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  • Review
  • Open Access
1,404 Views
24 Pages

Guided Versus Freehand Dental Implant Placement: Where We Stand? A Narrative Review Based on a Systematic Literature Search

  • Hamzah Shabana,
  • Lobo Markovic,
  • Roberto Di Felice,
  • Tommaso Lombardi and
  • Alexandre Perez

19 May 2026

Dental implant placement has evolved from conventional freehand techniques toward digitally guided workflows integrating cone-beam computed tomography (CBCT), computer-aided design/computer-aided manufacturing (CAD/CAM), and dynamic navigation system...

(This article belongs to the Special Issue Innovative Techniques and Materials in Implant Dentistry)
  • Article
  • Open Access
914 Views
16 Pages

16 June 2026

Objective: The purpose of these two clinical cases reports was to present the variations in the surgical and prosthetic procedures related to an implant-supported fixed dental prosthesis (FDP) in the edentulous maxilla, following a fully guided impla...

(This article belongs to the Special Issue Innovations and Challenges in Dental Implantology: Clinical Practice and Beyond)
  • Article
  • Open Access
16 Citations
4,102 Views
8 Pages

27 May 2022

Background: Implant rehabilitation in cases of monoedentulism in the esthetic area is a challenge for the clinician. The aim of our study was to test the diagnostic–therapeutic accuracy of computer-guided implant placement in the esthetic area....

(This article belongs to the Special Issue Advanced Dental Materials and Appliances)
  • Technical Note
  • Open Access
8 Citations
703 Views
9 Pages

In-Office Guided Implant Placement for Prosthetically Driven Implant Surgery

  • Daryoush Karami,
  • Hamid Reza Alborzinia,
  • Reza Amid,
  • Mahdi Kadkhodazadeh,
  • Navid Yousefi and
  • Sarina Badakhshan

Application of surgical stents for implant placement via guided flapless surgery is increasing. However, high cost, need for some professional machines, and not taking into account the soft-tissue parameters have limited their application. We sought...

  • Article
  • Open Access
22 Citations
5,443 Views
11 Pages

Three-Dimensional Guided Zygomatic Implant Placement after Maxillectomy

  • Nathalie Vosselman,
  • Haye H. Glas,
  • Bram J. Merema,
  • Joep Kraeima,
  • Harry Reintsema,
  • Gerry M. Raghoebar,
  • Max J. H. Witjes and
  • Sebastiaan A. H. J. de Visscher

6 April 2022

Zygomatic implants are used in patients with maxillary defects to improve the retention and stability of obturator prostheses, thereby securing good oral function. Prosthetic-driven placement of zygomatic implants is even difficult for experienced su...

  • Article
  • Open Access
16 Citations
4,432 Views
14 Pages

11 April 2021

This study evaluated the internal fit and the accuracy of the implant placement position in order to determine how the surface shape of the tooth and the offset influence the accuracy of the surgical guide. The acquired digital data were analyzed in...

(This article belongs to the Special Issue Applications of 3D Printing for Polymers)
  • Systematic Review
  • Open Access
17 Citations
7,846 Views
14 Pages

26 September 2022

Implant therapy is currently the treatment of choice for the replacement of missing teeth. Correct implant positioning is of vital importance. To this end, radiographic techniques providing 3D information and guided surgery techniques, both static an...

(This article belongs to the Collection Oral Implantology: Current Aspects and Future Perspectives)
  • Article
  • Open Access
7 Citations
3,048 Views
17 Pages

6 December 2025

Background/Objectives: The accurate and prosthetically driven placement of dental implants is crucial for long-term clinical success. While computer-aided static navigation enhances precision, the comparative accuracy of different surgical guide supp...

(This article belongs to the Special Issue Oral and Maxillofacial Surgery: Current Advances and Future Directions)
  • Review
  • Open Access
47 Citations
10,237 Views
12 Pages

7 January 2019

The purpose of this review is to examine various assessment methods in order to compare the accuracy between the virtually planned and clinically achieved implant positions. In this review, comparison methods using pre- and post-operative computed to...

