title: Implant survival rates, marginal bone level changes, and complications in full-mouth rehabilitation with flapless computer-guided surgery: a systematic review and meta-analysis.
abstract: This systematic review evaluated the implant survival rate, changes in marginal bone level, and complications associated with guided surgery for the treatment of fully edentulous patients followed up for longer than 1 year. A comprehensive literature search was conducted in MEDLINE/PubMed and the Cochrane Central Register of Controlled Trials (CENTRAL) to retrieve studies published up until July 2014 that met predefined eligibility criteria. Thirteen studies were included. In studies on the guided surgery technique, a survival rate of 97.2% and a mean marginal bone loss of 1.45 mm were found during 1-4 years of follow-up. However, associated complications, such as implant loss, prosthesis or surgical guide fractures, and low primary stability, were often found, and there is a learning curve to achieve treatment success. Further longitudinal comparative studies should improve the technique and its success rate.
authors: Department of Periodontology, School of Dentistry, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil. Electronic address: vittoriomf@terra.com.br.
authors: V
authors: V
authors: Moraschini
authors: São Leopoldo Mandic College, Niterói, Rio de Janeiro, Brazil.
authors: G
authors: G
authors: Velloso
authors: Department of Periodontology, School of Dentistry, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.
authors: D
authors: D
authors: Luz
authors: Department of Periodontology, School of Dentistry, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.
authors: E Porto
authors: EP
authors: Barboza
mesh_terms: D016301:Alveolar Bone Loss / Q000517:prevention & control; D001861:Bone Regeneration; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D006801:Humans; D009066:Mouth, Edentulous / Q000534:rehabilitation*; D011183:Postoperative Complications; D025321:Surgery, Computer-Assisted; D015996:Survival Rate; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants
keywords: dental implants; flapless surgery; guided surgery; implant survival; marginal bone level