Well this looks like it could be a hot topic as there are many Stilo engines now coming up to the magic 5 years old, mine included and i intend changing mine soon, very, very soon honest
The reason why Fiat explain loosening and moving the cam sprockets is so that with the cams locked into place the sprockets can be moved very slightly, if necessary in order to get perfect alignment with the new belt teeth. OK point taken but it tends to forget the fact that the new belt (like all belts) will stretch most of all in the first 100 miles and put everything out again Ha!
They don't put timing marks on Fiat engines for that reason so, no matter what method you use, PUT YOUR OWN TIMING MARKS ON THE CAMS AND CRANK BEFORE YOU TAKE THE OLD BELT OFF
I think I could do a 1.2 cambelt and tensioner now in my sleep and the 1.6 engine is very similar. Those of you with variators 1.8, 1.9 and 2.4 will have to make your own rules up
Logic would tell us that if
1 The engine was running fine before you do a belt change
2 You put your own timing marks on the cams and crankshaft before removing the old belt
3 You don't move cams or crank significantly
4 You tension the new belt correctly
5 The timing marks are in line again as before
6 You rotate the engine by hand a few times
7 You double check the timing marks are still in line
Then obviously the engine will run just as nicely at the end of the job as when you started
More problems arise because people don't put timing marks on BEFORE they start. The number of Fiats I've read about that come out of garages (mostly non Fiat garages but not always) one tooth or more out make you wonder. It'll run even one or two teeth out but will be pretty rough to drive
and it sounds as if that's just what Keiran is experiencing

Retightening those cam sprockets, I think, causes more misalignment than it's meant to prevent. If only people would mark everything before they start then it's easy but once you loosen those sprockets then everything goes
To gain access to the timing belt you just need to remove side engine mount along with the belts in that area of alternator and air con but they'll need replacing anyway at this age

The reference to the gap in the timing sprocket teeth is just to get the pistons near TDC position. If you're not going to use cam locking tools then you don't need that