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Implant Navigation System: Dynamic Guided Surgery

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Digital Dental Implantology

Abstract

Dynamic surgical navigation (DSN) is a computer-guided free-hand technology that allows for highly accurate procedures in real time through instruments motion tracking, eliminating the need of computer-generated stereolithographic guides (static guide) and direct visualization. Dynamic surgical navigation works much like a global positioning system, assisting the clinician in obtaining high levels of surgical accuracy during the execution of all implant surgical procedures. In this chapter, general considerations, workflow, advantages, challenges, emergingĀ applications, as well as clinical cases will be reviewed.

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References

  1. Tahmaseb A, Wu V, Wismeijer D, Coucke W, Evans C. The accuracy of static computer-aided implant surgery: a systematic review and meta- analysis. Clin Oral Implants Res. 2018 Oct;29(Suppl 16):416ā€“35. https://doi.org/10.1111/clr.13346.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  2. Cassetta M, Stefanelli LV, Giansanti M, Calasso S. Accuracy of implant placement with a stereolithographic surgical template. Int J Oral Maxillofac Implants. 2012;27(3):655ā€“63.

    PubMedĀ  Google ScholarĀ 

  3. Arisan V, Karabuda ZC, Ozdemir T. Accuracy of two stereolithographic guide systems for computer-aided implant placement: a computed tomography-based clinical comparative study. J Periodontol. 2010;81(1):43ā€“51.

    ArticleĀ  Google ScholarĀ 

  4. Berdougo M, Fortin T, Blanchet E, Isidori M, Bosson JL. Flapless implant surgery using an image-guided system. A 1- to 4-year retrospective multicenter comparative clinical study. Clin Implant Dent Relat Res. 2010;12(2):142ā€“52.

    ArticleĀ  Google ScholarĀ 

  5. Bornstein MM, Al Nawas B, Kuchler U, Tahmaseb A. Consensus statements and recommended clinical procedures regarding contemporary surgical and radiographic techniques in implant dentistry. Int J Oral Maxillofac Implants. 2013;29:79ā€“82.

    Google ScholarĀ 

  6. Gunkel AR, Freysinger W, Thumfart WF. Experience with various 3-dimensional navigation systems in head and neck surgery. ArchOtolaryngol Head Neck Surg. 2000;126(3):390ā€“5.

    Google ScholarĀ 

  7. Siessegger M, Mischkowski RA, Schneider BT, Krug B, Klesper B, Zƶller JE. Image guided surgical navigation for removal of foreign bodies in the head and neck. J Craniomaxillofac Surg. 2001;29(6):321ā€“5.

    Google ScholarĀ 

  8. Eggers G, Haag C, Hassfeld S. Image-guided removal of foreign bodies. Br J Oral Maxillofac Surg. 2005;43(5):404ā€“9.

    ArticleĀ  Google ScholarĀ 

  9. Wanschitz F, Birkfellner W, Watzinger F, Schopper C, Patruta S, Kainberger F, Figl M, Kettenbach J, Bergmann H, Ewers R. Evaluation of accuracy of computer-aided intraoperative positioning of endosseous oral implants in the edentulous mandible. Clin Oral Implants Res. 2002;13(1):59ā€“64.

    ArticleĀ  Google ScholarĀ 

  10. Somogyi-Ganss E, Holmes HI, Jokstad A. Accuracy of a novel prototype dynamic computer-assisted surgery system. Clin Oral Implants Res. 2014;00:1ā€“9. https://doi.org/10.1111/clr.12414.

    ArticleĀ  Google ScholarĀ 

  11. Wagner A, Wanschitz F, Birkfellner W, Zauza K, Klug C, Schicho K, Kainberger F, Czerny C, Bergmann H, Ewers R. Computer-aided placement of endosseous oral implants in patients after ablative tumour surgery: assessment of accuracy. Clin Oral Implants Res. 2003;14(3):340ā€“8.

    ArticleĀ  Google ScholarĀ 

  12. Jorba-GarcĆ­a A, Figueiredo R, GonzĆ”lez-Barnadas A, Camps-Font O, Valmaseda-CastellĆ³n E. Accuracy and the role of experience in dynamic computer guided dental implant surgery: an in-vitro study. Med Oral Patol Oral Cir Bucal. 2019;24(1):e76ā€“83. https://doi.org/10.4317/medoral.22785.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  13. Block M, Emery R, Lank K, Ryan J. Implant placement accuracy using dynamic navigation. Int J Oral Maxillofac Implants. 2017;32(1):92ā€“9.

    ArticleĀ  Google ScholarĀ 

  14. Pellegrino G, Taraschi V, Andrea Z, Ferri A, Marchetti C. Dynamic navigation: a prospective clinical trial to evaluate the accuracy of implant placement. Int J Comput Dent. 2019;22(2):139ā€“47.

