期刊
CLINICAL ORAL IMPLANTS RESEARCH
卷 32, 期 4, 页码 383-393出版社
WILEY
DOI: 10.1111/clr.13719
关键词
computer‐ assisted surgery; dental implants; dynamic navigation; image‐ guided surgery; tooth implants
资金
- Multicenter Clinical Research Program of Shanghai Jiao Tong University School of Medicine [DLY201822]
- Shanghai Clinical Research Center for Oral Diseases [19411950100]
- Clinical Research Plan of SHDC [16CR3033A]
The meta-analysis of ten studies showed that dynamic computer-assisted implant surgery achieves clinically acceptable accuracy. There were no significant differences found between different jaw types, guidance methods, and systems. However, more patient-centered outcomes and socio-economic benefits should be reported for further evaluation.
Objective To assess the accuracy of dynamic computer-assisted implant surgery. Materials and methods An electronic search up to March 2020 was conducted using PubMed, Embase, and the Cochrane Central Register of Controlled Trial to identify studies using dynamic navigation in implant surgery, and additional manual search was performed as well. Clinical trials and model studies were selected. The primary outcome was accuracy. A single-arm meta-analysis of continuous data was conducted. Meta-regression was utilized for comparison on study design, guidance method, jaw, and systems. Results Ten studies, four randomized controlled trials (RCT) and six prospective studies, met the inclusion criteria. A total of 1,298 drillings and implants were evaluated. The meta-analysis of the accuracy (five clinical trials and five model studies) revealed average global platform deviation, global apex deviation, and angular deviation were 1.02 mm, 95% CI (0.83, 1.21), 1.33 mm, 95% CI (0.98, 1.67), and 3.59 degrees, 95% CI (2.09, 5.09). Meta-regression shown no difference between model studies and clinical trials (p = .295, 0.336, 0.185), drilling holes and implant (p = .36, 0.279, 0.695), maxilla and mandible (p = .875, 0.632, 0.281), and five different systems (p = .762, 0.342, 0.336). Conclusion Accuracy of dynamic computer-aided implant surgery reaches a clinically acceptable range and has potential in clinical usage, but more patient-centered outcomes and socio-economic benefits should be reported.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据