(This article belongs to the Special Issue The Future of Artificial Intelligence in Clinical Medicine)
  • Review
  • Open Access
2,130 Views
14 Pages

13 September 2025

Computer-assisted implant surgery (CAIS) using 3D-printed surgical templates has become a preferred approach for improving implant placement accuracy. Despite its clinical advantages over conventional freehand techniques, CAIS remains limited by the...

(This article belongs to the Section Additive Manufacturing Technologies)
  • Article
  • Open Access
30 Citations
7,165 Views
10 Pages

29 January 2021

The present study aims to compare the accuracy of metal sleeve-free 3D-printed computer-assisted implant surgical guides (MSF group) (n = 10) with metal sleeve-incorporated 3D-printed computer-assisted implant surgical guides (MSI group) (n = 10). Im...

(This article belongs to the Special Issue 3D-Printed Dental Materials)
  • Article
  • Open Access
1,364 Views
11 Pages

12 July 2025

Partially guided implant surgery has emerged as a technique that enhances the precision of implant placement while maintaining surgical flexibility. This in vitro experimental study evaluated the influence of the milling cutter drill on the angular a...

(This article belongs to the Special Issue Advances in Oral Rehabilitation: Materials, Techniques and Clinical Applications: 2nd Edition)
  • Article
  • Open Access
1 Citations
840 Views
14 Pages

A Segmentation-Assisted Three-Dimensional Planning Workflow for Static-Guided Pterygoid Implant Placement: A Proof-of-Concept Report

  • Andra Patricia David,
  • Silviu Brad,
  • Laura-Cristina Rusu,
  • Ovidiu Tiberiu David,
  • Andra Ardelean and
  • Marius Traian Leretter

14 April 2026

Background/Objectives: Pterygoid implant placement represents a valuable alternative to conventional bone grafting procedures in the rehabilitation of the atrophic posterior maxilla; however, the procedure remains technically demanding because of lim...

(This article belongs to the Section Dentistry, Oral Surgery and Oral Medicine)
  • Article
  • Open Access
21 Citations
7,443 Views
11 Pages

3D Guided Dental Implant Placement: Impact on Surgical Accuracy and Collateral Damage to the Inferior Alveolar Nerve

  • Amit Mistry,
  • Cemal Ucer,
  • John D. Thompson,
  • Rabia Sannam Khan,
  • Emina Karahmet and
  • Farooq Sher

2 September 2021

An increase in the number of implants placed has led to a corresponding increase in the number of complications reported. The complications can vary from restorative complications due to poor placement to damage to collateral structures such as nerve...

  • Article
  • Open Access
4 Citations
1,772 Views
13 Pages

14 January 2026

Background/Objectives: Precise implant positioning is critical for successful prosthetic rehabilitation, particularly in completely edentulous patients where anatomical landmarks are lost. The aim of this study was to assess the accuracy of implant p...

(This article belongs to the Section Dentistry, Oral Surgery and Oral Medicine)
  • Article
  • Open Access
13 Citations
5,126 Views
16 Pages

11 April 2019

Limited evidence is available comparing the differences between pre-operative and post-operative 3D implant positions from the viewpoint of prosthetics. We aimed to investigate the differences between preplanned positions of virtual provisional resto...

(This article belongs to the Special Issue Implant Dentistry—Trends, Challenges and Innovations)
  • Article
  • Open Access
360 Views
22 Pages

Novel Reverse Zygomatic Implant Approach: Expanded Cadaveric Validation, Surgical Accuracy, and Comparison of Orbital Access Routes—Part 2

  • Ada Ferrer-Fuertes,
  • Francisco Javier Cuesta-González,
  • Ramón Sieira-Gil,
  • Samir Aboul-Hosn-Centenero,
  • Eloy García-Díez,
  • Alberto Prats-Galino,
  • Laura Pozuelo-Arquimbau,
  • Pau Rodriguez-Berart,
  • Irene Vila-Masana and
  • Carles Marti-Pagés

27 September 2026

Background: Conventional zygomatic implant placement may be technically impossible in patients with severe trismus or extensive post-maxillectomy defects because adequate intraoral access is required. This study evaluated the feasibility, accuracy, a...

