental implant surgery, 1 which mainly included three types: static computer–aided implant surgery (sCAIS), dynamic computer–aided implant surgery (dCAIS), and robotic assisted implant surgery 2,3 …”