EAO-SEPES Joint Meeting, Madrid, Spain, 5 - 07 October 2017, pp.198314
Background: Today, placement of dental implants by performing stereolithographic guided flapless surgery become a preferable choice in dental practice based on previous clinical studies that ensure the significant advantages of guided surgery over conventional approach.
Aim: The aim of the study is revealing the effect of stereolithographic guided flapless surgery on implant success compared to manual approach by making a review of recent literatures.
Material and Methods: The effect of stereolithographic-guided flapless surgery on implant success is presented by demonstrating relevant clinical studies’ findings. For this purpose, a manual search using PubMed electronic database was performed for clinical studies which are executed by a stereolithographic surgical guide method with or without control groups of manual approach. The main parameters that indicate implant success in studies were examined under the titles of ‘implant survival’, ‘peri-implant marginal bone loss’, ‘surgical complications’, ‘postoperative short-term complications’, ‘prosthetic complications’.
Results: Implant loss is mostly observed in short-term period of healing that during surgery or osseointegration. Failures are also occurred more often in mandible, in patients with smoking habit, and with short implants usage. Majority of the
complications are consist of prosthetic complications which are observed in early healing period. The most common intraoperative surgical complicationsare misfit or fracture of surgical template and primer instability of implants. Besides, patient comfort is considerably elevated compared tomanual approach.
Conclusion and Clinical implications: If the individual and experiential factors are well assessed, stereolithographic-guided flapless surgery isas safe and successful a sa precise conventional approach. Complications seem to be related to inadequate knowledge of the computer-assisted procedures rather than the guide usage.