Rosu Sorana Nicoleta, Tatarciuc Monica Silvia, Vitalariu Anca Mihaela, Lupu Iulian-Costin, Diaconu Diana Antonela, Vasluianu Roxana-Ionela, Holban Catalina Cioloca, Dima Ana Maria
Department of Oral and Maxillofacial Surgery, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Department of Dental Prosthesis Technology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Dent J (Basel). 2025 Sep 21;13(9):435. doi: 10.3390/dj13090435.
Augmented reality (AR) is revolutionizing implant and tooth-supported prosthodontics (ITSP) through enhanced precision, workflow efficiency, and educational outcomes. This scoping review systematically evaluates AR's clinical applications, educational impacts, and implementation challenges. Following PRISMA-ScR guidelines, comprehensive searches were conducted in PubMed, Scopus, Web of Science, and Embase (2015-2025) for peer-reviewed studies on AR in ITSP. Eighteen studies met inclusion criteria after dual independent screening. Data extraction focused on clinical outcomes, educational benefits, and technological limitations. AR applications demonstrated: : Submillimeter implant placement accuracy (0.42-0.69 mm entry deviation; < 0.001 vs. freehand), 30% faster intraoral scanning (44 s vs. 63 s), and 37% reduction in preparation errors ( < 0.05); : 22-30% faster skill acquisition ( < 0.05) and 99% reduction in assessment time (10.5 s vs. 2 h/case). Key Gaps: Limited to two randomized controlled trials (RCTs), hardware costs ($3500-$10,000), and lack of standardized validation protocols. While AR significantly enhances ITSP precision and training efficiency, widespread adoption requires longitudinal clinical validation, cost-effectiveness analyses, and interoperable digital workflows.
增强现实（AR）正在通过提高精度、工作流程效率和教育成果，给种植体及牙支持式修复学（ITSP）带来变革。本综述性研究系统评估了AR的临床应用、教育影响和实施挑战。遵循PRISMA-ScR指南，在PubMed、Scopus、Web of Science和Embase数据库（2015 - 2025年）中进行了全面检索，以查找关于AR在ITSP中的同行评审研究。经过双独立筛选，18项研究符合纳入标准。数据提取集中在临床结果、教育益处和技术局限性方面。AR应用显示：种植体植入精度达到亚毫米级（入口偏差0.42 - 0.69毫米；与徒手操作相比，P < 0.001），口内扫描速度快30%（44秒对63秒），预备误差减少37%（P < 0.05）；技能习得速度快22 - 30%（P < 0.05），评估时间减少99%（10.5秒对2小时/病例）。主要差距：仅限于两项随机对照试验（RCT），硬件成本高（3500 - 10000美元），且缺乏标准化验证方案。虽然AR显著提高了ITSP的精度和培训效率，但要广泛应用还需要进行长期临床验证、成本效益分析以及可互操作的数字工作流程。