  • Technical Note
  • Open Access
3 Citations
3 Pages

Guided implant dentistry using computed tomographic (CT) scans, virtual planning software and mucosa-supported surgical templates is an upcoming technology with the potential for more predictable and less invasive implant placement. While generally a...

  • Article
  • Open Access
260 Views
23 Pages

Finite Element Analysis of the Load-Bearing Components of a Stackable Surgical Guide System During Flapless Implant Osteotomy in a Fully Edentulous Maxilla

  • Ionut Gabriel Ghionea,
  • Corina Marilena Cristache,
  • Stefan Cristian Dumitru,
  • Cristian Ioan Tarba,
  • Oana Elena Burlacu Vatamanu and
  • Irina Adriana Beuran

25 September 2026

Stackable surgical templates enable flapless, prosthetically driven implant placement and immediate provisionalization in full-arch rehabilitation; however, intraoperative guide fracture remains a recognized complication, and the biomechanical behavi...

(This article belongs to the Special Issue Advanced Materials for Dentistry and Maxillofacial Prosthodontics: From Biocompatibility to Biomimetic Design and Implant Surface Bioengineering)
  • Article
  • Open Access
537 Views
19 Pages

28 March 2026

Numerous studies have demonstrated that tooth-supported dental guides improve the accuracy of implant placement. However, current manufacturing procedures and available materials are not yet optimal and may still lead to deviations from the planned i...

(This article belongs to the Special Issue Dental Biomaterials and Implants: Latest Advances and Prospects)
  • Article
  • Open Access
2 Citations
5,942 Views
11 Pages

2 March 2020

The replacement of an unrestorable tooth with a single implant-supported prosthesis is a treatment with predictable and successful outcomes. The anterior maxilla region is a complicated site for such treatment, due to its esthetic, functional, and ph...

(This article belongs to the Special Issue Application of CAD/CAM and 3D Printing Technologies in Dentistry)
  • Article
  • Open Access
23 Citations
5,693 Views
12 Pages

17 December 2020

The aim of our randomized clinical study was to analyze the influence of surgical experience and bone density on the accuracy of static computer-assisted implant surgery (CAIS) in edentulous jaws using a mucosa-supported surgical template with a half...

(This article belongs to the Special Issue Advanced Dental Implants and Prosthodontics Protocols and Materials: Simulation, Modeling, and Experimental Studies)
  • Article
  • Open Access
23 Citations
6,408 Views
12 Pages

Clinical and Radiological Outcomes for Guided Implant Placement in Sites Preserved with Bioactive Glass Bone Graft after Tooth Extraction: A Controlled Clinical Trial

  • Priyanka Baskaran,
  • P.S.G. Prakash,
  • Devapriya Appukuttan,
  • Maryam H. Mugri,
  • Mohammed Sayed,
  • Sangeetha Subramanian,
  • Mohammed Hussain Dafer Al Wadei,
  • Zeeshan Heera Ahmed,
  • Harisha Dewan and
  • Shankargouda Patil
  • + 5 authors

The goal of the study was to evaluate marginal bone loss (MBL) after 1-year implant placement using a guided implant surgical (GIS) protocol in grafted sockets compared to non-grafted sites. We followed a parallel study design with patients divided i...

  • Article
  • Open Access
8 Citations
3,726 Views
15 Pages

30 June 2023

(1) Although the accuracy of static computer-aided implant surgery (sCAIP) is well reported, information on its long-term effect on peri-implant health and complications is scarce. (2) Twenty-six patients initially treated were recalled. Implant surv...

(This article belongs to the Special Issue Clinical Advances in Osseointegrated Oral Implants)
  • Article
  • Open Access
26 Citations
7,238 Views
10 Pages

Effect of Simultaneous Immediate Implant Placement and Guided Bone Reconstruction with Ultra-Fine Titanium Mesh Membranes on Radiographic and Clinical Parameters after 18 Months of Loading

  • Marco Tallarico,
  • Francesco Mattia Ceruso,
  • Leonardo Muzzi,
  • Silvio Mario Meloni,
  • Yong-Jin Kim,
  • Marco Gargari and
  • Matteo Martinolli

26 May 2019

Background: The aim of the present prospective case series study was to evaluate the implant and prosthetic survival rates, complications and marginal bone loss using ultra-fine titanium mesh membrane with simultaneous implant placement, to provide s...

