Uso da tecnologia digital nas cirurgias guiadas de implantes: revisão de literatura
DOI:
https://doi.org/10.34119/bjhrv9n3-086Keywords:
implantes dentários, cirurgia guiada, tecnologiaAbstract
Considerando os avanços tecnológicos aplicados à Implantodontia e a crescente busca por maior precisão na instalação de implantes dentários, destaca-se a relevância da cirurgia guiada como alternativa aos métodos convencionais. Esse estudo tem como objetivo analisar a influência das tecnologias digitais na exatidão da instalação de implantes dentários, destacando os benefícios clínicos e protéticos proporcionados pelo planejamento virtual e pelos sistemas de cirurgia guiada. Para tanto, procede-se a uma revisão integrativa da literatura, fundamentada em estudos científicos acerca da implantodontia digital, tomografia computadorizada de feixe cônico, escaneamento intraoral, softwares de planejamento e técnicas de cirurgia guiada estática e dinâmica. Desse modo, os resultados apontam que a integração dessas tecnologias favorece maior previsibilidade cirúrgica, melhor posicionamento tridimensional dos implantes, redução de desvios em relação ao planejamento inicial, além de proporcionar procedimentos menos invasivos, menor morbidade pós-operatória e melhores resultados estéticos e funcionais. Verifica-se, ainda, que a precisão final permanece diretamente atrelada a fatores como qualidade óssea, adaptação dos guias cirúrgicos e experiência profissional. Conclui-se que as tecnologias digitais representam ferramentas fundamentais para aumentar a segurança, eficiência e previsibilidade da instalação de implantes dentários, consolidando uma prática clínica mais precisa, individualizada e alinhada às demandas da implantodontia contemporânea.
References
AGHALOO, T. et al. Guided and navigation implant surgery: a systematic review. The International Journal of Oral & Maxillofacial Implants, v. 38, supl., p. 7–15, 2023. DOI: https://doi.org/10.11607/jomi.10465.
AL YAFI, F.; CAMENISCH, B.; AL-SABBAGH, M. Is digital guided implant surgery accurate and reliable? Dental Clinics of North America, v. 63, n. 3, p. 381-397, 2019. DOI: https://doi.org/10.1016/j.cden.2019.02.006.
AZEVEDO, M.; CORREIA, F.; FARIA ALMEIDA, R. Accuracy of implant guided surgery in fully edentulous patients: prediction vs. actual outcome: systematic review. Journal of Clinical Medicine, v. 13, n. 17, p. 5178, 2024. DOI: https://doi.org/10.3390/jcm13175178.
CHEN, P.; NIKOYAN, L. Guided implant surgery: a technique whose time has come. Dental Clinics of North America, v. 65, n. 1, p. 67-80, 2021. DOI: https://doi.org/10.1016/j.cden.2020.09.005.
DIBART, S. et al. Robot-assisted implant surgery: hype or hope? Journal of Stomatology, Oral and Maxillofacial Surgery, v. 124, n. 6S, p. 101612, 2023. DOI: https://doi.org/10.1016/j.jormas.2023.101612.
DIOGUARDI, M. et al. Guided dental implant surgery: systematic review. Journal of Clinical Medicine, v. 12, n. 4, p. 1490, 2023. DOI: https://doi.org/10.3390/jcm12041490.
DIPALMA, G. et al. Accuracy of the surgical template used in the placement of implants and orthodontic miniscrews. BMC Oral Health, v. 25, n. 1, p. 999, 2025. DOI: https://doi.org/10.1186/s12903-025-06328-0.
EBELING, M.; SAKKAS, A.; SCHRAMM, A.; WILDE, F.; SCHEURER, M.; WINTER, K.; PIETZKA, S. Accuracy analysis of computer-assisted and guided dental implantology by comparing 3D planning data and actual implant placement in a mandibular training model: a monocentric comparison between dental students and trained implantologists. Journal of Personalized Medicine, v. 13, n. 7, p. 1037, 2023. DOI: https://doi.org/10.3390/jpm13071037
FLÜGGE, T., KRAMER, J., NELSON, K. et al. Digital implantology—a review of virtual planning software for guided implant surgery. Part II: Prosthetic set-up and virtual implant planning. BMC Oral Health 22, 23 (2022). https://doi.org/10.1186/s12903-022-02057-w
Gehrke P, Rashidpour M, Sader R, Weigl P. A systematic review of factors impacting intraoral scanning accuracy in implant dentistry with emphasis on scan bodies. International Journal of Implant Dentistry. 2024;10(1):20. Disponível em: https://doi.org/10.1186/s40729-024-00543-0
GOYAL, L. et al. Dynamic navigation in dental implantology. Discoveries, v. 11, n. 4, p. e178, 2023. DOI: https://doi.org/10.15190/d.2023.17.
