Freehand versus computer-guided implant placement: early implant failures in a case-control study

Quintessence Int. 2024 Aug 30;55(7):548-558. doi: 10.3290/j.qi.b5414733.

Abstract

Objective: To evaluate the survival of fully guided implants placed with a hollow tooth-supported computerized surgical guide (TSSG).

Method and materials: This retrospective study included 94 patients who underwent implant placement using freehand or TSSG by the same operator between 2015 and 2020. Early implant failures occurring within 1-year post-rehabilitation were assessed.

Results: In the study, two types of implants were placed using two different techniques: TSSG and freehand. The TSSG group consisted of 84 S implants and 100 LP implants, and the freehand group included 90 S implants and 94 LP implants. The results showed that more implants survived when placed freehand compared to TSSG (181 [98.4%] vs 172 [93.5%], respectively, P .05). The only significant factor affecting the success rate was the type of implant, with LP implants having a higher survival rate in the TSSG group (P .05).

Conclusion: Surgeons should consider the impact of implant type on survival rates when utilizing the TSSG system.

Keywords: computer-guided implant placement; dental implant; freehand placement; smoking; survival rate.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Case-Control Studies
  • Dental Implantation, Endosseous* / methods
  • Dental Implants
  • Dental Restoration Failure*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Retrospective Studies
  • Surgery, Computer-Assisted* / methods

Substances

  • Dental Implants