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Journal of Oral Science & Rehabilitation No. 3, 2017

A c c u r a c y o f c o m p u t e r - a s s i s t e d i m p l a n t p l a c e m e n t The main purpose of computer-guided template- assisted surgery is to pre-visualize the approved prosthetic design of the tooth or teeth to be replaced and to relate it to the patient’s available soft and hard tissue. According to a recent study by Vermeulen, in cases of one or more missing teeth in the anterior maxilla, guided surgery yields significantly higher predictability and accuracy than freehand surgery in transferring the virtual implant position to a model situation.3 Therefore, implant position can be optimized according to the esthetic and functional needs and an interim prosthesis can be manufactured prior to the surgical procedure, allowing imme- diate function. Conclusion Within the limitations of the present randomized controlled trial, it was found that intraoral digi- tal impressions may be a viable alternative to conventional impressions and scan models for the rehabilitation of partially edentulous patients using computer-guided template-assisted implant placement. In both groups, the maxi- mum 3-D deviations did not exceed the safe offset of the software. Competing interests The authors declare that they have no compet- ing interests. References 1. Canullo L, Tallarico M, Radovanovic S, Delibasic B, Covani U, Rakic M. Distinguishing predictive profiles for patient-based risk assessment and diagnostics of plaque induced, surgically and prosthetically triggered peri- implantitis. → Clin Oral Implants Res. 2016 Oct;27(10):1243–50. Epub 2015 Nov 20. 6. Van Steenberghe D, Glauser R, Blomback U, Andersson M, Schutyser F, Pettersson A, Wendelhag I. Computed tomographic scan-derived customized surgical template and fixed prosthesis for flapless surgery and immediate loading of implants in fully edentulous maxillae: a prospective multicenter study. → Clin Implant Dent Relat Res. 2005;7 Suppl 1:111–20. 2. Furhauser R, Mailath-Pokorny G, Haas R, Busenlechner D, Watzek G, Pommer B. Esthetics of flapless single-tooth implants in the anterior maxilla using guided surgery: association of three-dimensional accuracy and pink esthetic score. → Clin Implant Dent Relat Res. 2015 Oct;17 Suppl 2:e427–33. Epub 2014 Oct 27. 3. Vermeulen J. The accuracy of implant placement by experienced surgeons: guided vs freehand approach in a simulated plastic model. → Int J Oral Maxillofac Implants. 2017 Mar/Apr;32(3):617–624. Epub 2016 Oct 14. 4. Pozzi A, Tallarico M, Marchetti M, Scarfo B, Esposito M. 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Epub 2016 Sep 15. 9. Tallarico M, Meloni SM, Canullo L, Caneva M, Polizzi G. Five-year results of a randomized controlled trial comparing patients rehabilitated with immediately loaded maxillary cross-arch fixed dental prosthesis supported by four or six implants placed using guided surgery. → Clin Implant Dent Relat Res. 2016 Oct;18(5):965–72. Epub 2015 Oct 7. 10. Chochlidakis KM, Papaspyridakos P, Geminiani A, Chen CJ, Feng IJ, Ercoli C. Digital versus conventional impressions for fixed prosthodontics: a systematic review and meta-analysis. → J Prosthet Dent. 2016 Aug;116(2):184–190.e12. Epub 2016 Mar 2. 11. Ahlholm P, Sipila K, Vallittu P, Jakonen M, Kotiranta U. Digital versus conventional impressions in fixed prosthodontics: a review. → J Prosthodont. 2016 Aug 2. doi:10.1111/jopr.12527. [Epub ahead of print] 16. Merli M, Bernardelli F, Esposito M. 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Computer technology applications in surgical implant dentistry: a systematic review. → Int J Oral Maxillofac Implants. 2009;24 Suppl:92–109. 16 Volume 3 | Issue 3/2017 Journal of Oral Science & Rehabilitation

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