GULINELLI, J. L. et al. Computer guided surgery in the maxillary esthetic zone. Revista Gaúcha de Odontologia, v. 69, e20210033, 2021. DOI: https://doi.org/10.1590/1981-86372021003320200172.
HAUGEN, H. J.; CHEN, H. Y. Is there a better biomaterial for dental implants than titanium? A review and meta-analysis. Journal of Functional Biomaterials, v. 13, n. 2, p. 46, 2022. DOI: https://doi.org/10.3390/jfb13020046
JAIN, S. et al. Accuracy comparison between robot-assisted dental implant placement and static/dynamic computer-assisted implant surgery: a systematic review and meta-analysis of in vitro studies. Medicina (Kaunas), v. 60, n. 1, p. 11, 2023. DOI: https://doi.org/10.3390/medicina60010011.
KHAOHOEN, A. et al. Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials. BMC Oral Health, v. 24, n. 1, p. 359, 2024. DOI: https://doi.org/10.1186/s12903-024-04033-y.
KERNEN, F.; KRAMER, J.; WANNER, L.; WISMEIJER, D.; NELSON, K.; FLÜGGE, T. A review of virtual planning software for guided implant surgery: data import and visualization, drill guide design and manufacturing. BMC Oral Health, v. 20, art. 251, 2020. DOI: https://doi.org/10.1186/s12903-020-01208-1
MARQUÈS-GUASCH, J. et al. Dynamic implant surgery: an accurate alternative to stereolithographic guides: systematic review and meta-analysis. Dentistry Journal, v. 11, n. 6, p. 150, 2023. DOI: https://doi.org/10.3390/dj11060150.
PARRA-TRESSERRA, A.; MARQUÈS-GUASCH, J.; ORTEGA-MARTÍNEZ, J.; BASILIO-MONNÉ, J.; HERNÁNDEZ-ALFARO, F. Current state of dynamic surgery: a literature review. Medicina Oral Patología Oral y Cirugía Bucal, v. 26, n. 5, p. e576-e581, 2021. DOI: https://doi.org/10.4317/medoral.24566
PIMKHAOKHAM, A. et al. Can computer-assisted implant surgery improve clinical outcomes and reduce the frequency and intensity of complications in implant dentistry? A critical review. Periodontology 2000, v. 90, n. 1, p. 197-223, 2022. DOI: https://doi.org/10.1111/prd.12458.
PUTRA, R. H. et al. The accuracy of implant placement with computer-guided surgery in partially edentulous patients and possible influencing factors: a systematic review and meta-analysis. Journal of Prosthodontic Research, v. 66, n. 1, p. 29–39, 2022. DOI: https://doi.org/10.2186/jpr.JPR_D_20_00184
ROMANDINI, M. et al. Minimal invasiveness at dental implant placement: a systematic review with meta-analyses on flapless fully guided surgery. Periodontology 2000, v. 91, n. 1, p. 89-112, 2023. DOI: https://doi.org/10.1111/prd.12440.
SALVIANO, S. H. et al. Digital planning for immediate implants in anterior esthetic area: immediate result and follow-up after 3 years of clinical outcome: case report. Dentistry Journal, v. 11, n. 1, p. 15, 2023. DOI: https://doi.org/10.3390/dj11010015.
SITTIKORNPAIBOON, P. et al. Comparison of the accuracy of implant placement using different drilling systems for static computer-assisted implant surgery: a simulation-based experimental study. Clinical Implant Dentistry and Related Research, v. 23, n. 4, p. 635-643, 2021. DOI: https://doi.org/10.1111/cid.13032.
YOU, M. M.; ZHANG, Z. H. Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese Journal of Stomatology, v. 59, n. 11, p. 1149–1154, 2024. DOI: https://doi.org/10.3760/cma.j.cn112144-20240405-00135
