Abstract
Implant rehabilitation success is related to correct diagnosis and meticulous treatment planning. The optimal three-dimensional (3D) implant positioning can ensure the long-term success of implant therapy and proper prosthetic restoration design. When prosthetically driven implant placement emerged as a key factor for long-term stability and esthetics, the conventional workflow included radiographic and surgical guides duplicated from diagnostic wax-up. The constraints of this technique were that the decision of surgeon intraoperatively defined the final angulation, depth, and position of the implant. Furthermore, conventional impression deformations and errors during laboratory procedures contributed to generating a misfit in implant prosthodontics. The combination of computer-assisted design-computer-assisted manufacturing (CAD-CAM) systems has recently provided simultaneous visualization of 3D bone morphology, soft tissue of the alveolar ridge, and teeth. Computer-guided software is used for virtual implant planning prior to surgery; to identify important anatomical structures, such as soft tissue and teeth; and for functional and esthetic analysis of the future prostheses. During the surgical process, the planned implant position is transferred to the surgical site either by using a surgical guide (static guided systems) or by loading positioning software for navigated implantation (dynamic guided systems).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bahat O. Osseointegrated implants in the maxillary tuberosity: report on 45 consecutive patients. Int J Oral Maxillofac Implants. 1992;7(4):459–67.
Preston J, Daftary F, Bahat O. Is it a tooth or an implant? J Calif Dent Assoc. 1992;20(5):53–6.
Loubele M, Jacobs R, Maes F, Denis K, White S, Coudyzer W, et al. Image quality vs radiation dose of four cone beam computed tomography scanners. Dentomaxillofac Radiol. 2008;37(6):309–19.
Bornstein MM, Horner K, Jacobs R. Use of cone beam computed tomography in implant dentistry: current concepts, indications and limitations for clinical practice and research. Periodontol 2000. 2017;73(1):51–72.
Pauwels R, Araki K, Siewerdsen JH, Thongvigitmanee SS. Technical aspects of dental CBCT: state of the art. Dentomaxillofac Radiol. 2015;44(1):20140224.
Ludlow JB, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2008;106(1):106–14.
Schulze R, Heil U, Groβ D, Bruellmann D, Dranischnikow E, Schwanecke U, et al. Artefacts in CBCT: a review. Dentomaxillofac Radiol. 2011;40(5):265–73.
Fokas G, Vaughn VM, Scarfe WC, Bornstein MM. Accuracy of linear measurements on CBCT images related to presurgical implant treatment planning: a systematic review. Clin Oral Implants Res. 2018;29:393–415.
Mehl A, Bosch G, Fischer C, Ender A. In vivo tooth-color measurement with a new 3D intraoral scanning system in comparison to conventional digital and visual color determination methods. Int J Comput Dent. 2017;20(4):343–61.
Braian M, Wennerberg A. Trueness and precision of 5 intraoral scanners for scanning edentulous and dentate complete-arch mandibular casts: A comparative in vitro study. J Prosthet Dent. 2019;122(2):129–36. e2.
Ender A, Zimmermann M, Mehl A. Accuracy of complete-and partial-arch impressions of actual intraoral scanning systems in vitro. Int J Comput Dent. 2019;22(1):11–9.
Siqueira R, Chen Z, Galli M, Saleh I, Wang HL, Chan HL. Does a fully digital workflow improve the accuracy of computer-assisted implant surgery in partially edentulous patients? A systematic review of clinical trials. Clin Implant Dent Relat Res. 2020.
Joda T, Gallucci GO. The virtual patient in dental medicine. Clin Oral Implants Res. 2015;26(6):725–6.
Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants. 2004;19(7).
Grunder U, Gracis S, Capelli M. Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodontics Restorative Dent. 2005;25(2):113–9.
Jung RE, Schneider D, Ganeles J, Wismeijer D, Zwahlen M, Hämmerle CH, et al. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants. 2009;24(Suppl):92–109.
