Volume 6, Issue 2 (Journal of Research in Dental & Maxillofacial Sciences Spring 2021)                   J Res Dent Maxillofac Sci 2021, 6(2): 51-62 | Back to browse issues page

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Aghayan S, Rokhshad R. The Art of Using Computer-Assisted Navigation Systems in Guided Implant Surgery: A Review. J Res Dent Maxillofac Sci. 2021; 6 (2) :51-62
URL: http://jrdms.dentaliau.ac.ir/article-1-306-en.html
1- periodontology Dept, faculty of dentistry, Tehran Medical Science, Islamic Azad University, Tehran, Iran
2- periodontology Dept, faculty of dentistry, Tehran Medical Science, Islamic Azad University, Tehran, Iran , rat_shad@yahoo.com
Abstract:   (875 Views)
Background and Aim: Computer-aided design/computer-aided manufacturing (CAD/CAM) has been widely used in implant dentistry. Recent computer-guided dynamic navigation systems promise an accurate approach to minimally invasive implant placement. Robot-assisted surgery has been used in dentistry since 2017. The present study aims to review the properties, clinical outcomes, advantages, and limitations of navigation, robotics, and CAD/CAM in implant placement surgery.
Materials and Methods: An electronic search of the literature was conducted mainly through PubMed, ScienceDirect, Cochrane Library, and Google Scholar databases. Studies in the English language were considered for inclusion if they evaluated robotics, CAD/CAM, and navigation in implant placement. Finally, 21 articles were selected.
Results: Guided implant surgery is assumed accurate, precise, and reliable; it also has a lower complication rate compared to freehanded implant surgery. Surgical guides could be indicated for patients with limited mouth opening, tight interdental spaces, a strong gag reflex, and distal implants. Several studies have reported that computer-assisted surgery improves the accuracy of implant placement. Expensive equipment, high costs, and gaps between the guides and drill bite are the disadvantages of digital implant placement.
Conclusion: Computer-aided implant navigation systems can improve implant placement outcomes. Digital procedures have shown accurate outcomes in implant surgery. Despite the advantages of guided surgery, deviation of implant position from the planned position still occurs. However, improvements in digital dentistry are slowly overcoming these challenges.
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Type of Study: Review article | Subject: Dental implant

1. Giordano R. Materials for chairside CAD/CAM-produced restorations. J Am Dent Assoc. 2006 Sep;137 Suppl:14S-21S.. [DOI:10.14219/jada.archive.2006.0397] [PMID]
2. Spitznagel FA, Boldt J, Gierthmuehlen PC. CAD/CAM Ceramic Restorative Materials for Natural Teeth. J Dent Res. 2018 Sep;97(10):1082-91. [DOI:10.1177/0022034518779759] [PMID]
3. Zaruba M, Mehl A. Chairside systems: a current review. Int J Comput Dent. 2017;20(2):123-49.
4. Fasbinder DJ, Neiva GF, Heys D, Heys R. Clinical evaluation of chairside Computer Assisted Design/Computer Assisted Machining nano-ceramic restorations: Five-year status. J Esthet Restor Dent. 2020 Mar;32(2):193-203. [DOI:10.1111/jerd.12516] [PMID]
5. Belli R, Wendler M, de Ligny D, Cicconi MR, Petschelt A, Peterlik H, Lohbauer U. Chairside CAD/CAM materials. Part 1: Measurement of elastic constants and microstructural characterization. Dent Mater. 2017 Jan;33(1):84-98. [DOI:10.1016/j.dental.2016.10.009] [PMID]
6. Furtado de Mendonca A, Shahmoradi M, Gouvêa CVD, De Souza GM, Ellakwa A. Microstructural and Mechanical Characterization of CAD/CAM Materials for Monolithic Dental Restorations. J Prosthodont. 2019 Feb;28(2):e587-e594. [DOI:10.1111/jopr.12964] [PMID]
7. Al-Harbi FA, Ayad NM, ArRejaie AS, Bahgat HA, Baba NZ. Effect of Aging Regimens on Resin Nanoceramic Chairside CAD/CAM Material. J Prosthodont. 2017 Jul;26(5):432-9. [DOI:10.1111/jopr.12408] [PMID]
