Robotic vs Freehand All-on-X: Does Yomi Matter?
Robotic-assisted implant surgery — primarily Yomi by Neocis, the only FDA-cleared dental robot — uses real-time haptic guidance to place implants within sub-millimeter accuracy of the surgical plan. Freehand placement relies on the surgeon's visualization. Static surgical guides sit in between.
Accuracy data
Published studies report robotic placement accuracy of ~0.5mm linear deviation at the implant tip, vs ~1.5–2.0mm for freehand and ~1.0mm for static guides. Whether that delta matters clinically depends on anatomy — proximity to nerves, sinuses, and adjacent roots.
When robotic placement matters most
High-value cases: posterior mandible near the inferior alveolar nerve, maxillary cases near the sinus floor, immediate-load protocols where placement angle drives prosthetic fit, and All-on-X angled posterior implants where 5° of angulation error compounds.
Cost premium
Robotic-assisted cases typically run $500–$2,000 per implant above freehand. For a 4-implant All-on-X arch, expect a $2,000–$8,000 upcharge.
Provider availability
Yomi is available at a few hundred U.S. practices as of 2026. Search the Neocis provider directory or ask your surgeon if they're Yomi-trained.
Frequently asked
Is robotic All-on-X surgery worth the extra cost?
For complex anatomy, immediate-load protocols, or patients who prioritize sub-mm precision, yes. For straightforward cases with good bone, the clinical outcome difference is small.
Is Yomi safer than freehand implant surgery?
Published data suggests fewer placement-related complications. The system constrains the drill to the planned trajectory — it can't compensate for poor surgical planning or patient anatomy issues.
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