{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T05:07:25Z","timestamp":1790053645795,"version":"4.0.1"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"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":["Clinical Oral Implants Res"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Accurate implant placement is essential for predictable functional and esthetic outcomes. Although static computer\u2010assisted implant surgery (s\u2010CAIS) is more accurate than freehand placement, the effects of increasing guidance within partially guided workflows and on adjacent\u2010implant relationships remain unclear. This in\u00a0vitro study compared accuracy across six workflows and assessed inter\u2010implant parallelism and vertical platform discrepancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty mandibular models were used per workflow, with two implants placed in each model (40 implants per workflow). Workflows comprised non\u2010guided placement, universal and system\u2010specific pilot\u2010drill guidance, intermediate\u2010drill guidance, and two fully guided systems. Planned positions were compared with postoperative STL datasets. Outcomes included 3D platform and apical deviations, angular and directional deviations, precision, and adjacent\u2010implant vertical and angular discrepancies. Two\u2010way ANOVA and a linear mixed model were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Workflows differed significantly across parameters. Fully guided systems showed the lowest 3D and angular deviations and highest precision, with deviations as low as 0.23\u2009\u00b1\u20090.10\u2009mm and 1.25\u00b0\u2009\u00b1\u20090.61\u00b0. Greater guidance was associated with reduced linear and angular deviation. Vertical platform discrepancy was lowest with fully guided workflows (0.05\u20130.06\u2009mm), followed by partially guided workflows (0.08\u20130.09\u2009mm) and freehand placement (0.15\u2009mm). Conversely, fully guided workflows showed numerically greater inter\u2010implant angular discrepancy (1.37\u00b0\u20131.69\u00b0) than partially guided workflows (1.00\u00b0\u20131.13\u00b0).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Accuracy varied by guidance level. Fully guided workflows provided the highest trueness and precision and most consistent vertical platform positioning. Greater plan\u2010to\u2010implant accuracy was not accompanied by improved inter\u2010implant parallelism, indicating that these outcomes should be evaluated separately.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/clr.70179","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T04:26:39Z","timestamp":1790051199000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Level of Guidance on the Accuracy of Static Computer\u2010Assisted Implant Surgery (s\u2010CAIS): An\u00a0In\u00a0Vitro Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4938-8751","authenticated-orcid":false,"given":"Eric C.","family":"MacFadden","sequence":"first","affiliation":[{"name":"Advanced Educational Program in Periodontics, Department of Surgical and Diagnostic Sciences Marquette University School of Dentistry  Milwaukee Wisconsin 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