Cirurgia guiada na implantodontia: uma revisão de literatura

Abstract

1.Introduction: With the advances in technology in the dental area, procedures previously considered complex and invasive, today they are able to have a totally digitalized approach, generating practicality, convenience and cost benefit to the patient and professional, even adding some previous clinical stages during the planning. The use of the guided surgery technique simplifies the execution of the procedures for the installation of dental implants and provides excellent clinical results. 2.Objectives: The objective of the work is to illustrate the history of guided surgery in implant dentistry and specific objectives exploring the types of surgical guides available and highlighting the current stage of this surgical concept, in addition to highlighting the advantages and limitations of virtual planning in implant dentistry. 3.Materials and methods: This work was consolidated from an integrative review of the literature. An electronic research in bibliographic databases, mainly the PubMed database, was performed. Fifteen articles were included, among which 5 systematic reviews, 4 metanalyses, 5 in vivo and in vitro studies and clinical case reports in English. A master's thesis was also included. 4.Literature review: For this work a review was made, discussing the history of guided virtual surgery, passing through the scientific and technological advances that culminated in the current development of implantology. 5.Discussion: Guided surgery for insertion of dental implants is a safe, contemporary procedure, but with clear indications and susceptible to errors. Virtual planning offers the dentist the ability to choose the location, orientation and dimensions of implants, abutments and other accessories. Therefore, it seems that virtual implant planning overcomes some of the limitations of conventional surgery.6.Conclusion: The use of digital technology does not eliminate the need for good clinical judgment and surgical ability, since it may be necessary to revert to conventional implant surgery in case of clinical complications.