ROBOTIC – COMPUTER ASSISTED IMPLANT SURGERY

*Soniya A., Navin Bharathy M., Dr. C. J. Venkata Krishnan, Tamizhesai B., Rathinavel Pandiyan M., Narasimman M.

ABSTRACT

Robotic computer-assisted implant placement represents a significant technological advancement in implant dentistry, aiming to improve the accuracy, safety, and predictability of dental implant surgery. This approach integrates cone-beam computed tomography (CBCT), three-dimensional virtual planning software, and robotic guidance systems to facilitate precise, prosthetically driven implant placement based on patient-specific anatomical considerations. Detailed preoperative planning allows the clinician to determine the optimal implant position, angulation, and depth while identifying potential anatomical risks. During the surgical procedure, robotic systems provide real-time guidance and haptic feedback, assisting the operator in maintaining the planned implant trajectory and minimizing deviations from the preoperative plan. Compared with conventional freehand implant placement, robotic-assisted techniques have demonstrated superior accuracy, improved consistency, and reduced risk of damage to adjacent vital structures such as the inferior alveolar nerve and maxillary sinus. These improvements may contribute to enhanced primary implant stability, improved prosthetic outcomes, and increased long-term implant success rates. However, the widespread adoption of robotic technology is currently limited by factors such as high initial costs, limited availability of equipment, and the learning curve associated with its clinical implementation. Despite these challenges, robotic computer-assisted implant placement shows considerable promise in advancing modern implantology. Further well-designed clinical trials and long-term studies are required to assess its clinical effectiveness, cost-benefit ratio, and potential integration into routine dental practice.

Keywords: Robotic implant surgery; Computer-assisted implant surgery; Dental implants; Dynamic navigation; Static guided surgery; Artificial intelligence