Clinical Factors Affecting the Accuracy of Guided Implant Surgery-A Systematic Review and Meta-analysis

The Journal of Evidence-based Dental Practice
Wenjuan ZhouDavid M Shafer

Abstract

To systematically review the current dental literature regarding clinical accuracy of guided implant surgery and to analyze the involved clinical factors. PubMed and Cochrane Central Register of Controlled Trials were searched. Meta-analysis and meta-regression analysis were performed. Clinical studies with the following outcome measurements were included: (1) angle deviation, (2) deviation at the entry point, and (3) deviation at the apex. The involved clinical factors were further evaluated. Fourteen clinical studies from 1951 articles initially identified met the inclusion criteria. Meta-regression analysis revealed a mean deviation at the entry point of 1.25 mm (95% confidence interval [CI]: 1.22-1.29), 1.57 mm (95% CI: 1.53-1.62) at the apex, and 4.1° in angle (95% CI: 3.97-4.23). A statistically significant difference (P < .001) was observed in angular deviations between the maxilla and mandible. Partially guided surgery showed a statistically significant greater deviation in angle (P < .001), at the entry point (P < .001), and at the apex (P < .001) compared with totally guided surgery. The outcome of guided surgery with flapless approach indicated significantly more accuracy in angle (P < .001), at the entry point (P < ...Continue Reading

Citations

Apr 5, 2020·Journal of Clinical Medicine·Chia-Cheng LinDayen Peter Wang
Mar 10, 2020·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Pantip HenprasertJulie A Holloway
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