8. Li RW, Chow TW, Matinlinna JP. Ceramic dental biomaterials and CAD/CAM technology: state of the art. J Prosthodont Res. 2014 Oct;58(4):208-16. [DOI:10.1016/j.jpor.2014.07.003] [PMID]
9. Yin R, Kim YK, Jang YS, Lee JJ, Lee MH, Bae TS. Comparative evaluation of the mechanical properties of CAD/CAM dental blocks. Odontology. 2019 Jul;107(3):360-7. [DOI:10.1007/s10266-018-0407-9] [PMID]
10. Ahn JJ, Bae EB, Lee WS, Cho WT, Huh JB. Comparison of clinical fit of three unit zirconia fixed prostheses fabricated using chairside and labside CAD/CAM systems. J Dent Sci. 2020 Jun;15(2):239-42. [DOI:10.1016/j.jds.2020.01.005] [PMID] [PMCID]
11. Blatz MB, Conejo J. The Current State of Chairside Digital Dentistry and Materials. Dent Clin North Am. 2019 Apr;63(2):175-97. [DOI:10.1016/j.cden.2018.11.002] [PMID]
12. Wendler M, Belli R, Petschelt A, Mevec D, Harrer W, Lube T, Danzer R, Lohbauer U. Chairside CAD/CAM materials. Part 2: Flexural strength testing. Dent Mater. 2017 Jan;33(1):99-109. [DOI:10.1016/j.dental.2016.10.008] [PMID]
13. Facenda JC, Borba M, Corazza PH. A literature review on the new polymer-infiltrated ceramic-network material (PICN). J Esthet Restor Dent. 2018 Jul;30(4):281-6. [DOI:10.1111/jerd.12370] [PMID]
14. Lambert H, Durand JC, Jacquot B, Fages M. Dental biomaterials for chairside CAD/CAM: State of the art. J Adv Prosthodont. 2017 Dec:9(6):486-95. [DOI:10.4047/jap.2017.9.6.486] [PMID] [PMCID]
15. Chavali R, Nejat AH, Lawson NC. Machinability of CAD-CAM materials. J Prosthet Dent. 2017 Aug;118(2):194-9. [DOI:10.1016/j.prosdent.2016.09.022] [PMID]
16. Awada A, Nathanson D. Mechanical properties of resin-ceramic CAD/CAM restorative materials. J Prosthet Dent. 2015 Oct;114(4):587-93. [DOI:10.1016/j.prosdent.2015.04.016] [PMID]
17. Yamaguchi S, Inoue S, Sakai T, Abe T, Kitagawa H, Imazato S. Multi-scale analysis of the effect of nano-filler particle diameter on the physical properties of CAD/CAM composite resin blocks. J Comput Biomech Biomed Engin. 2017 Feb;20(7):714-9. [DOI:10.1080/10255842.2017.1293664] [PMID]
18. Chen C, Trindade FZ, de Jager N, Kleverlaan CJ, Feilzer AJ. The fracture resistance of a CAD/CAM Resin Nano Ceramic (RNC) and a CAD ceramic at different thicknesses. Dent Mater. 2014 Sep;30(9):954-62. [DOI:10.1016/j.dental.2014.05.018] [PMID]
19. El Ghoul W, Özcan M, Silwadi M, Salameh Z. Fracture resistance and failure modes of endocrowns manufactured with different CAD/CAM materials under axial and lateral loading. J Esthet Restor Dent. 2019 Jul;31(4):378-87. [DOI:10.1111/jerd.12486] [PMID]
20. García-Engra G, Fernandez-Estevan L, Casas-Terrón J, Fons-Font A, Castelo-Baz P, Agustín-Panadero R, et al. Fracture Resistance of New Metal-Free Materials Used for CAD-CAM Fabrication of Partial Posterior Restorations. J Medicina. 2020 Mar 18;56(3):132. [DOI:10.3390/medicina56030132] [PMID] [PMCID]
21. Naffah N, Ounsi H, Ozcan M, Bassal H, Salameh Z. Evaluation of the Adaptation and Fracture Resistance of Three CAD-CAM Resin Ceramics: An In vitro Study. J Contemp Dent Pract. 2019 May 1;20(5):571-6. [DOI:10.5005/jp-journals-10024-2560] [PMID]
22. Gul P, Altınok-Uygun L. Repair bond strength of resin composite to three aged CAD/CAM blocks using different repair systems. J Adv Prosthodont. 2020 Jun;12(3):131-9. [DOI:10.4047/jap.2020.12.3.131] [PMID] [PMCID]
23. Hampe R, Theelke B, Lümkemann N, Eichberger M, Stawarczyk B. Fracture Toughness Analysis of Ceramic and Resin Composite CAD/CAM Material. Oper Dent. 2019 Jul/Aug;44(4):E190-E201. [DOI:10.2341/18-161-L] [PMID]
24. Colombo M, Poggio C, Lasagna A, Chiesa M, Scribante A. Vickers Micro-Hardness of New Restorative CAD/CAM Dental Materials: Evaluation and Comparison after Exposure to Acidic Drink. Materials (Basel). 2019 Apr 16;12(8):1246. [DOI:10.3390/ma12081246] [PMID] [PMCID]
25. Sagsoz O, Yildiz M, Hojjat Ghahramanzadeh ASL, Alsaran A. In vitro Fracture strength and hardness of different computer-aided design/computer-aided manufacturing inlays. Niger J Clin Pract. 2018 Mar;21(3):380-7.
