Vol. 11, Issue 2, Part B (2025)

Introduction: Dental implant surgery has improved dramatically with the use of CAD/CAM surgical guides for precise planning, reduced invasiveness, and better clinical outcomes. This approach optimizes the performance of implant treatments by reducing risks and increasing predictability.

Objective: To analyze the recent evidence on the clinical and technical advantages of CAD/CAM surgical guides in dental implant dentistry.

Methodology: An online search of articles in English from the last five years was carried out in PubMed, Scopus, Science Direct, Embase, and Google Scholar. Terms such as “Dental Implant Surgery,” “Surgical Guide,” and “CAD/CAM Guide” were used. Clinical studies, systematic reviews, and meta-analyses addressing surgical precision, guide types, support, and protocols were selected.

Results: CAD/CAM-guided surgery showed lower angular (2.2°-3.9°) and linear (<2.3 mm) deviations, especially with fully guided protocols and tooth-supported surgical guides. Clinical benefits such as reduced operative time, less trauma, and the possibility of flapless surgery were reported. Precision depends on the type of support, scanning, and guide stability.

Conclusion: CAD/CAM guides are safe and effective, and their choice should be based on a personalized approach, according to the clinical case.