Abstract
Introduction: A precise transfer of planned procedures to a real operative field can be provided by surgical robots. This technology, still unique, is increasingly applied in new medical specialties. The aim of this paper was to describe the clinical application of an active navigation in the dental implant treatment. Case Report: The patient was imaged by CBCT computed tomography Gendex GXCB-500/i-CAT while wearing an individually fitted interfacing acrylic splint. Thereafter, CT data were imported to the Image Guided Implantology System and precise 3-dimensional implant treatment plan was contemplated. This system allows real-time interactive carrying out of implantological procedures with three-dimensional visualization of the anatomical structures during the procedure. Conclusions: The system of active navigation ensures the coordination of prosthetic and surgical treatment which guarantees optimal surgical and prosthetic effect of the therapy, including both anatomical structures and prosthetic requirements.
Highlights
A precise transfer of planned procedures to a real operative field can be provided by surgical robots [1,2]
Surgical navigation has become applicable in dental implantology where because of restricted operative field, and numerous adjacent structures, the precision of surgical procedures is of special importance
The system ensures the coordination of prosthetic and surgical treatment which guarantees optimal surgical and prosthetic effect of the therapy, including both anatomical structures and prosthetic requirements. It is consistent with an accepted principle of threedimensional implant localization, depending on a planned prosthetic reconstruction, and not on anatomical conditions alone
Summary
A precise transfer of planned procedures to a real operative field can be provided by surgical robots. Likewise, the tendency is observed to decrease the number of surgeries with simultaneous increase in their precision [3] It is realized by progressively wider application of microsurgical techniques, systems magnifying a microscopic image (micro-lenses, magnifiers), endoscopic techniques (sinusoscopy, arthroscopy, sialoendoscopy) and, recently introduced, surgical navigation (surgical templates, surgical robots) allowing for much more minimally invasive surgeries [4]. The need for precise planning of the surgery based on a detailed visualization of an operative field coupled with watching of the procedure progress on a monitor, and the possibility of correction of the performed procedure with reference to a planned pattern Such a procedure is essential in the case of implantation carried out in the so-called “esthetic zone”, that is, in the anterior part of the maxilla. This genetic defect is usually accompanied by maxillary hypoplasia and underdeveloped alveolar process [8]
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