(This article belongs to the Special Issue Dental Implants and Materials)
  • Review
  • Open Access
2 Citations
8,095 Views
10 Pages

Hot Topics in Clinical Oral Implants Research: Recent Trends in Literature Coverage

  • Vesela Valkova,
  • Ceeneena Ubaidha Maheen,
  • Bernhard Pommer,
  • Xiaohui Rausch-Fan and
  • Rudolf Seeman

24 May 2016

This systematic review looks at thematic trends in clinical research publications on dental implants. For this purpose, MEDLINE electronic searches as well as additional hand searches of six main journals in the field were conducted. A total of 2875...

(This article belongs to the Special Issue Advances in Implant Dentistry)
  • Case Report
  • Open Access
4 Citations
4,403 Views
13 Pages

Computer-Guided Osteotomy with Simultaneous Implant Placement and Immediately Loaded Full-Arch Fixed Restoration: A Case Report

  • Claudia Todaro,
  • Michael Cerri,
  • Gaetano Isola,
  • Andrea Manazza,
  • Stefano Storelli,
  • Ruggero Rodriguez y Baena and
  • Saturnino Marco Lupi

9 February 2023

Aim: This case report aims to illustrate a clinical protocol that allows for the rehabilitation of patients requiring extensive osteotomy, simultaneous implant placement, and full-arch, screwed-in prosthetics in one session. This protocol allows for...

(This article belongs to the Collection Oral Implantology: Current Aspects and Future Perspectives)
  • Case Report
  • Open Access
1,213 Views
11 Pages

13 November 2025

Background/Objectives: Immediate implant placement in the esthetic zone can shorten treatment time but maintaining peri-implant soft tissue stability is challenging. Conventional multi-stage workflows require multiple visits and may disturb peri-impl...

(This article belongs to the Special Issue Current Trends in Implant Dentistry)
  • Article
  • Open Access
6 Citations
4,042 Views
16 Pages

17 November 2024

Background/Objectives: The primary aim of this retrospective clinical study was to assess the success and bone gain achieved by using the Fibrinogen-Induced Regeneration Sealing Technique (F.I.R.S.T.) in different indications. Methods: In this single...

(This article belongs to the Section Dentistry, Oral Surgery and Oral Medicine)
  • Article
  • Open Access
5 Citations
2,352 Views
16 Pages

24 June 2023

The aim of this study was to investigate how precisely implantation can be realized by participants on a phantom head according to preliminary planning. Of particular interest here was the influence of participants’ previous knowledge and surgi...

(This article belongs to the Special Issue Computer Assisted Maxillo-Facial Surgery)
  • Review
  • Open Access
28 Citations
9,518 Views
16 Pages

Variety of Surgical Guides and Protocols for Bone Reduction Prior to Implant Placement: A Narrative Review

  • Eitan Mijiritsky,
  • Hadar Ben Zaken,
  • Maayan Shacham,
  • Ihsan Caglar Cinar,
  • Cem Tore,
  • Katalin Nagy and
  • Scott D. Ganz

Edentulism and terminal dentition are still considered significant problems in the dental field, posing a great challenge for surgical and restorative solutions especially with immediate loading protocols. When the implant placement is planned immedi...

(This article belongs to the Section Oral Health)
  • Systematic Review
  • Open Access
17 Citations
8,943 Views
11 Pages

Accuracy of Implant Placement Using Digital Prosthetically-Derived Surgical Guides: A Systematic Review

  • Cristian Abad-Coronel,
  • Stefan Vandeweghe,
  • María Dolores Vela Cervantes,
  • María José Tobar Lara,
  • Nancy Mena Córdova and
  • Paulina Aliaga

22 August 2024

Dental implant placement is crucial in oral rehabilitation, requiring precision for successful outcomes. Digital technologies, including surgical guides, enhance predictability and efficiency in implant procedures. However, their impact on implant po...

