Accuracy Of Surgical Guides For Dental Implants In Half Guided Surgery- A Metaanalysis
Keywords:
surgical templates, Computer-aided implantology, half guided surgery, dental implantsAbstract
Purpose-The aim of this meta-analysis was to compare the accuracy of surgical templates in half guided approach in terms of trueness and evaluate their impact on clinical procedures, providing valuable insights for clinicians.
Materials and Methods: A systematic review was conducted following PRISMA and Cochrane Collaboration guidelines to assess the accuracy of surgical guides in half-guided dental implant procedures. A comprehensive literature search was performed using databases like PubMed, CENTRAL, and Embase, applying the PICO approach. Inclusion criteria focused on peer-reviewed studies reporting coronal and apical deviation data. Risk of bias was evaluated using the Newcastle–Ottawa Scale to ensure study reliability.
Results: The review included 11 studies assessing the accuracy of surgical guides in half-guided implant surgery. Coronal deviation ranged from 0.22 to 1.987 mm, while apical deviation varied from 0.19 to 2.24 mm. Meta-analysis showed no significant difference between anterior and posterior sites, with overall deviation being low. Statistical analysis confirmed high accuracy (p<0.00001) despite study heterogeneity.
Conclusion: This meta-analysis confirms that half-guided implant surgery using digital surgical guides yields high accuracy in both anterior and posterior sites, with no significant site-specific differences in coronal or apical deviation. These findings support the clinical versatility of half-guided protocols in implant dentistry.
Downloads
Metrics
References
Chen Y, Zhang X, Wang M, Jiang Q, Mo A. Accuracy of Full-Guided and Half-Guided Surgical Templates in Anterior Immediate and Delayed Implantation: A Retrospective Study. Materials. 2021; 14(1):26.
Shi Y, Wang J, Ma C, Shen J, Dong X, Lin D. A systematic review of the accuracy of digital surgical guides for dental implantation. Int J Implant Dent. 2023;9(1):38. Published 2023 Oct 25.
Orban K, Varga E Jr, Windisch P, Braunitzer G, Molnar B. Accuracy of half-guided implant placement with machine-driven or manual insertion: a prospective, randomized clinical study. Clin Oral Investig. 2022;26(1):1035-1043. doi:10.1007/s00784-021-04087-0
Lou F, Rao P, Zhang M, Luo S, Lu S, Xiao J. Accuracy evaluation of partially guided and fully guided templates applied to implant surgery of anterior teeth: a randomized controlled trial. Clin Implant Dent Relat Res. 2021;23(1):117–30
Schneider D, Sax C, Sancho-Puchades M, Hammerle CHF, Jung RE. Accuracy of computer-assisted, template-guided implant placement compared with conventional implant placement by hand—an in vitro study. Clin Oral Implants Res. 2021;32(9):1052–60
Abduo J, Lau D. Accuracy of static computer-assisted implant place-ment in long span edentulous area by novice implant clinicians: a cross-sectional in vitro study comparing fully-guided, pilot-guided, and freehand implant placement protocols. Clin Implant Dent Relat Res. 2021;23(3):361–72.
Ngamprasertk it C, Aunmeungthong W, Khongkhunthian P. The implant position accuracy between using only surgical drill guide and surgical drill guide with implant guide in fully digital workflow: a randomized clinical trial. Oral Maxillofac Surg. 2022;26(2):229–37.
Spille J, Jin F, Behrens E, Acil Y, Lichtenstein J, Naujokat H, et al. Compari-son of implant placement accuracy in two different preoperative digital workflows: navigated vs. pilot-drill-guided surgery. Int J Implant Dent. 2021;7(1):45
Guentsch A, Sukhtank ar L, An H, Luepke PG. Precision and trueness of implant placement with and without static surgical guides: an in vitro study. J Prosthet Dent. 2021;126(3):398–404.
Han YT, Lin WC, Fan FY, Chen CL, Lin CC, Cheng HC. Comparison of dental surface image registration and fiducial marker registration: an in vivo accuracy study of static computer-assisted implant surgery. J Clin Med. 2021;10(18):4183
Chen Y, Zhang X, Wang M, Jiang Q, Mo A. Accuracy of full-guided and half-guided surgical templates in anterior immediate and delayed implantation: a retrospective study. Materials (Basel). 2020;14(1):26.
Kivovics M, Penzes D, Nemeth O, Mijiritsky E. The influence of surgical experience and bone density on the accuracy of static computer-assisted implant surgery in edentulous jaws using a mucosa-supported surgical template with a half-guided implant placement protocol—a randomized clinical study. Materials (Basel). 2020;13(24):5759
Chang RJ, Chen HL, Huang LG, Wong YK. Accuracy of implant placement with a computer-aided fabricated surgical template with guided parallel pins: a pilot study. J Chin Med Assoc. 2018;81(11):970–6
Wismejier d et al. Group 5 ITI Consensus report Digital technologies. Clin Oral Implants Res. 2018; 29: 436-42.
Cho JY, Kim SB, Ryu J. The accuracy of a partially guided system using an in-office 3D-printed surgical guide for implant placement. International Journal of Computerized Dentistry. 2021 Jan 1;24(1).
Park SJ, Leesungbok R, Cui T, Lee SW, Ahn SJ, Park SJ, Cui T, Lee SW, Ahn SJ. Reliability of a CAD/CAM Surgical Guide for Implant Placement: An In Vitro Comparison of Surgeons' Experience Levels and Implant Sites. International Journal of Prosthodontics. 2017 Jul 1;30(4).
El Kholy K, Lazarin R, Janner SF, Faerber K, Buser R, Buser D. Influence of surgical guide support and implant site location on accuracy of static Computer‐Assisted Implant Surgery. Clinical oral implants research. 2019 Nov;30(11):1067-75.
Noharet R, Pettersson A, Bourgeois D. Accuracy of implant placement in the posterior maxilla as related to 2 types of surgical guides: a pilot study in thehuman cadaver. J Prosthet Dent. 2014;112:526–32.
Tahmaseb A, Wu V, Wismeijer D, Coucke W, Evans C. The accuracy of static computer-aided implant surgery: a systematic review and meta-analysis. Clin Oral Implants Res. 2018;29:416–35
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.