Objectives: To systematically analyze the accuracy of autonomous dental implant robotic (ADIR) surgery for dental implant placement. Materials and Methods: PubMed, Embase, and Cochrane CENTRAL were searched on February 21, 2024. Any clinical studies with exception of case reports, assessing ADIR accuracy by superimposing pre-op digital planning with post-op CBCT, were included. The risk of bias was assessed, and a meta-analysis was performed using a random-effect model to evaluate linear and angular deviations between planned and placed implants. Results: Data from 6 clinical studies reporting ADIR accuracy in 96 patients with 299 dental implants included (102 in 69 partial edentates, 197 in 27 complete-arch scenarios). The meta-analysis at implant level reported a mean overall accuracy of ADIR of 0.60 mm 95% CI [0.5133; 0.6965] at platform, 0.63 mm 95% CI [0.5663; 0.6909] at apex, and 1.242° 95% CI [1.2182; 1.6320] of angular deviation. ADIR accuracy resulted significantly higher than s- and d-CAIS. Conclusion: Within the limitations of this review, autonomous dental implant robotic surgery has shown to be feasible for placing implants in both partially and completely edentulous patients, achieving consistent mean linear and angular deviations of approximately 0.6 mm and 1.40°, respectively. However, clinical practicality of autonomous dental implant robotic surgery remained cumbersome, with well-trained operators needed to plan and assist ADIR procedures and a technical expert providing backup control.