{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:54:25Z","timestamp":1791212065518,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":277,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Case Reports in Dentistry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Implant rehabilitation in the atrophic posterior maxilla presents significant challenges, primarily due to pneumatized maxillary sinuses and the presence of septa. Although sinus floor elevation is a standard approach, utilizing native basal bone through tilted implant placement offers a less invasive alternative. However, avoiding the sinus cavity while anchoring implants in restricted bone volumes, such as sinus septa, is technically demanding with freehand methods. This case report describes the novel application of an autonomous dental implant robot to address these anatomical complexities. We present the case of a 65\u2010year\u2010old female requiring restoration for missing maxillary teeth 15\u201317. Radiographic evaluation revealed insufficient vertical bone height but identified a favorable maxillary sinus septum at Site 15 and adequate tuberosity bone at Site 17. To maximize native bone contact and avoid sinus perforation, two Straumann implants were planned and placed using an autonomous robotic system. Postoperative cone\u2010beam computed tomography confirmed high precision in implant positioning relative to the preoperative plan. At 15\u2010month follow\u2010up, the implants demonstrated osseointegration with no biological or mechanical complications, restoring satisfactory function and esthetics. This case illustrates that autonomous robotic assistance can significantly enhance surgical accuracy, enabling the safe and effective utilization of complex anatomical structures like sinus septa, thereby broadening treatment modalities for the compromised posterior maxilla.<\/jats:p>","DOI":"10.1155\/crid\/5072934","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:17:18Z","timestamp":1791209838000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Application of Autonomous Dental Implant Robots in Avoiding Maxillary Sinus and Making Full Use of Sinus Septa for Fixed Restoration Supported by Implants: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5581-873X","authenticated-orcid":false,"given":"Rui","family":"Xie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4862-693X","authenticated-orcid":false,"given":"Yue","family":"Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2111-0642","authenticated-orcid":false,"given":"Jianhong","family":"Duan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9022-8226","authenticated-orcid":false,"given":"Peng","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5515-3889","authenticated-orcid":false,"given":"Xiaonan","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6209-7943","authenticated-orcid":false,"given":"Yimin","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6026-7480","authenticated-orcid":false,"given":"Zhihong","family":"Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2022.11.015"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.11607\/prd.2062"},{"key":"e_1_2_13_3_2","first-page":"1073","article-title":"Tilted Implant Insertion to Bypass Impacted Teeth Under the Assistance of Digital Technique: A Case Report","volume":"58","author":"Wen S.","year":"2023","journal-title":"Chinese Journal of Stomatology"},{"key":"e_1_2_13_4_2","first-page":"849","article-title":"Research Progress in Maxillary Sinus Mucosal Disease Associated With Maxillary Sinus Floor Lifting","volume":"53","author":"Suzhen S.","year":"2018","journal-title":"Chinese Journal of Stomatology"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12414"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12286"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40729-021-00346-7"},{"key":"e_1_2_13_8_2","first-page":"784","article-title":"Distribution of the Maxillary Artery as It Relates to Sinus Floor Augmentation","volume":"20","author":"Elian N.","year":"2005","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_13_9_2","first-page":"1047","article-title":"Vascular Connections of the Lateral Wall of the Sinus: Surgical Effect in Sinus Augmentation","volume":"23","author":"Ella B.","year":"2008","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0308166"},{"key":"e_1_2_13_11_2","doi-asserted-by":"publisher","DOI":"10.11607\/prd.1609"},{"key":"e_1_2_13_12_2","first-page":"405","article-title":"Tilting of Posterior Mandibular and Maxillary Implants for Improved Prosthesis Support","volume":"15","author":"Krekmanov L.","year":"2000","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/cid.12433"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8208.2005.tb00069.x"},{"key":"e_1_2_13_15_2","first-page":"1576","article-title":"Marginal Bone Loss Around Tilted Implants in Comparison to Straight Implants: A Meta-Analysis","volume":"27","author":"Monje A.","year":"2012","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_13_16_2","first-page":"171","article-title":"The Fate of Marginal Bone Around Axial vs. Tilted Implants: A Systematic Review. Eur","volume":"7","author":"Del Fabbro M.","year":"2014","journal-title":"Journal of Oral Implantology"},{"key":"e_1_2_13_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.id.0000220120.54308.f3"},{"key":"e_1_2_13_18_2","article-title":"Maxillary Sinus Floor Elevation for Implant Placement Assisted by an Autonomous Dental Implant Robotic System: A Clinical Report","author":"Su X.","year":"2024","journal-title":"Journal of Prosthetic Dentistry"},{"key":"e_1_2_13_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/cid.13384"},{"key":"e_1_2_13_20_2","doi-asserted-by":"publisher","DOI":"10.11607\/prd.6832"},{"key":"e_1_2_13_21_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60010011"},{"key":"e_1_2_13_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-02873-8"},{"key":"e_1_2_13_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.10.055"},{"key":"e_1_2_13_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/clr.14104"}],"container-title":["Case Reports in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crid\/5072934","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crid\/5072934","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crid\/5072934","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:17:21Z","timestamp":1791209841000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crid\/5072934"}},"subtitle":[],"editor":[{"given":"Carolina","family":"Iegami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crid\/5072934"],"URL":"https:\/\/doi.org\/10.1155\/crid\/5072934","archive":["Portico"],"relation":{},"ISSN":["2090-6447","2090-6455"],"issn-type":[{"value":"2090-6447","type":"print"},{"value":"2090-6455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-12-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"5072934"}}