    PubMedĀ  Google ScholarĀ 

  15. Stefanelli LV, DeGroot BS, Lipton DI, Mandelaris GA. Accuracy of a dynamic dental implant navigation system in a private practice. Int J Oral Maxillofac Implants. 2019;34(1):205ā€“13. https://doi.org/10.11607/jomi.6966. Epub 2018 Dec 5.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  16. Dā€™haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer-guided implant surgery. Periodontol 2000. 2017;73(1):121ā€“33. Review. https://doi.org/10.1111/prd.12175.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  17. Block MS, Emery RW, Cullum DR, Sheikh A. Implant placement is more accurate using dynamic navigation. J Oral Maxillofac Surg. 2017;75:1377ā€“86.

    ArticleĀ  Google ScholarĀ 

  18. Mandelaris GA, Stefanelli LV, DeGroot BS. Dynamic navigation for surgical implant placement: overview of technology, key concepts, and a case report dynamic navigation for surgical implant placement: overview of technology, key concepts, and a case report. Compend Contin Educ Dent. 2018;39(9):614ā€“21; quiz 622, Review.

    PubMedĀ  Google ScholarĀ 

  19. Sharan A, Madjiar D. Maxillary sinus pneumatization following extractions: a radiographic study. Int J Oral Maxillofac Implants. 2008;23(1):48ā€“56.

    PubMedĀ  Google ScholarĀ 

  20. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restor Dent. 2003;23(4):313ā€“24.

    Google ScholarĀ 

  21. Ellegaard B, Kolsen-Petersen J, Baelum V. Implant therapy involving maxillary sinus lift in periodontally compromised patients. Clin Oral Implants Res. 1997;8(4):305ā€“15.

    ArticleĀ  Google ScholarĀ 

  22. Branemark PI, Adell R, Albrektsson T, Lekholm U, Lindstrom J, Rockler B. An experimental and clinical study of osseointegrated implants penetrating the nasal cavity and maxillary sinus. J Oral Maxillofac Surg. 1984;42(8):497ā€“505. https://doi.org/10.1016/0278-2391(84)90008-9.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  23. Wallace SS, Froum SJ. Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Ann Periodontol. 2003;8(1):328ā€“43.

    ArticleĀ  Google ScholarĀ 

  24. Del Fabbro M, Testori T, Francetti L, Weinstein R. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restor Dent. 2004;24(6):565ā€“77.

    Google ScholarĀ 

  25. Rose PS, Summers RB, Mellado JR, et al. Bone-added osteotome sinus floor elevation technique: multicenter retrospective report of consecutively treated patients. Int J Oral Maxillofac Implants. 1999;14(6):853ā€“8.

    Google ScholarĀ 

  26. Bahat O, Fontanessi RV. Efficacy of implant placement after bone grafting for three-dimensional reconstruction of the posterior jaw. Int J Periodontics Restor Dent. 2001;21(3):220ā€“31.

    Google ScholarĀ 

  27. Felice P, Barausse C, Pistilli R, Ippolito DR, Esposito M. Short implants versus longer implants in vertically augmented posterior mandibles: result at 8Ā years after loading from a randomized controlled trial. Eur J Oral Implantol. 2018;11(4):385ā€“95.

    Google ScholarĀ 

  28. Felice P, Barausse C, Pistilli V, Piattelli M, Ippolito DR, Esposito M. Posterior atrophic jaws rehabilitated with prostheses supported by 6 mm long Ɨ 4 mm wide implants or by longer implants in augmented bone. 3-year post-loading results from a randomized controlled trial. Eur J Oral Implantol. 2018;11(2):175ā€“87.

    PubMedĀ  Google ScholarĀ 

  29. Fan T, Li Y, Deng WW, Wu T, Zhang W. Short implants (5ā€“8Ā mm) versus longer implants (>8Ā mm) with sinus lifting in atrophic posterior maxilla: a meta-analysis of RCTs. Clin Implant Dent Relat Res. 2017;19(1):207ā€“15.

    Google ScholarĀ 

  30. Anitua E, Flores J, Flores C, Alkhraisat MH. Long-term outcomes of immediate loading of short implants: a controlled retrospective cohort study. Int J Oral Maxillofac Implants. 2016;31(6):1360ā€“6.

    ArticleĀ  Google ScholarĀ 

  31. Bechara S, Kubilius R, Veronesi G, Pires JT, Shibli JA, Mangano FG. Short (6-mm) dental implants versus sinus floor elevation and placement of longer (ā‰„10Ā mm) dental implants: a randomized controlled trial with a 3-year follow-up. Clin Oral Implants Res. 2017;28(9):1097ā€“1107.

    Google ScholarĀ 

  32. Chana H, Smith G, Bansal H, Zahra D. A retrospective cohort study of the survival rate of 88 zygomatic implants placed over an 18-year period. Int J Oral Maxillofac Implants. 2019;34(2):461ā€“70.

    ArticleĀ  Google ScholarĀ 

  33. Petrungaro PS, Kurtzman GM, Gonzales S, Villegas C. Zygomatic implants for the management of severe alveolar atrophy in the partial or completely edentulous maxilla. Compend Contin Educ Dent. 2018;39(9):636ā€“45.

    PubMedĀ  Google ScholarĀ 

  34. DavĆ³ R, Felice P, Pistilli R, Barausse C, Marti-Pages C, Ferrer-Fuertes A, Ippolito DR, Esposito M. Immediately loaded zygomatic implants vs conventional dental implants in augmented atrophic maxillae: 1-year post-loading results from a multicentre randomised controlled trial. Eur J Oral Implantol. 2018;11(2):145ā€“61.