(This article belongs to the Special Issue Advances in Dental Implants)
  • Case Report
  • Open Access
1 Citations
3,097 Views
9 Pages

Guided Biopsy of a Radiopaque Lesion Simultaneous with Dental Implants’ Placement: A Multidisciplinary Approach

  • Diana Parise,
  • Federica Sartorato,
  • Enrico Fabris,
  • Andrea Scarpa,
  • Tiziano Baesso,
  • Luca Sbricoli,
  • Omnia Abdelwahab,
  • Marny Fedrigo and
  • Christian Bacci

11 October 2022

Background: New technologies and techniques allow us to offer better solutions for patients’ needs. Specifically, guided surgery is usually flapless, and the resulting prosthetic rehabilitation often includes immediate loading. Thus, bleeding r...

(This article belongs to the Special Issue Oral and Maxillofacial Surgery: Balance Between Innovative and Proven Procedures, Drugs and Materials)
  • Article
  • Open Access
9 Citations
5,539 Views
8 Pages

16 August 2019

Compared to traditional implant surgical guides, computer-assisted implant surgical guides can be considered for positioning implants in the final prosthesis. These computer-assisted implant surgical guides can be easily fabricated with personal 3D p...

(This article belongs to the Special Issue Application of CAD/CAM and 3D Printing Technologies in Dentistry)
  • Article
  • Open Access
21 Citations
5,235 Views
12 Pages

4 May 2023

The aim of the study was to evaluate the accuracy of zygomatic implant placement using customized bone-supported laser-sintered titanium templates. Pre-surgical computed tomography (CT) scans allowed to develop the ideal virtual planning for each pat...

(This article belongs to the Special Issue Oral Implantology and Rehabilitation)
  • Article
  • Open Access
557 Views
16 Pages

1 July 2026

Background/Objectives: To evaluate the clinical feasibility and short-term radiographic outcomes of adapting a prosthesis-based guide system originally developed for single-implant placement for multi-implant placement in the edentulous maxilla, and...

(This article belongs to the Section Dental Implantology)
  • Article
  • Open Access
19 Citations
6,975 Views
11 Pages

Accuracy of Mini-Implant Placement Using a Computer-Aided Designed Surgical Guide, with Information of Intraoral Scan and the Use of a Cone-Beam CT

  • Georgios Vasoglou,
  • Ioanna Stefanidaki,
  • Konstantinos Apostolopoulos,
  • Evmorfia Fotakidou and
  • Michail Vasoglou

8 June 2022

Background: The purpose of the study was to investigate the accuracy of mini-implant placement with the use of a computer designed surgical guide derived by intraoral scanning alongside Cone-Beam Computed Tomography (CBCT) or the use of a 2D radiogra...

(This article belongs to the Section Digital Technologies)
  • Article
  • Open Access
23 Citations
4,299 Views
12 Pages

23 December 2020

Computer-aided implantology has developed rapidly in recent years, this study aimed to compare the accuracy of guided-surgery between anterior immediate and delayed implantation, and simultaneously assess the effect of full-guided and half-guided tem...

(This article belongs to the Special Issue Novel Biomaterials and Technology for Dental Clinical Applications)
  • Case Report
  • Open Access
1,964 Views
17 Pages

24 December 2025

Background and Clinical Significance: This case presents immediate implant placement combined with PRF (A-PRF+) and a photogrammetry-based workflow, illustrating predictable full-arch implant-supported rehabilitation. Case Presentation: Main clinical...

  • Article
  • Open Access
203 Views
12 Pages

28 September 2026

Background and Objectives: Total implantable venous access port (TIVAP) placement is a frequently performed but potentially painful procedure in oncology patients. This study aimed to compare the analgesic effectiveness, sedation requirements, and pa...

  • Article
  • Open Access
1 Citations
1,605 Views
14 Pages

27 December 2025

Purpose: The objective of this study was to evaluate and compare the precision of dental implant placements using augmented reality (AR)-iPhone (Apple, Cupertino, CA, USA) navigation technology versus conventional 3D-printed surgical guides. The accu...

(This article belongs to the Special Issue Oral and Maxillofacial Surgery: Current Advances and Future Directions)
  • Article
  • Open Access
21 Citations
4,079 Views
13 Pages

The Effect of Sterilization on the Accuracy and Fit of 3D-Printed Surgical Guides

  • Christine Yazigi,
  • M. Sad Chaar,
  • Reinhard Busch and
  • Matthias Kern

28 July 2023

This study was conducted to evaluate the accuracy of 3D-printed surgical guides before and after sterilization in a steam sterilizer. A test-model incorporating three implant replicas was customized. A total of forty guides were printed from five pri...

