Static Computer-Aided Implant Surgery (s-CAIS) Analysing Patient-Reported Outcome Measures (PROMs), Economics, and Complications - Consensus Statements - Home
The objective of this study was to systematically evaluate the scientific literature for patient-reported outcome measures (PROMs) in static computer-aided implant surgery (s-CAIS). A PICO strategy was executed using an electronic (MEDLINE, EMBASE, CENTRAL) plus manual search up to 06-15-2017 focusing on clinical studies investigating s-CAIS with regard to patients’ pain & discomfort, economics and/or intraoperative complications. Search strategy was assembled from multiple conjunctions of MeSH-Terms and unspecific free-text words. Assessment of risk of bias in selected studies was made at a trial level applying the Cochrane Collaboration Tool and the Newcastle-Ottawa Assessment Scale, respectively. The systematic search identified 112 titles. Seventy abstracts were screened, and 14 full texts were included for analysis. A total of 484 patients were treated with s-CAIS for placement of 2,510 implants. Due to the heterogeneity of the included studies, meta-analyses could not be performed.
- It cannot be stated that s-CAIS, in terms of pain & discomfort, economics, and intraoperative complications, is beneficial compared with conventional implant surgery. This Consensus Statement is based on four RCTs, four prospective Cohort Studies, five retrospective Cohort Studies, and one Case Series.
- However 1. Based on PROMs, economics, and complications, there is no contraindication to use s-CAIS instead of conventional implant surgery.2. Flapless s-CAIS may be beneficial in fully edentulous cases in relation to postoperative pain intensity compared with open-flap procedures.3. Flapless s-CAIS may lead to implant placement outside the zone of keratinized mucosa; therefore, the quality and quantity of the keratinized mucosa must be assessed before planning s-CAIS.
- Static computer-aided implant surgery ( s-CAIS ) analysing patient-reported outcome measures (PROMs), economics and surgical complications: A systematic review