Hamadan University of Medical Sciences Avicenna Journal of Dental Research 2423-7582 18 1 2026 03 29 Advanced Guidelines in Implant Placement Surgery: A Systematic Review Study 57 64 10.34172/ajdr.2212 EN Fazilat Khademi Maryam Safari Ebrahim Yarmohammadi Salman Khazaei https://orcid.org/0000-0001-5918-2310 Zahra Khamverdi REVIEW 10.34172/ajdr.2212 2025 01 07 2025 04 29 Introduction: Proper placement of dental implants is essential to prevent damage to vital structures, provide optimal prosthetics, and ensure a successful long-term outcome. While previous studies have sporadically addressed individual advanced surgical guidelines, this systematic review aimed to uniquely synthesize and compare the latest evidence on multiple advanced implant placement techniques from 2019 to 2024, providing clinicians with comprehensive guidance on their relative advantages and accuracy metrics. Methods: In this systematic review, major international databases, such as PubMed, WOS, Scopus, and the Cochrane Library, were utilized to evaluate published articles related to advanced guidelines in implant placement surgery. The search focused on in vitro studies, randomized controlled clinical trials, and cohort studies published in English from 2019 to March 2024. Two researchers conducted the search using relevant keywords and their combinations. Results: Overall, 661 articles were identified in the initial search. After eliminating duplicates and reviewing titles, abstracts, and inclusion/exclusion criteria, a total of 13 articles were selected for inclusion in the study. Based on the results of the reviewed studies, the latest advanced guidelines in implant placement surgery include computer-assisted implant surgery (in both static and dynamic methods) and augmented reality-based navigation with cone-beam computed tomography. The success rates of these advanced implant placement guidelines were reported through evaluating their accuracy metrics (assessing hex deviation, angular deviation, crown positioning, and implant angle). In all the mentioned guidelines, the accuracy of implant placement was found to be superior to that of free-hand implant placement guidelines. Conclusion: According to the results of this review, although the accuracy of the newly introduced advanced guidelines was higher than that of free-hand guidelines, there was no clear evidence indicating which advanced surgical guideline was associated with higher accuracy in implant placements. Given that implant placement surgery can have long-term clinical implications, it is recommended that researchers focus on this type of surgery in the future.