ArticlePakistan journal of medical sciences2025
Optimizing Dental Implant Success: Biomechanical Insights, Computer-Guided Precision and The Role of Open Guide Systems in Achieving Cost-Effective and Accessible Treatment.
Article in Pakistan journal of medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- The influence of maxillary lateral wall thickness on the alveolar horizontal bone dimension after lateral sinus elevation without bone grafts: A retrospective study.Pakistan journal of medical sciences · 2026Article
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4 authors.
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Abstract
Objective: This study aimed to compare the positional and angular accuracy of digitally planned implant placements with an open-guide system, using a vision measuring machine (VMM). Methodology: This in vitro experimental study, conducted at King Saud University (May to September 2024), involved placing 24 endosseous implants into eight replaceable bone blocks. Three implants were placed in each bone block (Nissin™ Dental, Japan), measuring approximately 50 mm (L) × 25 mm (W) × 20 mm (H). A jaw model simulating a partially edentulous mandible was used. Preoperative CBCT scans and virtual surgical planning software guided the fabrication of stereolithographic surgical templates. Post-placement, implant accuracy was assessed using the VMM. Results: The open-guide system (Group-B) demonstrated significantly improved linear (e.g., L I- II: 1.09 mm, p = 0.001) and angular accuracy (e.g., P III deviation from 90º: 9.59º, p = 0.000) compared to digital planning alone (Group-A). Vertical accuracy, however, was inconsistent, with some deviations reaching significance (e.g., V DI: p = 0.000), while others did not (e.g., V DII: p = 0.552). Conclusion: The stereolithographic open-guide system enhances linear and angular precision in implant placement, particularly in multi-implant cases. However, vertical accuracy remains less predictable, warranting further refinement for improved surgical outcomes.
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