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Colocação precisa do implante unitário em cirurgia guiada, com manga versus sem manga: a scoping review
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| Projeto de pós-graduação_2023113850 | 4.77 MB | Adobe PDF |
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A colocação precisa de implantes dentários desempenha um papel crucial no sucesso da reabilitação com implantes. A cirurgia guiada utilizando guias cirúrgicas tem aprimorado significativamente a precisão e a previsibilidade na colocação de implantes. Este estudo tem como objetivo avaliar se a utilização de guias cirúrgicas sem manga metálica oferece resultados equivalentes ou superiores aos das guias cirúrgicas com manga metálica. A pesquisa consistiu em uma busca metódica na plataforma EBSCO, selecionando estudos completos, revisto por pares e publicados entre 2019 e 2024, em português e inglês. A seleção dos artigos seguiu o modelo PIC e os critérios da metodologia PRISMA, com a exclusão de revisões, resumos e literatura cinzenta. Os estudos incluídos que englobam ensaios in vitro, observacionais e ensaios clínicos randomizados, possibilitaram a análise de parâmetros como desvios angulares e tridimensionais. Os resultados analisados demonstram que as guias cirúrgicas sem manga apresentam menores desvios angulares sobretudo em regiões com osso cicatrizado. Além disso, a sequência de fresagem completa e o design da guia cirúrgica, mostraram parâmetros determinantes na redução dos desvios tridimensionais. A incorporação de nanopartículas de fibra de carbono nas guias cirúrgicas sem manga metálica demonstrou melhorar a resistência ao desgaste aproximando-os das guias cirúrgicas com manga metálica. Embora as guias cirúrgicas com manga metálica e sem manga metálica apresentam precisão dentro dos limites clinicamente aceitáveis, as guias cirúrgicas sem manga metálica demonstram potencial para reduzir os desvios angulares, fator crítico para o sucesso reabilitador. Diante da complexidade dos fatores clínicos variáveis, sugere-se a necessidade de estudos clínicos prospectivos para confirmar os benefícios observados nos estudos in vitro, promovendo protocolos mais seguros, eficientes e economicamente viáveis para a colocação de implantes.
The precision of dental implant placement is essential for the success of implant rehabilitation. Guided surgery has significantly enhanced the accuracy and outcomes in implant placement procedures. This study aims to evaluate whether guide surgery with non-metallic sleeve provides better outcomes compared to system with metallic sleeve. The research was systematized using the EBSCO database, with inclusion limited to fulltext, peer-reviewed articles published between 2019 to 2024, in either Portuguese or English. Article selection followed the PIC model along with PRISMA methodology; reviews, abstracts, and grey literature were excluded. The selected articles allowed to analysis of parameters such as angular deviation and three-dimensional deviation. The results indicated that guide surgery with non-metallic sleeve demonstrated less angular deviation particularly in a healed bone sites. Additionally, a complete drilling sequence and optimized guide design significantly reduced three-dimensional deviation. Guides fabricated with non-metallic sleeve, especially when reinforced with carbon fibre, showed improved mechanical resistance. Although both metallic and non-metallic sleeve system demonstrated clinical precision, guide system with non-metallic sleeve was associated with a potential reduction in angular deviation, an important factor for the successful implant rehabilitation. Given the complexity of the clinical factors, further prospective clinical studies are necessary to validate these in-vitro findings and to establish safe, efficient and cost-effective protocols for implant placement.
The precision of dental implant placement is essential for the success of implant rehabilitation. Guided surgery has significantly enhanced the accuracy and outcomes in implant placement procedures. This study aims to evaluate whether guide surgery with non-metallic sleeve provides better outcomes compared to system with metallic sleeve. The research was systematized using the EBSCO database, with inclusion limited to fulltext, peer-reviewed articles published between 2019 to 2024, in either Portuguese or English. Article selection followed the PIC model along with PRISMA methodology; reviews, abstracts, and grey literature were excluded. The selected articles allowed to analysis of parameters such as angular deviation and three-dimensional deviation. The results indicated that guide surgery with non-metallic sleeve demonstrated less angular deviation particularly in a healed bone sites. Additionally, a complete drilling sequence and optimized guide design significantly reduced three-dimensional deviation. Guides fabricated with non-metallic sleeve, especially when reinforced with carbon fibre, showed improved mechanical resistance. Although both metallic and non-metallic sleeve system demonstrated clinical precision, guide system with non-metallic sleeve was associated with a potential reduction in angular deviation, an important factor for the successful implant rehabilitation. Given the complexity of the clinical factors, further prospective clinical studies are necessary to validate these in-vitro findings and to establish safe, efficient and cost-effective protocols for implant placement.
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Guided surgery Sleeveless Metallic sleeves Non-metallic sleeve Surgical templates Guided implant surgery