How I Use Dynamic Navigation to Place Dental Implants

Dynamic navigation allows the surgeon to place implants using a receiver, an array on the handpiece, and an array on the patient’s arch, to guide implant placement.  The methods provide the accuracy of ct guidance with real time flexibility within the accuracy of tooth borne ct guides (1,2).

This presentation will describe the workflow and methods step by step, to show clinicians a method to accurately guide implant placement.  Preoperative placement of a clip with fiducials allows for registration of the patient’s head position, with virtual implant placement in the cone beam scan. The handpiec e is calibrated for each drill length for use with any implant system.  Logistical setup of the receiver varies for the specific anatomic location of the implant to be placed.  Smaller incisions are used to access the bone.  After a crestal round hole is made in the planned implant’s center, burs are used in sequence to complete the preparation process, looking at the computer screen rather than in the patient’s mouth.  Comparisons of the planned implant placement to the actual placement will be made. 

1.  Kramer F et al.: Clin Oral Impl Res, 16:60-69, 2004

2. Ruppin J et al.: Clin Oral Impl Res, 19:709-716, 2008