Implant Placement Accuracy Using Dynamic Navigation

2017 ◽  
Vol 32 (1) ◽  
pp. 92-99 ◽  
Author(s):  
Michael Block ◽  
Robert Emery ◽  
Kathryn Lank ◽  
James Ryan
Keyword(s):  
Implant Placement ◽  
Dynamic Navigation ◽  
Placement Accuracy

scholarly journals Dynamic Navigation in Dental Implantology: The Influence of Surgical Experience on Implant Placement Accuracy and Operating Time. An in Vitro Study

2020 ◽  
Vol 17 (6) ◽  
pp. 2153
Author(s):  
Gerardo Pellegrino ◽  
Pierantonio Bellini ◽  
Pier Francesco Cavallini ◽  
Agnese Ferri ◽  
Andrea Zacchino ◽  
...  
Keyword(s):  
Operating Time ◽  
In Vitro Study ◽  
Vitro Study ◽  
Surgical Experience ◽  
Reliable Technique ◽  
Implant Positioning ◽  
Implant Placement ◽  
Dynamic Navigation ◽  
Placement Accuracy

Aim: the aim of this in vitro study was to test whether the implant placement accuracy and the operating time can be influenced by the operator’s experience. Materials and methods: sixteen models underwent a (Cone Beam Computer Tomography) CBCT and implant positioning was digitally planned on this. The models were randomly assigned to four operators with different levels of surgical experience. One hundred and twelve implant sites were drilled using a dynamic navigation system and operating times were measured. Based on postoperative CBCTs, dental implants were virtually inserted and superimposed over the planned ones. Two-dimensional and 3D deviations between planned and virtually inserted implants were measured at the entry point and at the apical point. Angular and vertical errors were also calculated. Results: considering coronal and apical 3D deviations, no statistically significant differences were found between the four operators (p = 0.27; p = 0.06). Some vectorial components of the deviation at the apical point and the angular errors of some operators differed from each other. Conclusions: within the limitations of this study, dynamic navigation can be considered a reliable technique both for experienced and novice clinicians.

scholarly journals Implant placement accuracy using a dynamic navigation system- a prospective clinical trial

2018 ◽  
Vol 29 ◽  
pp. 59-59
Author(s):  
Gerardo Pellegrino ◽  
Valerio Taraschi ◽  
Agnese Ferri ◽  
Andrea Zacchino ◽  
Claudio Marchetti
Keyword(s):  
Clinical Trial ◽  
Navigation System ◽  
Prospective Clinical Trial ◽  
System A ◽  
Implant Placement ◽  
Dynamic Navigation ◽  
Placement Accuracy

scholarly journals Dynamic Navigation for Zygomatic Implants: A Case Report about a Protocol with Intraoral Anchored Reference Tool and an Up-To-Date Review of the Available Protocols

2020 ◽  
Vol 3 (4) ◽  
pp. 75
Author(s):  
Gerardo Pellegrino ◽  
Giuseppe Lizio ◽  
Francesco Basile ◽  
Luigi Vito Stefanelli ◽  
Claudio Marchetti ◽  
...  
Keyword(s):  
Navigation Systems ◽  
Radiological Anatomy ◽  
Implant Placement ◽  
Zygomatic Implants ◽  
Dynamic Navigation ◽  
Operative Planning ◽  
Placement Accuracy ◽  
Zygomatic Implant ◽  
Maxillary Atrophy ◽  
Reference Tool

Dynamic Navigation is a computer-aided technology that allows the surgeon to track the grip instruments while preparing the implant site in real time based on radiological anatomy and accurate pre-operative planning. The support of this technology to the zygoma implant placement aims to reduce the risks and the errors associated with this complex surgical and prosthetic treatment. Various navigation systems are available to clinicians currently, distinguished by handling, reliability, and the associated economic and biological benefits and disadvantages. The present paper reports on the different protocols of dynamic navigations following a standard workflow in correlation with zygomatic implant supported rehabilitations and describes a case of maxillary atrophy successfully resolved with this technology. An innovative and minimally invasive dynamic navigation system, with the use of an intraoral anchored trust marker plate and a patient reference tool, has been adopted to support the accurate insertion of four zygomatic implants, which rapidly resolved maxillary atrophy from a 75-year-old male system. This approach provided an optimal implant placement accuracy reducing surgical invasiveness.