Vercruyssen M, Jacobs R, Van Assche N, van Steenberghe D. The use of CT scan based planning for oral rehabilitation by means of implants and its transfer to the surgical field: a critical review on accuracy. J Oral Rehabil. 2008;35(6):454–74.
Widmann G, Bale RJ. Accuracy in computer-aided implant surgery--a review. Int J Oral Maxillofac Implants. 2006;21(2):305–13.
Block MS, Emery RW, Lank K, Ryan J. Implant placement accuracy using dynamic navigation. Int J Oral Maxillofac Implants. 2017;32(1):92–9.
Vercruyssen M, Hultin M, Van Assche N, Svensson K, Naert I, Quirynen M. Guided surgery: accuracy and efficacy. Periodontol 2000. 2014;66(1):228–46.
Mediavilla Guzmán A, Riad Deglow E, Zubizarreta-Macho Á, Agustín-Panadero R, Hernández Montero S. Accuracy of computer-aided dynamic navigation compared to computer-aided static navigation for dental implant placement: An In Vitro Study J Clin Med. 2019;8(12).
Laleman I, Bernard L, Vercruyssen M, Jacobs R, Bornstein MM, Quirynen M. Guided implant surgery in the edentulous maxilla: a systematic review. Int J Oral Maxillofac Implants. 2016;31.
D'Haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer-guided implant surgery. Periodontol 2000. 2017;73(1):121–33.
Raico Gallardo YN, da Silva-Olivio IRT, Mukai E, Morimoto S, Sesma N, Cordaro L. Accuracy comparison of guided surgery for dental implants according to the tissue of support: a systematic review and meta-analysis. Clin Oral Implants Res. 2017;28(5):602–12.
Rosenfeld AL, Mandelaris GA, Tardieu PB. Prosthetically directed implant placement using computer software to ensure precise placement and predictable prosthetic outcomes. Part 2: rapid-prototype medical modeling and stereolithographic drilling guides requiring bone exposure. Int J Periodontics Restorative Dent. 2006;26(4):347–53.
Turbush SK, Turkyilmaz I. Accuracy of three different types of stereolithographic surgical guide in implant placement: an in vitro study. J Prosthet Dent. 2012;108(3):181–8.
Ozan O, Turkyilmaz I, Ersoy AE, McGlumphy EA, Rosenstiel SF. Clinical accuracy of 3 different types of computed tomography-derived stereolithographic surgical guides in implant placement. J Oral Maxillofac Surg. 2009;67(2):394–401.
Chrcanovic BR, Albrektsson T, Wennerberg A. Flapless versus conventional flapped dental implant surgery: a meta-analysis. PLoS one 2014;9(6):e100624.
Rosenfeld AL, Mandelaris GA, Tardieu PB. Prosthetically directed implant placement using computer software to ensure precise placement and predictable prosthetic outcomes. Part 1: diagnostics, imaging, and collaborative accountability. Int J Periodontics Restorative Dent. 2006;26(3):215–21.
Greenstein G, Tarnow D. The mental foramen and nerve: clinical and anatomical factors related to dental implant placement: a literature review. J Periodontol. 2006;77(12):1933–43.
Greenstein G, Cavallaro J, Tarnow D. Practical application of anatomy for the dental implant surgeon. J Periodontol. 2008;79(10):1833–46.
Apostolakis D, Brown JE. The anterior loop of the inferior alveolar nerve: prevalence, measurement of its length and a recommendation for interforaminal implant installation based on cone beam CT imaging. Clin Oral Implants Res. 2012;23(9):1022–30.
Papaspyridakos P, Barizan Bordin T, Kim YJ, DeFuria C, Pagni SE, Chochlidakis K, et al. Implant survival rates and biologic complications with implant-supported fixed complete dental prostheses: a retrospective study with up to 12-year follow-up. Clin Oral Implants Res. 2018;29(8):881–93.
Tatakis DN, Chien HH, Parashis AO. Guided implant surgery risks and their prevention. Periodontol 2000. 2019;81(1):194–208.