26. Curran P, Cattani-Lorente M, Anselm Wiskott HW, Durual S, Scherrer SS. Grinding damage assessment for CAD-CAM restorative materials. Dent Mater. 2017 Mar;33(3):294-308.. [DOI:10.1016/j.dental.2016.12.004] [PMID]
27. Kanat-Ertürk B. Color Stability of CAD/CAM Ceramics Prepared with Different Surface Finishing Procedures. J Prosthodont. 2020 Feb;29(2):166-72. [DOI:10.1111/jopr.13019] [PMID]
28. Gasparik C, Culic B, Varvara MA, Grecu A, Burde A, Dudea D. Effect of accelerated staining and bleaching on chairside CAD/CAM materials with high and low translucency. Dent Mater J. 2019 Dec 1;38(6):987-93. [DOI:10.4012/dmj.2018-335] [PMID]
29. Bahadır HS, Bayraktar Y. Evaluation of the repair capacities and color stabilities of nanoceramic and hybrid resin CAD/CAM blocks. J Adv Prosthodont. 2020 Jun;12(3):140-9. [DOI:10.4047/jap.2020.12.3.140] [PMID] [PMCID]
30. Egilmez F, Ergun G, Cekic-Nagas I, Vallittu PK, Lassila LVJ. Comparative color and surface parameters of current esthetic restorative CAD/CAM materials. J Adv Prosthodont. 2018 Feb;10(1):32-42. [DOI:10.4047/jap.2018.10.1.32] [PMID] [PMCID]
31. Kilinc H, Turgut S. Optical behaviors of esthetic CAD-CAM restorations after different surface finishing and polishing procedures and UV aging: An in vitro study. J Prosthet Dent. 2018 Jul;120(1):107-113. [DOI:10.1016/j.prosdent.2017.09.019] [PMID]
32. Kurtulmus-Yilmaz S, Cengiz E, Ongun S, Karakaya I. The Effect of Surface Treatments on the Mechanical and Optical Behaviors of CAD/CAM Restorative Materials. J Prosthodont. 2019 Feb;28(2):e496-e503. [DOI:10.1111/jopr.12749] [PMID]
33. Lf G, P S, A W, de Jager N, Gkr P, Cj K, Mp R, Lf V. Fatigue performance of distinct CAD/CAM dental ceramics. J Mech Behav Biomed Mater. 2020 Mar;103:103540. [DOI:10.1016/j.jmbbm.2019.103540] [PMID]
34. Wendler M, Belli R, Valladares D, Petschelt A, Lohbauer U. Chairside CAD/CAM materials. Part 3: Cyclic fatigue parameters and lifetime predictions. Dent Mater. 2018 Jun;34(6):910-21. [DOI:10.1016/j.dental.2018.03.024] [PMID]
35. Sismanoglu S, Yildirim-Bilmez Z, Erten-Taysi A, Ercal P. Influence of different surface treatments and universal adhesives on the repair of CAD-CAM composite resins: An in vitro study. J Prosthet Dent. 2020 Aug;124(2):238.e1-238.e9. [DOI:10.1016/j.prosdent.2020.02.029] [PMID]
36. Gwon B, Bae EB, Lee JJ, Cho WT, Bae HY, Choi JW, et al. Wear Characteristics of Dental Ceramic CAD/CAM Materials Opposing Various Dental Composite Resins. J Mater. 2019 Jun;12(11):1839. [DOI:10.3390/ma12111839] [PMID] [PMCID]
37. Ludovichetti FS, Trindade FZ, Werner A, Kleverlaan CJ, Fonseca RG. Wear resistance and abrasiveness of CAD-CAM monolithic materials. J Prosthet Dent. 2018 Aug;120(2):318.e1-318.e8. [DOI:10.1016/j.prosdent.2018.05.011] [PMID]
38. Saglam G, Cengiz S, Karacaer O. Marginal adaptation and fracture resistance of feldspathic and polymer-infiltrated ceramic network CAD/CAM endocrowns for maxillary premolars. Niger J Clin Pract. 2020 Jan;23(1):1-6.
