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Int J Comput Dent 20 (2017), No. 1 13. Mar. 2017
Int J Comput Dent 20 (2017), No. 1 (13.03.2017)
Page 9-19, PubMed:28294202, Language: English/German
Navigation in implantology
Herklotz, Insa / Beuer, Florian / Kunz, Andreas / Hildebrand, Detlef / Happe, Arndt
The primary objective of implant insertion is optimal prosthetic implant positioning while simultaneously protecting sensitive anatomical structures. In this context, navigated implants show significantly better results than freehand-inserted implants. Computer-assisted navigation, in combination with three-dimensional (3D) imaging by cone beam computed tomography (CBCT), is an ideal way to achieve higher predictability for successful implant therapy. Basically, one can distinguish between static navigation using templates, and direct dynamic navigation using optical transmission systems. Both options demonstrate comparably good results as far as the precision of implant positioning is concerned. Today, the gold standard is digital manufacturing of the template. Direct navigation is the more attractive option, provided acquisition costs can be reduced by simplifying the system. This article presents patient cases that demonstrate different variants of navigated implantology.
Keywords: static navigation, dynamic navigation, digital manufacturing, template, CAD/CAM, reference marker