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Comparing Medium to Long‐Term Esthetic, Clinical, and Patient‐Reported Outcomes Between Freehand and Computer‐Assisted Dental Implant Placement: A Cross‐Sectional Study

Year: 2024

Type: article

Abstract: OBJECTIVE: The aim of the study was to compare medium to long-term clinical and patient-reported outcomes between implants placed with computer-assisted implant surgery (CAIS) and freehand protocols. MATERIALS AND METHODS: Thirty dental implants in the anterior maxillary region with an average of 4 years after loading were assessed by means of Pink Esthetic Scores (PESs), marginal bone level (MBL), and clinical and patient-reported outcomes. RESULTS: CAIS significantly outperformed freehand placement with regard to PES scores (p = 0.011). Likewise, implants placed with CAIS showed significantly higher MBLs (p < 0.001). Bleeding on probing, probing depth, and prevalence of mucositis did not differ between the groups, while no peri-implantitis was diagnosed. CONCLUSIONS: The use of CAIS leads to superior outcomes in terms of esthetics and MBLs for implants placed in the esthetic zone as observed in medium to long-term follow-up. No difference was however observed with regard to peri-implant mucosa inflammation. CLINICAL SIGNIFICANCE: This article highlights the outcome of computer-assisted implant surgery in achieving higher esthetic, MBL, and esthetic satisfaction compared to freehand implant placement. THAI CLINICAL TRIAL REGISTRY: TCTR20240422015.

Source: Journal of Esthetic and Restorative Dentistry

DOI: 10.1111/jerd.13345

Authors: Sun Heng, Sirida Arunjaroensuk, Alessandro Pozzi, Napat Damrongsirirat, Atiphan Pimkhaokham, Nikos Mattheos

Institutions: Chulalongkorn University, Harvard University, Augusta University, Karolinska Institutet

Language: English

Topic: Dental Implant Techniques and Outcomes

Subfield: Oral Surgery

Field: Dentistry

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,840