Evidence map›Paper›PMID 42385002›Full record

ArticleBrazilian dental journal2026

Accuracy of implants placed with CAD-CAM surgical templates using metal or peek sleeve: an in vitro analysis.

Silvio Mecca, Mateus Alves Mecca, Christian Rado Jarry, Marcelo Henrique Napimoga

Abstract read
In one paragraph

Article in Brazilian dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Silvio MeccaImplantology Department, Faculdade São Leopoldo Mandic, Instituto São Leopoldo Mandic, Campinas, Brazil.ORCID 0000-0003-2567-3976
Mateus Alves MeccaDental School, University of São Paulo, São Paulo, Brazil.ORCID 0009-0008-8719-6275
Christian Rado JarryImplantology Department, Faculdade São Leopoldo Mandic, Instituto São Leopoldo Mandic, Campinas, Brazil.ORCID 0009-0002-5795-5804
Marcelo Henrique NapimogaLaboratory of Neuroimmune Interface of Pain Research, Faculdade São Leopoldo Mandic, Instituto São Leopoldo Mandic, Campinas, Brazil.ORCID 0000-0003-4472-365X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The sleeve material in printed surgical guides directly influences the accuracy of guided implant surgery, yet its impact on the 3D position of implants remains unclear. This study evaluated the effect of metal and PEEK (Polyether ether ketone) sleeves on implant accuracy compared to planned virtual positioning. Using CT scans and virtual planning software (coDiagnostiX), a STRAUMANN® RC BLT 4.1 x 10 mm implant was planned in the element 36 region of a partially edentulous patient (Ethical approval #5.879.848). Twenty surgical guides of hemi-arch were printed (10 with metal sleeves, 10 with PEEK sleeves) and tested using a master model. Implants were inserted through static guides, and the positional deviations were analyzed by comparing planned versus inserted implants using angular, coronal, and apical metrics. Statistical analysis showed significantly lower angular deviation in the PEEK sleeve group (57.2% lower than metal sleeves, p < 0.001), indicating greater precision. However, coronal deviation was significantly higher in the PEEK group (66.3% higher than metal sleeves, p = 0.006). No significant differences were found in apical deviation (p = 0.186). These findings suggest that the choice of sleeve material significantly impacts guided surgery accuracy, with PEEK sleeves offering superior angular precision but higher coronal deviation compared to metal sleeves.

Indexed as

Computer-Aided DesignDental Implantation, EndosseousDental ImplantsKetonesPolyethylene GlycolsSurgery, Computer-AssistedBenzophenonesHumansIn Vitro TechniquesMetalsPolyether CompoundsPolymersBenzophenonesDental ImplantsKetonesMetalsPolyether CompoundspolyetheretherketonePolyethylene GlycolsPolymers

Identifiers

PMID42385002
PMCPMC13313150

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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.