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.
Authors
- Shengchi Fan (ORCID: https://orcid.org/0000-0003-0231-7151)
- Adrià Jorba‐García (ORCID: https://orcid.org/0000-0003-2369-0326)
- Nikos Mattheos (ORCID: https://orcid.org/0000-0001-7358-7496)
- Alessandro Pozzi (ORCID: https://orcid.org/0000-0002-3052-8186)
- Fang Wang (ORCID: https://orcid.org/0000-0002-5971-2622)
- James Chow (ORCID: https://orcid.org/0000-0002-2966-0067)
- Atiphan Pimkhaokham (ORCID: https://orcid.org/0000-0002-0170-243X)
Institutions
- 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)
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