Understanding the Workflows in Dynamic and Robotic Computer‐Assisted Implant Surgery

Computer-assisted implant surgery (CAIS) represents a comprehensive digital workflow integrating prosthetically driven planning with various execution modalities. Among these, dynamic (d-CAIS) and robotic (r-CAIS) systems constitute two distinct yet interrelated approaches, sharing core technological principles as well as operative differences. This white paper aims to provide a structured overview of the fundamental concepts and workflows underpinning d- and r-CAIS, focusing on their shared components, procedural steps, and system-specific characteristics. Both approaches rely on accurate digital treatment planning, spatial positioning systems, registration protocols, and real-time feedback mechanisms to guide implant placement. However, while d-CAIS enables operator-controlled freehand execution under real-time navigation, r-CAIS introduces robotic assistance or task autonomy, integrating mechanical actuation into the surgical workflow. Rather than providing exhaustive technical instructions, this work aims to establish a conceptual framework to support clinicians in understanding and evaluating emerging CAIS technologies and their role in contemporary implant dentistry. Furthermore, it discusses current advantages, limitations, and challenges related to clinical implementation, cost, and training requirements.

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Publication Details

Journal
Clinical and Experimental Dental Research
Published
2026-07-17
DOI
https://doi.org/10.1002/cre2.70419
Primary Topic
Dental Implant Techniques and Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Understanding the Workflows in Dynamic and Robotic Computer‐Assisted Implant Surgery

Shengchi Fan, Adrià Jorba‐García, Nikos Mattheos, Alessandro Pozzi et al.
Clinical and Experimental Dental Research
Dental Implant Techniques and Outcomes
article

Understanding the Workflows in Dynamic and Robotic Computer‐Assisted Implant Surgery

Shengchi Fan, Adrià Jorba‐García, Nikos Mattheos, Alessandro Pozzi, Fang Wang, James Chow, Atiphan Pimkhaokham
article en

Abstract

Computer-assisted implant surgery (CAIS) represents a comprehensive digital workflow integrating prosthetically driven planning with various execution modalities. Among these, dynamic (d-CAIS) and robotic (r-CAIS) systems constitute two distinct yet interrelated approaches, sharing core technological principles as well as operative differences. This white paper aims to provide a structured overview of the fundamental concepts and workflows underpinning d- and r-CAIS, focusing on their shared components, procedural steps, and system-specific characteristics. Both approaches rely on accurate digital treatment planning, spatial positioning systems, registration protocols, and real-time feedback mechanisms to guide implant placement. However, while d-CAIS enables operator-controlled freehand execution under real-time navigation, r-CAIS introduces robotic assistance or task autonomy, integrating mechanical actuation into the surgical workflow. Rather than providing exhaustive technical instructions, this work aims to establish a conceptual framework to support clinicians in understanding and evaluating emerging CAIS technologies and their role in contemporary implant dentistry. Furthermore, it discusses current advantages, limitations, and challenges related to clinical implementation, cost, and training requirements.

Clinical and Experimental Dental ResearchVol. 12(4)
University of Rome Tor Vergata (IT), Harvard University (US), Chulalongkorn University (TH), Augusta University (US), Karolinska Institutet (SE), Italian Society of Periodontology and Implantology (IT), CatoSenteret (NO), Universitat de Barcelona (ES), University of Hong Kong (HK)
Openalex Percentile: Top 7%
Dental Implant Techniques and Outcomes
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