Computer-guided implant surgery: A critical review of treatment concepts

ObjectivesThe aim of the present study was to conduct a critical literature review about the treatment concepts of computer-guided surgery in implantology to highlight indication about major advantages and complications of the technique.Materials, methods and resultsThe literature review was based on Medline database from 2007 to 2012 using the key words “computer-guided implant surgery” for studies written in English. For inclusion, publications had to meet pre-established criteria. Three reviewers independently selected 42 full text articles. The publications included: 18 clinical evaluations, 10 technical notes, 8 clinical reports, and 6 reviews.ConclusionThe scientific evidence available suggests that guided placement has at least as good implant survival as conventional protocols. However several unexpected procedure-linked adverse events during guided implant placement indicate that the clinical demands on the surgeon were no less than those during conventional placement.