ReviewPeriodontology 20002022
Can computer-assisted implant surgery improve clinical outcomes and reduce the frequency and intensity of complications in implant dentistry? A critical review.
Review in Periodontology 2000, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- Accuracy of Freehand, Static, and Dynamic Computer-Assisted Implant Placement: A Systematic Review and Meta-Analysis.Journal of periodontal research · 2026Pooled it
- Comparison of the accuracy/precision among guided (static), manual, and dynamic navigation in dental implant surgery: a systematic review and meta-analysis.Oral and maxillofacial surgery · 2025Pooled it
- Accuracy of robotic computer-assisted implant surgery in clinical studies: a systematic review and meta-analysis.BMC oral health · 2025Pooled it
- Accuracy, Efficiency, and Patient- and Surgeon-Reported Outcomes of Static Versus Robotic Computer-Assisted Implant Surgery: A Randomized Clinical Trial.Clinical oral implants research · 2026Trial
- Patient-Reported Healing of Static Computer-Assisted Sinus Lateral Window Osteotomy: A Randomized Controlled Trial.Clinical implant dentistry and related research · 2025Trial
- Comparison of the accuracy of immediate implant placement using static and dynamic computer-assisted implant system in the esthetic zone of the maxilla: a prospective study.International journal of implant dentistry · 2022Trial
- Minimally Invasive Implant Rehabilitation in Geriatric Patients: A Comprehensive Narrative Review of Contemporary Strategies to Avoid Extensive Bone Augmentation Procedures.Geriatrics (Basel, Switzerland) · 2026Review
- Contemporary Applications of Robotic Systems in Dental Implantology: A Review.International dental journal · 2026Review
- Dynamic Computer-Assisted Surgery in Oral Surgery: A Systematic Review.Journal of clinical medicine · 2026Review
- Learning curve of autonomous computer-assisted implant surgery systems for postgraduate dental trainees: an in vitro study.BMC oral health · 2026Article
- The accuracy of dental implant placement with different computer-assisted implant surgery techniques.Bioinformation · 2026Article
- Accuracy of Robotic Computer-Assisted Implant Surgery Combined With Transcrestal Sinus Floor Elevation for Single-Tooth Implants: A Retrospective Case Series.Journal of clinical periodontology · 2026Article
- Static-Computer Assisted Implant Surgery: Where Are We Now?Australian dental journal · 2025Review
- Dynamic and Robotic Computer-Assisted Implant Surgery-A Possible Workflow for the Future?Australian dental journal · 2025Review
- Accuracy of dynamic computer-assisted implant surgery across different degrees of edentulism: does experience matter? An in vitro study.International journal of implant dentistry · 2025Article
- Computer-Assisted Implant Surgery: Implications for Teaching, Learning, and Educational Strategies.Clinical and experimental dental research · 2025Review
- Beyond Accuracy: Clinical Outcomes of Computer Assisted Implant Surgery.Clinical and experimental dental research · 2025Review
- Computer-Assisted Implant Surgery: Patients' Experience and Perspectives.Clinical and experimental dental research · 2025Review
- 3D bio-printed scaffolds and smart implants: evaluating functional performance in animal surgery models.Annals of medicine and surgery (2012) · 2025Review
- Comparing Medium to Long-Term Esthetic, Clinical, and Patient-Reported Outcomes Between Freehand and Computer-Assisted Dental Implant Placement: A Cross-Sectional Study.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Computer-assisted implant surgery (CAIS), either static or dynamic, is well documented to significantly improve the accuracy of implant placement. Whether the increased accuracy leads to a corresponding improvement in clinical outcomes has not yet been systematically investigated. The aim of this critical review was to investigate whether the use of CAIS can lead to reduction of complications as well as improved clinical and patient-reported outcomes (PROs) when compared with conventional freehand implant surgery. A comprehensive online search was conducted to identify studies where implants were installed with static computer-assisted implant surgery (s-CAIS)or dynamic computer-assisted implant surgery(d-CAIS) or combinations of the two, either compared with conventional free-hand implant placement or not. Seventy-seven studies were finally included in qualitative analysis, while data from three studies assessing postsurgical pain were suitable for a meta-analysis. Only a small number of the available studies were comparative. The current evidence does not suggest any difference with regard to intraoperative complications, immediate postsurgical healing, osseointegration success, and survival of implants placed with CAIS or freehand protocols. Intraoperative and early healing events as reported by patients in randomized clinical trials (RCTs) did not differ significantly between CAIS used with flap elevation and conventional implant placement. There is limited evidence that increased accuracy of placement with CAIS is correlated with superior esthetic outcomes. Use of CAIS does not significantly reduce the length of surgeries in cases of single implants and partially edentulous patients, although there appears to be a more favorable impact in fully edentulous patients. Although CAIS alone does not seem to improve healing and the clinical and PRO, to the extent that it can increase the utilization of flapless surgery and predictability of immediacy protocols, its use may indirectly lead to substantial improvements in all of the above parameters.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.