García-Valdez Daniela, Velasco-Ortega Eugenio, Ortiz-Garcia Iván, Monsalve-Guil Loreto, López-López José, Núñez-Márquez Enrique, Matos-Garrido Nuno, Jiménez-Guerra Álvaro, Moreno-Muñoz Jesús, Rondón-Romero José Luis
Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41009 Seville, Spain.
Service of the Medical-Surgical Area of Dentistry Hospital, Faculty of Dentistry, University of Barcelona, 08007 Barcelona, Spain.
J Clin Med. 2025 Sep 20;14(18):6638. doi: 10.3390/jcm14186638.
Oral implantology, a modern approach to rehabilitating edentulous patients, has advanced significantly with digital technologies, notably computer-guided surgery. This technique is considered precise and predictable. However, it is essential to assess this technique from the patient's perspective, focusing on its impact on quality of life and satisfaction. A literature search was conducted in PubMed, Embase, and CINAHL up to January 2025. Clinical trials and case series studies were included. Studies conducted on partially or fully edentulous patients were selected for inclusion. The studies included static or dynamic guided oral implant treatments, as well as conventional treatments, and evaluated patient-reported outcomes, specifically perceived satisfaction and quality of life. A qualitative synthesis of the findings was performed, and the quality of the included studies was assessed using the Newcastle-Ottawa Scale (NOS). A total of twelve studies were included. The most commonly used questionnaires for evaluation were the Visual Analog Scale (VAS), Oral Health-Related Quality of Life (OHQoL), and Oral Health Impact Profile (OHIP). Computer-guided implantology appears to be a valid and predictable technique for dental implant placement. It is associated with a reduced intraoperative and postoperative pain. Some studies, however, did not identify significant differences compared with conventional implant surgery. Guided oral implantology is a viable option for oral rehabilitation in edentulous patients, offering benefits in surgical precision, pain reduction, and patient experience. Its effects on surgical time and overall patient satisfaction, however, warrant further investigation.
口腔种植学作为修复无牙患者的现代方法，借助数字技术尤其是计算机引导手术取得了显著进展。该技术被认为精确且可预测。然而，从患者角度评估这项技术至关重要，重点在于其对生活质量和满意度的影响。截至2025年1月，在PubMed、Embase和CINAHL数据库中进行了文献检索。纳入了临床试验和病例系列研究。选取了对部分或完全无牙患者进行的研究。这些研究包括静态或动态引导式口腔种植治疗以及传统治疗，并评估了患者报告的结局，特别是感知到的满意度和生活质量。对研究结果进行了定性综合分析，并使用纽卡斯尔-渥太华量表（NOS）评估纳入研究的质量。总共纳入了12项研究。最常用的评估问卷是视觉模拟量表（VAS）、口腔健康相关生活质量（OHQoL）和口腔健康影响量表（OHIP）。计算机引导种植学似乎是一种用于牙种植体植入的有效且可预测的技术。它与术中及术后疼痛减轻相关。然而，一些研究并未发现与传统种植手术相比存在显著差异。引导式口腔种植学是无牙患者口腔修复的一个可行选择，在手术精度、疼痛减轻和患者体验方面具有优势。然而，其对手术时间和患者总体满意度的影响仍有待进一步研究。
