Global Journal of Medical and Clinical Research
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Robotic Precision, AI Intelligence: The Future of Autonomous Dental Surgery
Article Type: Research Article
Author: Qin Long, Omid Panahi
Volume: Volume 1
Issue: Issue 1
Year: 2026
Keywords
Autonomous surgery
robotic dentistry
dental implant
artificial intelligence
computer-assisted surgery
haptic feedback.
Abstract
Dental surgery is undergoing a paradigm shift from manual, freehand techniques toward robotic-assisted and ultimately
autonomous procedures. This review examines the convergence of artificial intelligence, computer vision, haptic
feedback, and robotic actuation in dentistry, focusing on the current state of autonomous implant placement, osteotomy
preparation, and soft tissue management. We analyze three tiers of autonomy: (1) robotic-assisted (surgeon-in-the-loop),
(2) semi-autonomous (supervisory control), and (3) fully autonomous (no human intraoperative decision). Recent
advances demonstrate that fully autonomous implant placement from preoperative planning to osteotomy execution and
implant seating can achieve sub millimeter accuracy (entry point error <0.15 mm, angular deviation <1.0°) with zero
cortical breaches in cadaver studies, exceeding human performed freehand accuracy by 3 5×. Key enabling technologies
include: multi modal imaging (CBCT with intraoperative registration), 6 DOF force torque sensing (0.1 N resolution),
and deep learning based anatomical segmentation (Dice >0.95). However, significant barriers remain: regulatory
approval for autonomous surgical decision making, high capital costs ($350,000–500,000 per system), and surgeon
acceptance in an inherently conservative field. We discuss the trajectory from the first fully autonomous implant
procedure (2025) to anticipated regulatory clearance (2028–2030), concluding that while full autonomy in complex
multi step procedures remains distant, targeted autonomous tasks will become clinically routine within the next decade.