Estudo avalia a precisão cirúrgica da técnica guiada estática e a diferença de desvios entre esta e a técnica convencional.
AUTORES
Talita Suelen de Queiroz
Mestranda do programa de pós-graduação em Odontologia Restauradora – ICT-Unesp.
Orcid: 0000-0001-5523-3280.
Guilherme da Rocha Scalzer Lopes
Especialista em Implantodontia – Unicamp, Pós-doutorando do programa de pós-graduação em Odontologia Restauradora – ICT-Unesp.
Orcid: 0000-0002-4310-0082.
Leonardo Jiro Nomura Nakano
Mestre e doutorando do programa de pós-graduação em Odontologia Restauradora – ICT-Unesp.
Orcid: 0000-0001-6786-862X.
Mateus Favero Barra Grande
Mestre e doutorando do programa de pós-graduação em Odontologia Restauradora – ICT-Unesp.
Orcid: 0000-0002-0996-0847.
Renato Sussumu Nishioka
Professor titular de Implante e Prótese parcial fixa do Depto. de Materiais Odontológicos e Prótese – ICT-Unesp.
Orcid: 0000-0002-1458-601X.
RESUMO
A Implantodontia apresenta alta taxa de sucesso e representa um grande salto evolutivo nas técnicas de reabilitação odontológica. Com o avanço tecnológico, surgiu a técnica da cirurgia guiada estática, que somou avanços e benefícios na Implantodontia. O presente estudo teve como objetivo avaliar, através de uma revisão da literatura, a precisão cirúrgica da técnica guiada estática e a diferença de desvios entre esta e a técnica convencional. Foram realizadas buscas na base de dados PubMed (MEDLINE) filtrando artigos publicados nos últimos cinco anos até outubro de 2020, tendo como critérios de exclusão: artigos que não faziam comparação entre cirurgia guiada e convencional, artigos que comparavam cirurgia navegada e convencional, artigos que indicavam apenas taxas de sucesso – sem discriminar a precisão de cada uma das técnicas. Foram encontrados 405 resultados e selecionados 17 para leitura completa. Destes, seis artigos foram inclusos na análise final. Os resultados demonstraram que a cirurgia totalmente guiada estática apresenta menor taxa de desvio quando comparada à técnica convencional, porém, para que as vantagens da técnica guiada estática sejam obtidas de forma efetiva, é imprescindível que haja atenção em todas as fases do tratamento, uma vez que ela pode ser sensível a erros cumulativos.
Palavras-chave – Cirurgia assistida por computador; Implante dentário; Planejamento de Prótese Dentária; Procedimentos cirúrgicos pré-protéticos bucais; Projeto assistido por computador.
ABSTRACT
Implantology has a high success rate and represents a great evolutionary leap in dental rehabilitation techniques. With technological advances, the static guided surgery technique emerged, with advances and benefits in implant dentistry. The present study aimed to evaluate, through a literature review the surgical precision of the static guided technique and the diff erence in deviations between this and the conventional technique. Searches were performed in the PubMed database (MEDLINE) filtering articles published in the last 5 years until October 2020, with the exclusion criteria: articles that did not compare between guided and conventional surgery, articles where were presented comparisons on navigated and conventional surgery, articles that indicated only success rates, without discriminating the accuracy of each technique. 405 results were found and 17 were selected for full reading. Of these, 6 articles were included in the final analysis. The results showed that fully static guided surgery has a lower rate of deviation when compared to conventional technique, however, in order to obtain maximum benefits from static guided technique advantages, it is essential to pay attention to all the treatment phases, once that it can be sensitive to cumulative errors.
Key words – Computer aided design; Dental implantation; Dental prosthesis design; Oral surgical procedures; Preprosthetic surgery computer-assisted.
Recebido em dez/2021
Aprovado em dez/2021
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