    PubMedĀ  Google ScholarĀ 

  35. Tulasne JF. Implant treatment of missing posterior dentition. In: Albrektson T, Zarb G, editors. The BrĆ„nemark osseointegrated implant. Chicago: Quintessence; 1989. p. 103ā€“58.

    Google ScholarĀ 

  36. Tulasne JF. Osseointegrated fixtures in the pterygoid region. In: Worthington P, BrĆ„nemark PI, editors. Advanced osseointegration surgery, applications in the maxillofacial region. Chicago: Quintessence; 1992. p. 182ā€“8.

    Google ScholarĀ 

  37. Baggi L, Capelloni I, Di Girolamo M, Maceri F, Vairo G. The influence of implant diameter and length on stress distribution of osseointegrated implants related to crestal bone geometry: a three-dimensional finite element analysis. J Prosthet Dent. 2008;100(6):422ā€“31.

    ArticleĀ  Google ScholarĀ 

  38. Uchida Y, Yamashita Y, Danjo A, Shibata K, Kuraoka A. Computed tomography and anatomical measurements of critical sites for endosseous implants in the pterygomaxillary region: a cadaveric study. Int J Oral Maxillofac Surg. 2017;46(6):798ā€“804.

    ArticleĀ  Google ScholarĀ 

  39. RodrĆ­guez X, Lucas-TaulĆ© E, Elnayef B, Altuna P, Gargallo-Albiol J, PeƱarrocha Diago M, Hernandez-Alfaro F. Anatomical and radiological approach to pterygoid implants: a cross-sectional study of 202 cone beam computed tomography examinations. Int J Oral Maxillofac Surg. 2016;45(5):636ā€“40.

    ArticleĀ  Google ScholarĀ 

  40. Bidra AS, Huynh-Ba G. Implants in the pterygoid region: a systematic review of the literature. Int J Oral Maxillofac Surg. 2011;40(8):773ā€“81.

    ArticleĀ  Google ScholarĀ 

  41. Candel E, PeƱarrocha D, PeƱarrocha M. Rehabilitation of the atrophic posterior maxilla with pterygoid implants: a review. J Oral Implantol. 2012;38 spec no:461ā€“6.

    ArticleĀ  Google ScholarĀ 

  42. Araujo RZ, Santiago JĆŗnior JF, Cardoso CL, Benites Condezo AF, Moreira JĆŗnior R, Curi MM. Clinical outcomes of pterygoid implants: systematic review and meta-analysis. J Craniomaxillofac Surg. 2019;47(4):651ā€“60.

    ArticleĀ  Google ScholarĀ 

  43. Summers RB. Anew concept in maxillary implant surgery: the Osteotome technique. Compend Contin Educ Dent. 1994;15:152ā€“8.

    Google ScholarĀ 

  44. Sohn DS, Lee JS, An KM, Choi BJ. Piezoelectric Internal Sinus Elevation (PISE) technique: a new method for internal sinus elevation. Implant Dent. 2009;18:458ā€“63.

    ArticleĀ  Google ScholarĀ 

  45. Kim JM, Sohn DS, Bae MS, Moon JW, Lee JH, Park IS. Flapless transcrestal sinus augmentation using hydrodynamic piezoelectric internal sinus elevation with autologous concentrated growth factors alone. Implant Dent. 2014;23:168ā€“74.

    Google ScholarĀ 

  46. Ahn SH, Park EJ, Klm ES. Reamer-mediated transalveolar sinus floor elevation without osteotome and simultaneous implant placement in the maxillary molar area: clinical outcomes of 391 implants in 380 patients. Clin Oral Implants Res. 2012;23(7):866ā€“72.

    ArticleĀ  Google ScholarĀ 

  47. Huwais S, Mazor Z, Ioannou A, Gluckman H, Neiva R. A multicenter retrospective clinical study with up-to-5-year follow-up utilizing a method that enhances bone density and allows for transcrestal sinus augmentation through compaction grafting. Int J Oral Maxillofac Implants. 2018;33:1305ā€“11.

    Google ScholarĀ 

  48. Del Fabbro M, Corbella S, Wenstein T, Ceresoli V, Taschieri S. Implant survival rate after osteotome mediated sinus augmentation: a systematic review. Clin Implant Dent. 2011;14(S1):e159.

    Google ScholarĀ 

  49. Duan DH, Fu JH, Qi W, Du Y, Pan J, Wang HL. Graft-free maxillary sinus floor elevation: a systematic review and meta-analysis. J Periodontol. 2017;88(6):550ā€“64.

    ArticleĀ  Google ScholarĀ 

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Stefanelli, L.V., La Rosa, S. (2021). Implant Navigation System: Dynamic Guided Surgery. In: Galante, J.M., Rubio, N.A. (eds) Digital Dental Implantology. Springer, Cham. https://doi.org/10.1007/978-3-030-65947-9_7

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  • DOI: https://doi.org/10.1007/978-3-030-65947-9_7

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