Evidence map›Paper›PMID 40685545›Full record

ArticleJournal of clinical periodontology2025

Early Placement of Patient-Specific One-Piece Drill-Free Fully Digital Designed Dental Implants: A Feasibility Study.

Giuseppe Alexandre Romito, Mohamed Ahmed Hassan, Marina Nogueira de Castro Galvão Corrente, Julia Dahdal Aoun, Vitor Marques Sapata, Roger Nishyama, Cristina Cunha Villar

Abstract read
In one paragraph

Article in Journal of clinical periodontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

Giuseppe Alexandre RomitoDiscipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.ORCID 0000-0001-5669-912X
Mohamed Ahmed HassanDiscipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Marina Nogueira de Castro Galvão CorrenteDiscipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Julia Dahdal AounDiscipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Vitor Marques SapataDiscipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Roger NishyamaDiscipline of Prosthodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Cristina Cunha VillarDiscipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.ORCID 0000-0002-5905-5079

Funding

iDENTICAL Inc
6 · The paper itself

Abstract

aimCBCT and CAD/CAM technologies have allowed the development of patient-specific implants requiring no drilling. This prospective study evaluated the safety and effectiveness of a novel, drill-free, one-piece root-analogue implant designed using a digital workflow and manufactured additively. MATERIALS AND

methodsPatients with non-restorable maxillary anterior or premolar teeth requiring extraction and implant placement were included. Implant design was based on pre-extraction cone-beam computed tomography (CBCT) and optical impressions of the target tooth, adjacent teeth and opposing dentition, and post-extraction scanning of the extracted tooth. Within 14 days post extraction, the implant was designed, manufactured and placed into the alveolar socket, and a temporary crown was installed out of occlusion. The final crown was installed after 3 months. Clinical parameters, including plaque index, gingival index, bleeding on probing, suppuration, peri-implant mucosal margin position, probing depth, probing depth relative to the implant platform and keratinised tissue, were collected at 3, 6, 9, 12 and 24 months post loading. Radiographic measurements as well as patient- and clinician-reported outcomes were also assessed.

resultsThe study cohort comprised 12 patients. The cumulative implant survival and success rates reached 100% and 90%, respectively. Clinical and radiographic parameters consistently indicated healthy peri-implant tissues. Patient-reported outcomes demonstrated high satisfaction and minimal discomfort. Visual analogue scale (VAS) scores for overall satisfaction remained high, with a median of 10 at final restoration delivery (95% CI: 10.00-10.00) and at the 24-month follow-up (95% CI: 9.70-10.01).

conclusionThese patient-specific, root-analogue implants demonstrated both safety and effectiveness, along with high patient satisfaction rates up to 24 months post loading.

Indexed as

Computer-Aided DesignDental Implantation, EndosseousDental ImplantsDental Prosthesis DesignAdultAgedCone-Beam Computed TomographyDental Prosthesis, Implant-SupportedFeasibility StudiesFemaleHumansMaleMaxillaMiddle AgedPeriodontal IndexProspective StudiesDental Implantscomputer‐aided designcomputer‐assisted manufacturingcone‐beam computed tomographydental implantstooth root

Identifiers

PMID40685545
PMCPMC12420077

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Registered trials

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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.