39. Badawy R, El-Mowafy O, Tam LE. Fracture toughness of chairside CAD/CAM materials - Alternative loading approach for compact tension test. Dent Mater. 2016 July;32(7):847-52. [DOI:10.1016/j.dental.2016.03.003] [PMID]
40. Fasbinder DJ, Neiva GF. Surface Evaluation of Polishing Techniques for New Resilient CAD/CAM Restorative Materials. J Esthet Restor Dent. 2016 Jan-Feb;28(1):56-66. [DOI:10.1111/jerd.12174] [PMID]
41. He LH, Swain M. A novel polymer infiltrated ceramic dental material. Dent Mater. 2011 Jun;27(6):527-34. [DOI:10.1016/j.dental.2011.02.002] [PMID]
42. Fages M, Raynal J, Tramini P, Cuisinier FJ, Durand JC. Chairside Computer-Aided Design/Computer-Aided Manufacture All-Ceramic Crown and Endocrown Restorations: A 7-Year Survival Rate Study. Int J Prosthodont. 2017 November/December;30(6):556-60. [DOI:10.11607/ijp.5132] [PMID]
43. Aziz A, El-Mowafy O, Tenenbaum HC, Lawrence HP, Shokati B. Clinical performance of chairside monolithic lithium disilicate glass-ceramic CAD-CAM crowns. J Esthet Restor Dent. 2019 Nov;31(6):613-619. [DOI:10.1111/jerd.12531] [PMID]
44. Leeson D. The digital factory in both the modern dental lab and clinic. Dent Mater. 2020 Jan;36(1):43-52. [DOI:10.1016/j.dental.2019.10.010] [PMID]
45. Sulaiman TA. Materials in digital dentistry-A review. J Esthet Restor Dent. 2020 Jan;32(2):171-81. [DOI:10.1111/jerd.12566] [PMID]
46. Dolev E, Bitterman Y, Meirowitz A. Comparison of marginal fit between CAD-CAM and hot-press lithium disilicate crowns. J Prosthet Dent. 2019 Jan;121(1):124-8. [DOI:10.1016/j.prosdent.2018.03.035] [PMID]
47. Fasbinder DJ. Materials for chairside CAD/CAM restorations. Compend Contin Educ Dent. 2010 Nov-Dec;31(9):702-4, 706, 708-9.
48. Alexakou E, Damanaki M, Zoidis P, Bakiri E, Mouzis N, Smidt G, Kourtis S. PEEK High Performance Polymers: A Review of Properties and Clinical Applications in Prosthodontics and Restorative Dentistry. Eur J Prosthodont Restor Dent. 2019 Aug 29;27(3):113-21.
49. Rivard CH, Rhalmi S, Coillard C. In vivo biocompatibility testing of peek polymer for a spinal implant system: a study in rabbits. J Biomed Mater Res. 2002 Dec 15;62(4):488-98. [DOI:10.1002/jbm.10159] [PMID]
50. Seferis JC. Polyetheretherketone (PEEK): Processing-structure and properties studies for a matrix in high performance composites. Polym Compos. 1986 Jun:7(3):158-69. [DOI:10.1002/pc.750070305]
51. Siewert B, Parra M. A new group of material in dentistry: PEEK as a framework material used in 12-piece implant-supported bridges. Zeit Zahna Implantologie. 2013 Jan;29(2):148-59.
52. Stawarczyk B, Eichberger M, Uhrenbacher J, Wimmer T, Edelhoff D, Schmidlin PR. Three-unit reinforced polyetheretherketone composite FDPs: influence of fabrication method on load-bearing capacity and failure types. Dent Mater J. 2015;34(1):7-12. [DOI:10.4012/dmj.2013-345] [PMID]
53. Matzinger M, Hahnel S, Preis V, Rosentritt M. Polishing effects and wear performance of chairside CAD/CAM materials. Clin Oral Investig. 2019 Feb;23(2):725-37. [DOI:10.1007/s00784-018-2473-3] [PMID]
54. Bankoğlu Güngör M, Karakoca Nemli S. Fracture resistance of CAD-CAM monolithic ceramic and veneered zirconia molar crowns after aging in a mastication simulator. J Prosthet Dent. 2018 Mar;119(3):473-80. [DOI:10.1016/j.prosdent.2017.05.003] [PMID]
55. Dursun E, Monnier-Da Costa A, Moussally C. Chairside CAD/CAM Composite Onlays for the Restoration Of Primary Molars. J Clin Pediatr Dent. 2018;42(5):349-54. [DOI:10.17796/1053-4625-42.5.5] [PMID]
56. Nejatidanesh F, Savabi G, Amjadi M, Abbasi M, Savabi O. Five year clinical outcomes and survival of chairside CAD/CAM ceramic laminate veneers - a retrospective study. J Prosthodont Res. 2018 Oct;62(4):462-7. [DOI:10.1016/j.jpor.2018.05.004] [PMID]
57. Magne P, Schlichting LH, Maia HP, Baratieri LN. In vitro fatigue resistance of CAD/CAM composite resin and ceramic posterior occlusal veneers. J Prosthet Dent. 2010 Sep;104(3):149-57. [DOI:10.1016/S0022-3913(10)60111-4]

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