Abstract

Aim: To analyze the accuracy capability of two computer-aided navigation procedures for dental implant placement. Materials and Methods: A total of 40 dental implants were selected, which were randomly distributed into two study groups, namely, group A, consisting of those implants that were placed using a computer-aided static navigation system (n = 20) (guided implant (GI)) and group B, consisting of those implants that were placed using a computer-aided dynamic navigation system (n = 20) (navigation implant (NI)). The placement of the implants from group A was performed using surgical templates that were designed using 3D implant-planning software based on preoperative cone-beam computed tomography (CBCT) and a 3D extraoral surface scan, and the placement of group B implants was planned and performed using the dynamic navigation system. After placing the dental implants, a second CBCT was performed and the degree of accuracy of the planning and placement of the implants was analyzed using therapeutic planning software and Student’s t-test. Results: The paired t-test revealed no statistically significant differences between GI and NI at the coronal (p = 0.6535) and apical (p = 0.9081) levels; however, statistically significant differences were observed between the angular deviations of GI and NI (p = 0.0272). Conclusion: Both computer-aided static and dynamic navigation procedures allow accurate implant placement.

Highlights

  • Dental implant placement has recently emerged as a predictable treatment option to restore edentulous patients [1]

  • Dental implant placement using image data-based navigation has been introduced into the field of dental surgery in an attempt to improve the accuracy of dental implant placement and avoid potential risks associated with this therapeutic procedure [3]

  • This surgical approach was developed based on preoperative cone-beam computed tomography (CBCT) scanning and specific 3D implant-planning software, thereby allowing for accurate implant placement [4]

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Summary

Introduction

Dental implant placement has recently emerged as a predictable treatment option to restore edentulous patients [1]. Dental implant placement using image data-based navigation has been introduced into the field of dental surgery in an attempt to improve the accuracy of dental implant placement and avoid potential risks associated with this therapeutic procedure [3]. Dynamic navigation systems recognize and track the position of optical reference markers placed over the patient and surgical instruments by means of a tracking system array. Both navigation techniques have been widely analyzed, demonstrating high accuracy levels for dental implant placement [1,3,5,6]. The aim of this work was to analyze and compare the accuracy of dental implant placement via static and dynamic navigation systems, with a null hypothesis (H0) stating that there would be no difference between the static and dynamic navigation systems with regard to the accuracy of dental implant placement

Study Design
Experimental Procedure
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