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Journal of Prosthetic Dentistry

Guided innovations: Robot-assisted dental implant surgery

      Abstract

      Dental implants have become the preferred treatment modality for the replacement of missing teeth. The success of implant therapies is dependent on the precision of the implant placement to effectively support prosthetic outcomes that optimize form and function. With the evolution of static surgical guidance over the last several decades, implant placement protocols have taken enormous strides toward ensuring accurate placement of dental implant fixtures, yet limitations persist in the overall workflow due to the rigid adherence to the proposed positioning of implants. Emerging digital technologies show the potential for dynamic real-time clinical guidance during implant placement, and robot-assisted dental implant placement is a novel form of dynamic surgical guidance that, in addition to visual navigation, offers haptic guidance for implant treatment planning, osteotomy preparation, and implant placement. This video article discusses robotic dental implant placement and includes case studies and quantitative accuracy analysis for prosthetically driven planning and immediate placement of single-tooth dental implant replacement.

      JPD Digital video

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      Although dental implants are the preferred treatment option for replacing missing teeth, the success of implants depends on the accuracy and precision of the implant placement to ensure optimal prosthetic outcomes. Guided implant therapy has become a popular method to place dental implants
      • Younes F.
      • Cosyn J.
      • De Bruyckere T.
      • Cleymaet R.
      • Bouckaert E.
      • Eghbali A.
      A randomized controlled study on the accuracy of free-handed, pilot-drill guided and fully guided implant surgery in partially edentulous patients.
      ,
      • Tahmaseb A.
      • Wu V.
      • Wismeijer D.
      • Coucke W.
      • Evans C.
      The accuracy of static computer-aided implant surgery: a systematic review and meta-analysis.
      ; however, the technologies associated with guidance have evolved over the last few years.
      Emerging digital protocols show the potential for dynamic real-time clinical support to enhance the established benefits with guided implant placement associated with static resin guides.
      • Block M.S.
      • Emery R.W.
      • Lank K.
      • Ryan J.
      Implant placement accuracy using dynamic navigation.
      This digital presentation describes robot-assisted dental implants surgery, a novel form of dynamic surgical guidance that, in addition to visual navigation, offers haptic guidance for implant treatment planning, osteotomy preparation, and implant placement combining advantages of both static and dynamic guidance technologies.
      • Rawal S.
      • Tillery D.
      • Brewer P.
      Robotic-assisted prosthetically driven planning and immediate placement of a dental implant.
      Techniques to acquire high-quality digital data including facial scans, intraoral scans, and CBCT and the use of software programs for planning and implementation with robotics within a full digital workflow are reviewed.

      Supplementary data

      References

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        • Cosyn J.
        • De Bruyckere T.
        • Cleymaet R.
        • Bouckaert E.
        • Eghbali A.
        A randomized controlled study on the accuracy of free-handed, pilot-drill guided and fully guided implant surgery in partially edentulous patients.
        J Clin Periodontol. 2018; 45: 721-732
        • Tahmaseb A.
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        • Coucke W.
        • Evans C.
        The accuracy of static computer-aided implant surgery: a systematic review and meta-analysis.
        Clin Oral Implants Res. 2018; 29 suppl 16: 416-435
        • Block M.S.
        • Emery R.W.
        • Lank K.
        • Ryan J.
        Implant placement accuracy using dynamic navigation.
        Int J Oral Maxillofac Implants. 2017; 32: 92-99
        • Rawal S.
        • Tillery D.
        • Brewer P.
        Robotic-assisted prosthetically driven planning and immediate placement of a dental implant.
        Compend Contin Educ Dent. 2020; 41: 26-30