(This article belongs to the Special Issue Advanced Materials and Techniques in Oral Health Rehabilitation with Dental Implants)
  • Article
  • Open Access
1 Citations
2,004 Views
14 Pages

28 March 2025

Background and Objectives: Static Computer-Assisted Implant Surgery (sCAIS) can be performed with different drill guiding systems. This study aimed to compare the accuracy of two guiding concepts of sCAIS in partially edentulous cases. Materials and ...

(This article belongs to the Section Dentistry and Oral Health)
  • Article
  • Open Access
30 Citations
4,793 Views
14 Pages

21 May 2022

Three-dimensional printed surgical guides increase the precision of orthodontic mini-implant placement. The purpose of this research was to investigate the effects of disinfection and of two types of autoclave sterilization on the mechanical properti...

(This article belongs to the Special Issue High-Performance 3D Printing Polymers)
  • Brief Report
  • Open Access
20 Citations
4,449 Views
13 Pages

Immediate vs. Delayed Placement of Immediately Provisionalized Self-Tapping Implants: A Non-Randomized Controlled Clinical Trial with 1 Year of Follow-Up

  • Paolo Carosi,
  • Claudia Lorenzi,
  • Riccardo Di Gianfilippo,
  • Piero Papi,
  • Andrea Laureti,
  • Hom-Lay Wang and
  • Claudio Arcuri

6 January 2023

This study aimed to examine the clinical and esthetic outcomes of immediately provisionalized self-tapping implants placed in extraction sockets or healed edentulous ridges one year after treatment. Sixty patients in need of a single implant-supporte...

(This article belongs to the Special Issue Current Trends and Future Directions in Prosthetic and Implant Dentistry in the Digital Era, 2nd Edition)
  • Article
  • Open Access
10 Citations
3,986 Views
13 Pages

19 July 2021

Background: This in vitro study mainly aimed to compare VARO Guide® to the surgical guide fabricated by CAD/CAM (NAVI Guide®) in terms of accuracy and efficacy of the implant surgery held in the dentiform model. Methods: Twenty surgeons, 10 dentists...

(This article belongs to the Special Issue Biomaterials for Medical and Dental Application)
  • Article
  • Open Access
9 Citations
3,368 Views
17 Pages

17 August 2021

The accuracy of implant placement with a fully guided digital template can be influenced by many factors, such as arch difference, alveolar bone density, timing of implant placement and open flap. The purpose of this article was to evaluate the facto...

(This article belongs to the Special Issue Novel Biomaterials and Technology for Dental Clinical Applications)
  • Article
  • Open Access
3 Citations
4,811 Views
14 Pages

13 March 2020

The aim of this study is to compare the implant placement deviations and evaluate the 1-year post-implant placement bone loss of pilot and fully guided implant placement protocols. In the first method, the pilot drill is used for guide surgery, and t...

(This article belongs to the Special Issue Application of CAD/CAM and 3D Printing Technologies in Dentistry)
  • Case Report
  • Open Access
1,021 Views
14 Pages

Implant Navigation During TMJ Reconstruction: A Proof-of-Concept Study

  • Lauren C. M. Bulthuis,
  • Jean-Pierre T. F. Ho,
  • Petra C. M. Zuurbier,
  • Michail Koutris,
  • Ruud Schreurs and
  • Jan de Lange

18 February 2026

Background/Objectives: One key objective in temporomandibular joint replacement is to precisely position the implant according to the virtual surgical plan, utilizing drilling and osteotomy guides for accuracy. However, implementing this process can...

(This article belongs to the Section Personalized Therapy in Clinical Medicine)
  • Article
  • Open Access
1,007 Views
12 Pages

10 December 2025

Background/Objectives: To determine the optimal site preparation and placement protocols for immediate implant positioning in robot-assisted surgeries. Methods: In vitro models of immediate and healed extraction sockets were created using 3D printing...

(This article belongs to the Special Issue Digital Implantology in Dentistry)

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