ABSTRACT Objectives To compare the trueness of implant placement in novice surgeons using dynamic computer‐assisted implant surgery (d‐CAIS) versus a non‐guided approach, assessing surgery time efficiency and patient‐reported outcomes, including satisfaction, postoperative pain, and quality of life. Material and Methods A double‐arm randomized clinical trial was conducted. Consecutive partially edentulous patients were randomly assigned to d‐CAIS or non‐guided. Trueness outcomes, including apex and platform linear deviation (mm) and angular deviation (degrees), were measured by superimposing pre‐ and postoperative CBCT scans. Pre‐ and postoperative questionnaires assessed patient self‐reported satisfaction and quality of life during surgery and in the postoperative period. Results Sixty patients (72 implants) were included. Thirty patients received 36 implants using d‐CAIS, while another 30 patients received 36 implants with the non‐guided technique. d‐CAIS significantly reduced angular (MD: −5.51°; p < 0.001), lateral platform (MD: −0.79 mm; p = 0.037), global platform (MD: −0.89 mm; p = 0.024), and global apex deviations (MD: −1.23 mm; p = 0.001). Although the implant placement time was significantly shorter with d‐CAIS ( p = 0.022), there was no statistically significant difference in overall surgery time between the groups (MD: −6.18 min; p = 0.190). Postoperative pain and analgesic consumption were similar, with high self‐reported satisfaction. The surgical procedure did not result in significant changes in patient quality of life. Conclusions Implant placement using d‐CAIS by novice surgeons shows higher trueness, without increasing surgery time. It also ensures high patient satisfaction and quality of life, with pain levels comparable to those of the non‐guided technique. ClinicalTrials.gov registration number: NCT06028750.
Ruiz‐Romero et al. (Mon,) studied this question.