Precisão da posição do implante dentário em cirurgias total e parcialmente guiadas por fluxo de trabalho digital: Uma revisão sistemática e meta-análise de estudos clínicos randomizados.

Abstract

Santos VN. Precision of dental implant position in surgeries totally and partially guided by digital workflow: a systematic review and meta-analysis of randomized clinical trials. Campo Grande 2025. [Undergraduate Thesis – Federal University of Mato Grosso do Sul]. Objective. To compare the precision of dental implant position in surgeries totally guided with those partially guided by digital workflow, through randomized clinical trials. Materials and Methods. The systematic review and meta-analysis was performed following the PRISMA guidelines and registered in PROSPERO (CRD1062904.ID). The PICO question formulated was: “Do surgeries fully guided by digital workflow present greater dental implant precision when compared with partially guided surgeries?”. Searches were performed in the PubMed/MEDLINE, Embase, Web of Science, and Cochrane Library databases in April 2025. The RoB 2.0 tool was used to analyze the risk of bias of the included studies. A meta-analysis. A meta-analysis was performed based on the inverse variance (IV) method, considering continuous outcomes, assessed by mean difference (MD) and with a 95% confidence interval (CI) (α=0.05) using the Reviewer Manager 5.4 software program; Cochrane Group. Results. The results of the initial electronic search identified a total of 981 articles. A total of 8 randomized clinical trials were included, published from 2018 to 2024, with a total of 268 patients, 397 implants, with 132 patients undergoing partially guided surgery and 136 patients undergoing fully guided surgery. Seven studies were included in the meta-analysis, which showed significantly less deviation when using the fully guided surgical technique in the analyses of angular deviation (P = 0.02; MD: -1.50; 95% CI: -2.72 to -0.27; I2 = 87%, P < 0.001), cervical deviation (P < 0.001; MD: -0.33; 95% CI: -0.40 to -0.26; I2 = 39%, P = 0.13) and apical deviation (P < 0.001; MD: -0.46; 95% CI: -0.56 to -0.35; I2 = 42%, P = 0.11). Conclusion. It is concluded that the use of the fully guided surgical guide is the most precise in relation to implant positioning when compared to other existing techniques. Keywords: Dental implants, Implant-supported fixed dental prosthesis, Cone-beam computed tomography, Computer-aided design.