Implant Placement Under Dynamic Navigation Using Trace Registration: Case Presentations

2020 ◽  
Vol 40 (6) ◽  
pp. e241-e248
Author(s):  
E Scheyer ◽  
George Mandelaris ◽  
Michael McGuire ◽  
Mohamad AlTakriti ◽  
Luigi Stefanelli
Keyword(s):  
Implant Placement ◽  
Dynamic Navigation ◽  
Case Presentations

Accuracy analysis of free-handed implant placement compared to a dynamic navigation system

2019 ◽  
Vol 16 (2) ◽  
pp. 24-39
Author(s):  
Robert William Emery ◽  
Rossano Vinícius Dala Rosa Silva ◽  
Breno Monteiro Tavares ◽  
Ali Sheikh ◽  
Andre Alberto Camara Puppin
Keyword(s):  
Navigation System ◽  
Accuracy Analysis ◽  
Implant Placement ◽  
Dynamic Navigation

Objetivo: o objetivo do presente estudo foi determinar a precisão da posição de entrada, apical e angular da instalação de implantes utilizando um sistema guiado através de navegação dinâmica, e compará-lo à técnica sem utilização de guias, realizando cirurgias em ambientes clinicamente simulados. O estudo contemplou as medidas de precisão geral da instalação de implantes, realizada por estudantes de Odontologia utilizando planejamento virtual em modelos dentados. Métodos: dois estudantes de Odontologia sem experiência prévia em Implantodontia instalaram 44 implantes em modelos de mandíbula e maxila. O planejamento de todos os implantes foi realizado virtualmente. As imagens de tomografia computadorizada de feixe cônico (TCFC) foram importadas para um software e sobrepostas para realizar o planejamento virtual. Os primeiros 22 implantes foram instalados utilizando a técnica sem assistência. Os 22 implantes restantes foram instalados utilizando-se um sistema de navegação dinâmica. Novas tomadas tomográficas foram realizadas após a instalação dos implantes. Os dados das TCFCs de planejamento pré-operatório e pós-cirúrgicas foram enviados para análise comparativa. As técnicas guiada e livre foram comparadas entre si e também com a literatura sobre implantes instalados em modelos usando sistemas de guias estáticos e dinâmicos. Resultados: os implantes instalados utilizando o sistema de navegação dinâmica foram significativamente mais precisos, quando comparado à técnica livre. Conclusão: a cirurgia guiada por navegação dinâmica é precisa, promissora e de fácil aprendizado para cirurgiões-dentistas em início de carreira.

Dynamic Navigation: Accuracy and Reproducibility in Dental Implant Placement

2016 ◽  
Vol 74 (9) ◽  
pp. e31
Author(s):  
F.R. Sebastiani ◽  
H. Dym ◽  
R.W. Emery ◽  
R. Pellecchia
Keyword(s):  
Dental Implant ◽  
Implant Placement ◽  
Dynamic Navigation ◽  
Navigation Accuracy

Accuracy of Dynamic Navigation for Dental Implant Placement–Model-Based Evaluation

2016 ◽  
Vol 42 (5) ◽  
pp. 399-405 ◽  
Author(s):  
Robert W Emery ◽  
Scott A Merritt ◽  
Kathryn Lank ◽  
Jason D Gibbs
Keyword(s):  
Navigation System ◽  
Primary Outcome ◽  
Meta Analysis ◽  
Three Dimensional ◽  
Positional Accuracy ◽  
Clinical Simulation ◽  
Model Based ◽  
Implant Placement ◽  
Optical Triangulation ◽  
Dynamic Navigation

The purpose of this model-based study was to determine the accuracy of placing dental implants using a new dynamic navigation system. This investigation focuses on measurements of overall accuracy for implant placement relative to the virtual plan in both dentate and edentulous models, and provides a comparison with a meta-analysis of values reported in the literature for comparable static guidance, dynamic guidance, and freehand placement studies. This study involves 1 surgeon experienced with dynamic navigation placing implants in models under clinical simulation using a dynamic navigation system (X-Guide, X-Nav Technologies, LLC, Lansdale, Pa) based on optical triangulation tracking. Virtual implants were placed into planned sites using the navigation system computer. Post–implant placement cone-beam scans were taken. These scans were mesh overlaid with the virtual plan and used to determine deviations from the virtual plan. The primary outcome variables were platform and angular deviations comparing the actual placement to the virtual plan. The angular accuracy of implants delivered using the tested device was 0.89° ± 0.35° for dentate case types and 1.26° ± 0.66° for edentulous case types, measured relative to the preoperative implant plan. Three-dimensional positional accuracy was 0.38 ± 0.21 mm for dentate and 0.56 ± 0.17 mm for edentulous, measured from the implant apex.

Sign in / Sign up

Export Citation Format

Share Document