Sadilina Sofya, Vietor Kay, Doliveux Romain, Siu Adam, Chen Zhuofan, Al-Nawas Bilal, Mattheos Nikos, Pozzi Allesandro
Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zürich, Zürich, Switzerland.
Private Practice, Langen, Germany.
Clin Exp Dent Res. 2025 Jun;11(3):e70129. doi: 10.1002/cre2.70129.
Computer Assisted Implant Surgery (CAIS) with different technologies and modalities is becoming increasingly utilized in clinical practice. The aim of this White Paper was to synthesize evidence, reported experience, and best practices with regard to clinically relevant outcomes of static, dynamic, and robotic CAIS.
A review of the literature compiled existing evidence from clinical studies up to November 2024, which was later discussed and synthesized into clinically relevant questions with a panel of international experts.
There is overwhelming evidence for the superiority of static, dynamic, and robotic CAIS with regard to the accuracy of implant placement and some limited evidence of superior esthetic outcomes. At the same time, outcomes related to implant primary stability, survival rates, intra- and postoperative complications, marginal bone loss, and peri-implant tissue health appear similar between guided and non-guided implant surgery, while efficiency is poorly defined and studied. The importance of accuracy in the execution of a comprehensive, prosthetically driven treatment plan is not reflected in most studies, which focus mainly on the assessment of procedures rather than entire treatment workflows. Such inherent limitations of available research might conceal some of the potential of guided CAIS.
Guided CAIS can achieve at least as good clinical outcomes as non-guided implant surgery. Studies that can assess the benefits of CAIS as part of a treatment workflow, rather than isolated procedures, could improve our understanding of the potential of these technologies.
采用不同技术和方式的计算机辅助种植手术（CAIS）在临床实践中的应用越来越广泛。本白皮书的目的是综合关于静态、动态和机器人辅助CAIS临床相关结果的证据、报告的经验和最佳实践。
对文献进行综述，收集截至2024年11月临床研究的现有证据，随后与一组国际专家进行讨论，并综合成临床相关问题。
有压倒性的证据表明，在种植体植入的准确性方面，静态、动态和机器人辅助CAIS具有优越性，并且有一些有限的证据表明其美学效果更佳。同时，在引导式和非引导式种植手术中，与种植体初期稳定性、存活率、术中和术后并发症、边缘骨丢失以及种植体周围组织健康相关的结果似乎相似，而效率方面的定义和研究较少。大多数研究主要关注手术过程的评估而非整个治疗流程，未体现出在执行全面的、以修复为导向的治疗计划时准确性的重要性。现有研究的这些固有局限性可能掩盖了引导式CAIS的一些潜力。
引导式CAIS能取得至少与非引导式种植手术一样好的临床效果。能够评估CAIS作为治疗流程一部分而非孤立手术的益处的研究，可能会增进我们对这些技术潜力的理解。