Pozzi A, Tallarico M, Marchetti M, Scarfò B, Esposito M. Computer-guided versus free-hand placement of immediately loaded dental implants: 1-year post-loading results of a multicentre randomised controlled trial. Eur J Oral Implantol. 2014;7(3):229–42.
Ganz SD. Computer-aided design/computer-aided manufacturing applications using CT and cone beam CT scanning technology. Dent Clin N Am. 2008;52(4):777–808.
Schneider D, Marquardt P, Zwahlen M, Jung RE. A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry. Clin Oral Implants Res. 2009;20(Suppl 4):73–86.
D'Souza KM, Aras MA. Types of implant surgical guides in dentistry: a review. J Oral Implantol. 2012;38(5):643–52.
Kim T, Lee S, Kim GB, Hong D, Kwon J, Park JW, et al. accuracy of a simplified 3D-printed implant surgical guide. J Prosthet Dent. 2020;124(2):195–201.e2.
Engelman MJ, Sorensen JA, Moy P. Optimum placement of osseointegrated implants. J Prosthet Dent. 1988;59(4):467–73.
Adrian ED, Ivanhoe JR, Krantz WA. Trajectory surgical guide stent for implant placement. J Prosthet Dent. 1992;67(5):687–91.
Takeshita F, Tokoshima T, Suetsugu T. A stent for presurgical evaluation of implant placement. J Prosthet Dent. 1997;77(1):36–8.
Annibali S, La Monaca G, Tantardini M, Cristalli MP. The role of the template in prosthetically guided implantology. J Prosthodont. 2009;18(2):177–83.
Espinosa Marino J, Alvarez Arenal A, Pardo Ceballos A, Fernandez Vazquez JP, Ibaseta DG. Fabrication of an implant radiologic-surgical stent for the partially edentulous patient. Quintessence Int. 1995;26(2):111–4.
Minoretti R, Merz BR, Triaca A. Predetermined implant positioning by means of a novel guide template technique. Clin Oral Implants Res. 2000;11(3):266–72.
Ku YC, Shen YF. Fabrication of a radiographic and surgical stent for implants with a vacuum former. J Prosthet Dent. 2000;83(2):252–3.
Becker CM, Kaiser DA. Surgical guide for dental implant placement. J Prosthet Dent. 2000;83(2):248–51.
Almog DM, Torrado E, Meitner SW. Fabrication of imaging and surgical guides for dental implants. J Prosthet Dent. 2001;85(5):504–8.
Geng W, Liu C, Su Y, Li J, Zhou Y. Accuracy of different types of computer-aided design/computer-aided manufacturing surgical guides for dental implant placement. Int J Clin Exp Med. 2015;8(6):8442–9.
Rungrojwittayakul O, Kan JY, Shiozaki K, Swamidass RS, Goodacre BJ, Goodacre CJ, et al. Accuracy of 3D printed models created by two Technologies of Printers with different designs of Model Base. J Prosthodont. 2020;29(2):124–8.
Chen Z, Li J, Sinjab K, Mendonca G, Yu H, Wang HL. Accuracy of flapless immediate implant placement in anterior maxilla using computer-assisted versus freehand surgery: a cadaver study. Clin Oral Implants Res. 2018;29(12):1186–94.
Cassetta M, Di Mambro A, Giansanti M, Stefanelli L, Cavallini C. The intrinsic error of a stereolithographic surgical template in implant guided surgery. Int J Oral Maxillofac Surg. 2013;42(2):264–75.
El Kholy K, Lazarin R, Janner SF, Faerber K, Buser R, Buser D. Influence of surgical guide support and implant site location on accuracy of static computer-assisted implant surgery. Clin Oral Implants Res. 2019;30(11):1067–75.
Schneider D, Schober F, Grohmann P, Hammerle CH, Jung RE. In-vitro evaluation of the tolerance of surgical instruments in templates for computer-assisted guided implantology produced by 3-D printing. Clin Oral Implants Res. 2015;26(3):320–5.
