{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T12:25:25Z","timestamp":1783599925707,"version":"3.55.0"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate ex\u00a0vivo accuracy of robotic computer\u2010assisted implant surgery (r\u2010CAIS) for quad zygomatic implant (ZI) placement with a novel semi\u2010autonomous, optically\u2010driven, haptic\u2010assisted system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Two expert operators placed ZIs in human cadavers. Accuracy was evaluated by superimposing pre\u2010 and post\u2010operative cone\u2010beam computed tomography (CBCT) scans, measuring linear (mm) on the\n                      <jats:italic>x<\/jats:italic>\n                      \u2010,\n                      <jats:italic>y<\/jats:italic>\n                      \u2010, and\n                      <jats:italic>z<\/jats:italic>\n                      \u2010 axes and angular (degrees) deviations. Sample size was calculated. The main analysis focused on composite outcomes (global platform, global apical, and angular deviation), while extended analyses examined deviations on individual spatial axes (buccal\u2013lingual, mesial\u2013distal, depth, and non\u2010depth) for both implant platform and apex. Three multivariate models were executed on global platform, global apical, and angular deviation considering implant position (anterior vs. posterior) and quadrant (left vs. right).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty ZIs were placed in 10 human cadavers. The mean global deviations at implant platform and apex were 1.16\u2009mm (standard deviation (SD) 0.47) and 1.51\u2009mm (SD 0.70), with mean angular deviation of 1.04\u00b0 (SD 0.65\u00b0). In the multivariate models, implant position was found to be significant for global platform deviation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0218), with posterior implants performing better, and for angular deviation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0465), with anterior implants performing better.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The optically driven haptic\u2010assisted robotic system demonstrated high accuracy in quad ZI surgery, with all implants placed without intraoperative complications or significant errors impacting adjacent anatomical structures. Mean global linear deviations of 1 and 1.5\u2009mm at platform and apex, and 1\u00b0 of angular deviation were experienced. Further research is necessary to validate these promising results in\u00a0vivo.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cid.70155","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:56:08Z","timestamp":1777445768000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Robotic Quad Zygomatic Implant Surgery Accuracy Ex\u00a0Vivo With a New Semi\u2010Autonomous Optically\u2010Driven Haptic System"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3052-8186","authenticated-orcid":false,"given":"Alessandro","family":"Pozzi","sequence":"first","affiliation":[{"name":"Department of Clinical Science and Translational Medicine University of Rome Tor Vergata  Rome Italy"},{"name":"Department of Restorative Sciences Augusta University  Augusta Georgia USA"},{"name":"Department of Restorative Dentistry and Biomaterials Sciences Harvard School of Dental Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2966-0067","authenticated-orcid":false,"given":"James","family":"Chow","sequence":"additional","affiliation":[{"name":"Br\u00e5nemark Osseointegration Centre  Hong Kong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0217-7101","authenticated-orcid":false,"given":"Andrea","family":"Laureti","sequence":"additional","affiliation":[{"name":"Department of Chemical Science and Technologies University of Rome Tor Vergata  Rome Italy"},{"name":"Division of Fixed Prosthodontics and Biomaterials University Clinics for Dental Medicine, University of Geneva  Geneva Switzerland"},{"name":"Department of Periodontics and Oral Medicine School of Dentistry, University of Michigan  Ann Arbor USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6152-3337","authenticated-orcid":false,"given":"Lorenzo","family":"Arcuri","sequence":"additional","affiliation":[{"name":"Department of Life Science, Health and Health Professions Link Campus University  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Cammarota","sequence":"additional","affiliation":[{"name":"Department of Chemical Science and Technologies University of Rome Tor Vergata  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Nardi","sequence":"additional","affiliation":[{"name":"Department of Mathematics University of Rome \u201cTor Vergata\u201d  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4238-1799","authenticated-orcid":false,"given":"Hom\u2010Lay","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Oral Medicine School of Dentistry, University of Michigan  Ann Arbor USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"issue":"6","key":"e_1_2_10_2_1","first-page":"1213","article-title":"Rehabilitation of the Edentulous Maxilla With the Zygoma Concept: A 7\u2010Year Prospective Study","volume":"25","author":"Bedrossian E.","year":"2010","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"issue":"1","key":"e_1_2_10_3_1","first-page":"79","article-title":"Immediate Loading of Zygomatic Implants: A Systematic Review of Implant Survival, Prosthesis Survival and Potential Complications","volume":"10","author":"Tuminelli F. 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