Dental Implant Surgery: From Conventional to Guided to Navigated Approach
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Purpose of Review
The purpose of this article is to review the evolution of dental implant surgery from a traditional approach to a computer-aided one. Implant surgery using CAD/CAM surgical templates has become widely used, and now, a new technology, dynamic navigation, is gaining popularity. We aim to review both technologies as well as their advantages and disadvantages.
The latest reviews of the accuracy of static navigation show 1.4 mm apical horizontal, 1.1 mm coronal horizontal, 0.74 mm vertical, and 3.98° angular deviations. Dynamic navigation is reported to have 0.4 mm horizontal/vertical and 4° angular deviations. While deviations do exist with these techniques, the accuracy and predictability still greatly surpass that of free-hand surgery.
Dentistry has now moved into a digital era and so has implant surgery. Computer-aided implant planning and surgery has become common practice for many surgeons. Static and dynamic navigation has taken implant surgery to a new level of predictability and precision.
KeywordsDental implant Implant surgery CAD/CAM Computer-guided surgery Static navigation Dynamic navigation
Compliance with Ethical Standards
Conflict of Interest
All authors declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 1.Ring ME. Dentistry: an illustrated history 2nd ed: Abradale Press; 1985.Google Scholar
- 2.Misch CE. Contemporary implant dentistry: Mosby Elsevier; 2007.Google Scholar
- 3.Greenfield EJ. Implantation of artificial crown and bridge abutments. Int J Oral Implant. 1991;7(2):63–8.Google Scholar
- 4.Brånemark PI, Hansson BO, Adell R, et al. Osseointegrated implants in the treatment of the edentulous jaw: experience from a 10-year period. Scand J Plast Reconstr Surg. 1977;16:1–132.Google Scholar
- 6.Esposito M, et al. Interventions for replacing missing teeth: different types of dental implants. Cochrane Database of Syst Rev. 2014;(7):CD003815.Google Scholar
- 7.Esposito M, et al. Interventions for replacing missing teeth: dental implants in zygomatic bone for the rehabilitation of the severely deficient edentulous maxilla. Cochrane Database Syst Rev. 2013:CD004151. https://doi.org/10.1002/14651858.CD003603.pub3.
- 9.Branemark PI, Zarb G. Tissue-integrated prostheses: Quintessence Books; 1989.Google Scholar
- 10.Branemark PI and Worthington P: Advanced osseointegration surgery: applications in the maxillofacial region. Brånemark PI, Zarb, George A, Albrektsson T, editors. Quintessence Books; 1992.Google Scholar
- 11.Gupta S, et al. Oral implant imaging: a review. Malays J Med Science. 2015;22(3):7–17.Google Scholar
- 12.Karjodkar FR. Textbook of dental and maxillofacial radiology. 2nd ed: Jaypee Brothers Medical Publishers ℗ ltd; 2009.Google Scholar
- 14.Bornstein M, Scarfe W, Vaughn V, Jacobs R. Cone beam computed tomography in implant dentistry: a systematic review focusing on guidelines, indications, and radiation dose risks. Int J Oral Maxillofac Implants. 2014;29(Supplement):55–77. https://doi.org/10.11607/jomi.2014suppl.g1.4.CrossRefPubMedGoogle Scholar
- 20.•• Bover-Ramos F, et al. Accuracy of implant placement with computer-guided surgery: a systematic review and meta-analysis comparing cadaver, clinical, and in vitro studies. Int J Oral Maxillofac Implants. 2017; Not yet in print. This is the most current review of the accuracy of static navigation. Google Scholar
- 25.Raico Gallardo YN, da Silva-Olivio IRT, Mukai E, Morimoto S, Sesma N, Cordaro L. Accuracy comparison of guided surgery for dental implants according to the tissue of support: a systematic review and meta-analysis. Clin Oral Implants Res. 2017;28(5):602–12. https://doi.org/10.1111/clr.12841.CrossRefPubMedGoogle Scholar
- 26.Kernen F, Benic GI, Payer M, Schär A, Müller-Gerbl M, Filippi A, et al. Accuracy of three-dimensional printed templates for guided implant placement based on matching a surface scan with CBCT. Clin Implant Dent Relat Res. 2016;18(4):762–8. https://doi.org/10.1111/cid.12348.CrossRefPubMedGoogle Scholar
- 33.•• Block MS, et al. Implant placement accuracy using dynamic navigation. Int J Oral Maxillofac Implants. 2017;32:92. Demonstrates that dynamic navigation can achieve accuracy of implant placement similar to static guides and is an improvement over freehand implant placement. CrossRefPubMedGoogle Scholar