Robotic osteotomy may better match root geometry - Report - DentalSpire
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Robotic osteotomy may better match root geometry

  • By

  • Andrea Surnit

  • September 14, 2026

  • 4 min

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Clinical Report: Robotic Osteotomy May Better Match Root Geometry

Overview

An autonomous robotic osteotomy system demonstrates superior accuracy in reproducing planned recipient socket geometry for tooth autotransplantation compared to static guide-assisted preparation, particularly in double-rooted models.

Background

Tooth autotransplantation is a viable treatment option for tooth agenesis, and achieving precise socket preparation is critical for successful outcomes. The advent of robotic systems in dental surgery offers potential improvements in accuracy and efficiency.

Data Highlights

OutcomeRobotic PreparationStatic Guide Preparation
Apex Deviation (mm)0.941.96
Angular Deviation (°)1.867.32
Root-Mean-Square Surface Deviation (mm)0.200.33
Dice Similarity Coefficient (%)8863
Over-Removal Rate (%)896
Preparation Time (seconds)759833

Key Findings

  • Robotic preparation achieved a mean apex deviation of 0.94 mm compared to 1.96 mm for static guide preparation.
  • In double-rooted models, apex deviation was significantly lower with robotic techniques (0.85 mm vs 2.38 mm).
  • Angular deviation favored robotic preparation at 1.86° overall compared to 7.32° with static guidance.
  • Robotic preparation resulted in a lower over-removal rate (8%) compared to static guidance (96%).
  • Preparation times were similar between techniques, but varied by root anatomy.

Clinical Implications

The findings indicate that robotic osteotomy may enhance the precision of socket preparation in tooth autotransplantation.

Conclusion

The study indicates that robotic osteotomy can significantly improve the accuracy of socket preparation for tooth autotransplantation.

Related Resources & Content

  1. Chen Liu et al., International Journal of Oral Science, 2026 -- Autonomous robotic execution of nonlinear toolpaths for geometry-matched osteotomy in tooth autotransplantation: an in vitro study
  2. Frontiers in Surgery — Robot-Assisted Total Knee Arthroplasty with Intraoperative Femoral Osteotomy for Knee Osteoarthritis and Extra-Articular Deformity: A Case Study
  3. Archives of Orthopaedic and Trauma Surgery — Sex-related differences in final knee balance during robotic-assisted unicompartmental knee arthroplasty
  4. Evaluation of Accuracy in Fronto-Orbital Advancement Using Customized 3D-Printed Implants and Robotic Laser Osteotomy Techniques
  5. Frontiers in Surgery — Clinical efficacy of manual reverse closed reduction and robot-assisted cannulated screw fixation for valgus-impacted osteoporotic femoral neck fractures in the elderly: a retrospective cohort study
  6. Guidelines on Dental Rehabilitation for Tooth Agenesis and Syndromes
  7. Long-term survival and success rates of immature versus root-end resected mature tooth autotransplants
  8. Impact of root canal treatment timing on the prognosis of autotransplanted teeth with complete root formation: a systematic review and meta-analysis - PMC
  9. Autonomous robotic execution of nonlinear toolpaths for geometry-matched osteotomy in tooth autotransplantation: an in vitro study | International Journal of Oral Science
  10. Fully digital and robot-assisted workflow for mandibular molar autotransplantation: A proof-of-concept.
  11. Frontiers | A novel full digital workflow for dental autotransplantation: surgical accuracy and clinical outcomes in a prospective cohort study

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