El Kholy K, Lazarin R, Janner SFM, Faerber K, Buser R, Buser D. Influence of surgical guide support and implant site location on accuracy of static computer-assisted implant surgery. Clin Oral Implants Res. 2019;30(11):1067–75.
Tahmaseb A, Wismeijer D, Coucke W, Derksen W. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants 2014;29.
Tahmaseb A, Wu V, Wismeijer D, Coucke W, Evans C. The accuracy of static computer-aided implant surgery: a systematic review and meta-analysis. Clin Oral Implants Res. 2018;29:416–35.
Romanos GE, Aydin E, Locher K, Nentwig GH. Immediate vs. delayed loading in the posterior mandible: a split-mouth study with up to 15 years of follow-up. Clin Oral Implants Res. 2016;27:e74–9.
Barewal RM, Stanford C, Weesner TC. A randomized controlled clinical trial comparing the effects of three loading protocols on dental implant stability. Int J Oral Maxillofac Implants. 2012;27:945–56.
Esposito M, Siormpas K, Mitsias M, Bechara S, Trullenque-Eriksson A, Pistilli R. Immediate, early (6 weeks) and delayed loading (3 months) of single implants: 4-month post-loading from a multicenter pragmatic randomised controlled trial. Eur J Oral Implantol. 2016;9:249–60.
Maló P, de Araújo NM, Lopes A, Ferro A, Gravito I. All-on-41 treatment concept for the rehabilitation of the completely edentulous mandible: a 7-year clinical and 5-year radiographic retrospective case series with risk assessment for implant failure and marginal bone level. Clin Implant Dent Relat Res. 2015;17(2):531–41.
Zembic A, Glauser R, Khraisat A, Hammerle CH. Immediate vs. early loading of dental implants: 3-year results of a randomized controlled clinical trial. Clin Oral Implants Res. 2010;21:481–9.
Degidi DM, Nardi D, Piattelli A. Immediate versus one-stage restoration of small-diameter implants for a single missing maxillary lateral incisor: a 3-year randomized clinical trial. J Periodontol. 2009;80:1393–8.
Grandi T, Guazzi P, Samarani R, Tohme H, Khoury S, Sbricoli L, et al. Immediate, early (3 weeks) and conventional loading (4 months) of single implants: preliminary data at 1 year after loading from a pragmatic multi- center randomised controlled trial. Eur J Oral Implantol. 2015;8:115–26.
Güncü MB, Aslan Y, Tümer C, Güncü GN, Uysal S. In-patient comparison of immediate and conventional loaded implants in mandibular molar sites within 12 months. Clin Oral Implants Res 2008; 19:335–341.
Testori T, Bianchi F, Fabbro M, Szmukler-Moncler S, Francetti L, Weinstein R. Immediate non-occlusal loading vs. early loading in partially edentulous patients. Pract Proced Aesthet Dent. 2003;15:787–94.
De Bruyn H, Christiaens V, Doornewaard R, Jacobsson M, Cosyn J, Jacquet W, et al. Implant surface roughness and patient factors on long- term peri-implant bone loss. Periodontol 2000 2017;73:218–27.
Capelli M, Esposito M, Zuffetti F, Galli F, Fabbro M, Testroi T. A 5-year report from a multicentre randomised clinical trial: immediate non-occlusal versus early loading of dental implants in partially edentulous patients. Eur J Oral Implantol. 2010;3:209–19.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Tasopoulos, T., Foskolos, PG., Kouveliotis, G., Karoussis, I. (2021). Computer-Guided Implant Dentistry. In: Stevens, M.R., Ghasemi, S., Tabrizi, R. (eds) Innovative Perspectives in Oral and Maxillofacial Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-75750-2_29
Download citation
DOI: https://doi.org/10.1007/978-3-030-75750-2_29
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-75749-6
Online ISBN: 978-3-030-75750-2
eBook Packages: MedicineMedicine (R0)