Primary study · included by 1 review

Accuracy of patient-specific implants and additive-manufactured surgical splints in orthognathic surgery - A three-dimensional retrospective study.

Ruckschloss 2019 · Rückschloß Thomas, Ristow Oliver, Müller Michael, et al. · Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery · 2019

Included by

Outcome this study informsPooled effectEvidenceCertainty
Angular deviation, pitch (degrees)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.50 [-1.32, 0.31]6 studiesGRADE not reported
Anteroposterior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.54 [-0.89, -0.18]7 studiesGRADE not reported
Angular deviation, yaw (degrees)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.63 [-1.11, -0.15]6 studiesGRADE not reported
Anteroposterior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.40 [-0.69, -0.11]15 studiesGRADE not reported
Combined three-dimensional linear deviation (mm), supportive summary
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.51 [-0.70, -0.33]14 studiesGRADE not reported
Anteroposterior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.50 [-1.77, 0.78]4 studiesGRADE not reported
Anteroposterior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.52 [-0.77, -0.28]15 studiesLow
Mediolateral translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.34 [-0.55, -0.12]13 studiesGRADE not reported
Mediolateral translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.41 [-0.69, -0.13]7 studiesGRADE not reported
Superoinferior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.27 [-1.66, 1.13]4 studiesGRADE not reported
Anteroposterior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.54 [-1.10, 0.01]4 studiesGRADE not reported
Superoinferior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.54 [-0.86, -0.22]7 studiesGRADE not reported
Superoinferior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.48 [-0.78, -0.17]15 studiesLow
Mediolateral translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.33 [-0.56, -0.10]10 studiesGRADE not reported
Superoinferior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.35 [-0.93, 0.24]8 studiesGRADE not reported
Anteroposterior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.54 [-0.96, -0.13]8 studiesGRADE not reported
Mediolateral translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.41 [-0.74, -0.07]6 studiesGRADE not reported
Mediolateral translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.40 [-0.60, -0.20]13 studiesLow
Combined three-dimensional angular deviation (degrees)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.54 [-1.07, -0.01]6 studiesVery low
Combined three-dimensional linear deviation (mm), supportive summary
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.46 [-0.66, -0.25]9 studiesGRADE not reported
Superoinferior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.19 [-0.40, 0.02]4 studiesGRADE not reported
Anteroposterior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.91 [-1.39, -0.42]4 studiesGRADE not reported
Mediolateral translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.64 [-1.06, -0.22]4 studiesGRADE not reported
Angular deviation, roll (degrees)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.72 [-1.15, -0.29]6 studiesGRADE not reported
Superoinferior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.36 [-2.03, 1.31]4 studiesGRADE not reported
Combined three-dimensional linear deviation (mm), supportive summary
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.56 [-0.92, -0.19]9 studiesGRADE not reported
Mediolateral translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.36 [-0.61, -0.10]7 studiesGRADE not reported
Superoinferior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.34 [-0.89, 0.22]7 studiesGRADE not reported
Mediolateral translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.47 [-1.31, 0.37]3 studiesGRADE not reported
Mediolateral translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.13 [-0.62, 0.37]2 studiesGRADE not reported
Superoinferior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.33 [-0.67, 0.02]11 studiesGRADE not reported
Superoinferior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.28 [-0.62, 0.06]15 studiesGRADE not reported
Anteroposterior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.39 [-0.70, -0.08]11 studiesGRADE not reported
Anteroposterior translational deviation (mm)
Patient-specific implant (PSI) workflows (cutting/drilling guides and/or customized osteosynthesis plates) vs CAD/CAM occlusal splint or wafer workflows · Within 3 days to 1 month postoperative
MD -0.19 [-0.64, 0.25]7 studiesGRADE not reported

1 including review in total.