Evidence map›Paper›PMID 40206923›Full record

ArticleCureus2025

Clinical and Radiographic Assessment of Milled Versus 3D-Printed Patient-Specific Subperiosteal Implants for Atrophic Mandibular Ridges: A Randomized Clinical Trial.

Saad A Darwish, Wael A El-Mohandes, Bahaa El-Din Abd Rabbo

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Saad A DarwishDepartment of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Al-Ahzar University, Cairo, EGY.
Wael A El-MohandesDepartment of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Al-Ahzar University, Cairo, EGY.
Bahaa El-Din Abd RabboDepartment of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Al-Ahzar University, Cairo, EGY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study evaluated the clinical and radiographic outcomes of patient-specific subperiosteal implants fabricated via milling or 3D printing for mandibular rehabilitation in patients with severely atrophic mandibles. METHODOLOGY: Twenty patients with severely atrophic edentulous mandibular ridges were randomly assigned to receive subperiosteal implants manufactured by Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) milling or 3D printing. Preoperative cone beam computed tomography scans and digital planning generated customized stereolithography (STL) files that guided the fabrication of implants from titanium grade 4 using either subtractive (milling) or additive (3D printing) techniques. After creating a full-thickness mucoperiosteal flap, the custom-made implants were seated and secured with mini-screws, and patients received written postoperative care instructions and medications. Primary outcomes included implant survival, bone resorption, and placement accuracy assessed by measuring mesiodistal and buccolingual angular deviations. Secondary outcomes comprised the duration of the intervention and soft tissue dehiscence evaluated at multiple postoperative intervals up to 12 months. Data were analyzed using the chi-square test for categorical data and the t-test for continuous data.

resultsThere were no statistically significant differences between the two groups regarding implant survival, with one implant failing in the milling group (

conclusionsBoth milling and 3D printing techniques offer effective and comparable solutions for fabricating patient-specific subperiosteal implants to rehabilitate atrophic mandibles. Available resources and clinician expertise should inform the choice between these methods.

Indexed as

3d printingatrophic mandiblecad/cam millingdigital planningsubperiosteal implants

Identifiers

PMID40206923
PMCPMC11979865

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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.