Expectation and reality of guided implant surgery protocol using computer-assisted static and dynamic navigation system at present scenario: Evidence-based literature review

Kalaivani, Gunalan; Balaji, Venkateshwarapuram Rengaswami; Manikandan, D; Rohini, G McKee

doi:10.4103/jisp.jisp_92_20

Cited by 21 publications

(23 citation statements)

References 52 publications

(79 reference statements)

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“…Thus, digital planning and placement of dental implants in the correct position continue to optimize the classic dental implant approach. However, this guided surgical approach also contains some errors and risks, which must be identified and rectified [29].…”

Section: Resultsmentioning

confidence: 99%

Guided surgery in dental implant: a systematic review

Guimarães

Caruzi

Kassis

2021

MedNEXT

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Introduction: In the context of implant dentistry, dental implants represent about 1,000,000 procedures per year worldwide. Virtual implant planning systems integrate cone beam computed tomography (CT) data to assess the amount of bone and virtual models for the project of a dental implant. Objective: It presented, through a systematic review, the main considerations of guided surgery in implant dentistry through evidence from clinical studies and important systematic reviews on the subject. Methods: The research was carried out from May 2021 to June 2021 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar, following the Systematic Review-PRISMA rules. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: A total of 112 articles were found on guided surgery and implantology. Initially, duplication of articles was excluded. In total, 54 articles were fully evaluated and 23 were included and evaluated in this study. In the GS scenario, advances in technology have contributed to the improvement of models with favorable positioning of implants in aesthetic terms. This provides the predictability of techniques and difficulties that may be encountered during surgical intervention, reducing time and the possibility of errors, allowing for an overall reduction in the costs of oral rehabilitation. Conclusion: Guided surgery is considered accurate and reliable compared to free implant surgery. However, the learning curve is undeniable and a clinician with basic surgical skills, including conventional implant dentistry.

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Section: Resultsmentioning

confidence: 99%

Guided surgery in dental implant: a systematic review

Guimarães

Caruzi

Kassis

2021

MedNEXT

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“…There is no need for a specific set of drills or instruments and can be used in almost all patients, even in cases with limited mouth opening. Kalaivani et al (13) stated that the major value of the dynamic design is the ability to adjust the planned implant positioning intraoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…Nowadays, the goal is not only to load all the osseointegrated implants but also to place the fixtures so that they are guided by the prosthesis in an accurate and biomechanically ideal position. Poor implant positioning would lead to biological complications due to the inability to maintain proper hygiene, peri-implantitis, unfavorable mechanical load, and, finally, loss of implant at an early stage (13).…”

Section: Introductionmentioning

confidence: 99%

Computer-Assisted Dental Implant Placement Following Free Flap Reconstruction: Virtual Planning, CAD/CAM Templates, Dynamic Navigation and Augmented Reality

et al. 2022

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Image-guided surgery, prosthetic-based virtual planning, 3D printing, and CAD/CAM technology are changing head and neck ablative and reconstructive surgical oncology. Due to quality-of-life improvement, dental implant rehabilitation could be considered in every patient treated with curative intent. Accurate implant placement is mandatory for prosthesis long-term stability and success in oncologic patients. We present a prospective study, with a novel workflow, comprising 11 patients reconstructed with free flaps and 56 osseointegrated implants placed in bone flaps or remnant jaws (iliac crest, fibula, radial forearm, anterolateral thigh). Starting from CT data and jaw plaster model scanning, virtual dental prosthesis was designed. Then prosthetically driven dental implacement was also virtually planned and transferred to the patient by means of intraoperative infrared optical navigation (first four patients), and a combination of conventional static teeth supported 3D-printed acrylic guide stent, intraoperative dynamic navigation, and augmented reality for final intraoperative verification (last 7 patients). Coronal, apical, and angular deviation between virtual surgical planning and final guided intraoperative position was measured on each implant. There is a clear learning curve for surgeons when applying guided methods. Initial only-navigated cases achieved low accuracy but were comparable to non-guided freehand positioning due to jig registration instability. Subsequent dynamic navigation cases combining highly stable acrylic static guides as reference and registration markers result in the highest accuracy with a 1–1.5-mm deviation at the insertion point. Smartphone-based augmented reality visualization is a valuable tool for intraoperative visualization and final verification, although it is still a difficult technique for guiding surgery. A fixed screw-retained ideal dental prosthesis was achieved in every case as virtually planned. Implant placement, the final step in free flap oncological reconstruction, could be accurately planned and placed with image-guided surgery, 3D printing, and CAD/CAM technology. The learning curve could be overcome with preclinical laboratory training, but virtually designed and 3D-printed tracer registration stability is crucial for accurate and predictable results. Applying these concepts to our difficult oncologic patient subgroup with deep anatomic alterations ended in comparable results as those reported in non-oncologic patients.

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“…Therefore, the use of an anti-microbial implant could function as a failsafe mechanism in prevention or extension of peri-implant disease process in any practitioner's practice. The absolute indication for an anti-microbial implant then is for any oral penetrating dental implant which has a potential for inflammatory, traumatic or physiologic bone loss (62).…”

Section: Adjacent Diseasementioning

confidence: 99%

Antimicrobial surface treatment of titanium dental implants: a narrative review between 2011 and 2021

Jensen¹,

Weiss²,

Tarnow³

2023

Front Oral Maxillofac Med

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Background and Objective: Development of methods to decrease bacterial contamination on oral penetrating devices has been increasing but has not born predictable results. The need for antimicrobial coatings for devices placed inside of the body, particularly penetrating devices that emerge inside the oral cavity is of profound interests to dentistry. Titanium dental implant surfaces, including the abutment-implant junction are associated with a relatively high incidence of chronic infection termed peri-implant disease. In fact, peri-implant disease is the most frequent complication of dental implant treatment. Therefore, a narrative review of the need for technological development to prevent or curtail peri-implant disease is presented.Methods: A review of current English language literature published between 2011 and December 1 st , 2021 was done in PubMed using the MeSH subject of anti-bacterial treatment of titanium dental implants. The Search librarian conducted the search at the American Dental Association Library in Chicago, Illinois. A further criterion was searched for sustained in vivo anti-microbial activity. There were no stringent selection criteria, such as removing fluoride treatment from the search, due to the limitation of articles in this nascent field.

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Expectation and reality of guided implant surgery protocol using computer-assisted static and dynamic navigation system at present scenario: Evidence-based literature review

Cited by 21 publications

References 52 publications

Guided surgery in dental implant: a systematic review

Guided surgery in dental implant: a systematic review

Computer-Assisted Dental Implant Placement Following Free Flap Reconstruction: Virtual Planning, CAD/CAM Templates, Dynamic Navigation and Augmented Reality

Antimicrobial surface treatment of titanium dental implants: a narrative review between 2011 and 2021

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