Die dynamische Navigation mit X-Guide – Erfahrungen zu einer neuen Implantationstechnik

Eine exakte chirurgische Implantatpositionierung erleichtert die Herstellung und Eingliederung der prothetischen Konstruktion ganz erheblich. Durch die Entwicklung aufwendiger Softwaresysteme kann man heute Bohrschablonen fertigen, die eine statisch navigierte Implantatsetzung in hinreichender Präzision ermöglichen. Bei der hier vorgestellten weiterentwickelten dynamischen 3-D-Navigation handelt sich um ein interaktives Verfahren, bei dem der Implantologe während des Eingriffs kontinuierlich die Implantatposition am Monitor kontrolliert und dabei keine Bohrschablone benötigt. Die Vorgehensweise bei diesem neuartigen Verfahren wird beschrieben und die Besonderheiten in Arbeitsablauf, Routinegewinn und Präzision werden diskutiert.

Publication History

Article published online:
28 September 2020

• Literatur

• 1 Scherer U, Stoetzer M, Ruecker M. et al. Template-guided vs. non-guided drilling in site preparation of dental implants. Clin Oral Investig 2015; 19: 1339-1346
• 2 Noharet R, Pettersson A, Bourgeois D. Accuracy of implant placement in the posterior maxilla as related to 2 types of surgical guides: A pilot study in the human cadaver. J Prosthet Dent 2014; 112: 526-532
• 3 Beretta M, Poli PP, Maiorana C. Accuracy of computer-aided template-guided oral implant placement: A prospective clinical study. J Periodontal Implant Sci 2014; 44: 184-193
• 4 Zhao XZ, Xu WH, Tang ZH. et al. Accuracy of computer-guided implant surgery by a CAD/CAM and laser scanning technique. Chin J Dent Res 2014; 17: 31-36
• 5 Pettersson A, Kero T, Söderberg RK. et al. Accuracy of virtually planned and CAD/CAM-guided implant surgery on plastic models. J Prosthet Dent 2014; 112: 1472-1478
• 6 Van de Wiele G, Teughels W, Vercruyssen M. et al. The accuracy of guided surgery via mucosa-supported stereolithographic surgical templates in the hands of surgeons with little experience. Clin Oral Implants Res 2015; 26: 1489-1494
• 7 Vercruyssen M, Cox C, Coucke W. et al. A randomized clinical trial comparing guided implant surgery (bone- or mucosasupported) with mental navigation or the use of a pilot-drill template. J Clin Periodontol 2014; 41: 717-723
• 8 Ozan O, Turkyilmaz I, Ersoy AE. et al. Clinical accuracy of 3 different types of computed tomography-derived stereolithographic surgical guides in implant placement. J Oral Maxillofac Surg 2009; 67: 394-401
• 9 Block MS, Emery RW, Cullum DR. et al. Implant Placement Is More Accurate Using Dynamic Navigation. J Oral Maxillofac Surg 2017; 75: 1377-1386
• 10 Block MS, Emery RW, Lank K. et al. Implant Placement Accuracy Using Dynamic Navigation. Int J Oral Maxillofac Implants 2017; 32: 92-99
• 11 Pellegrino G, Taraschi V, Andrea Z. et al. Dynamic navigation: a prospective clinical trial to evaluate the accuracy of implant placement. Int J Comput Dent 2019; 22: 139-147
• 12 Block MS, Emery RW. Static or Dynamic Navigation for Implant Placement–Choosing the Method of Guidance. J Oral Maxillofac Surg 2016; 74: 269-277
• 13 Stefanelli LV, DeGroot BS, Lipton DI. et al. Accuracy of a Dynamic Dental Implant Navigation System in a Private Practice. Int J Oral Maxillofac Implants 2019; 34: 205-213
• 14 Tang T, Huang Z, Liao L. et al. Factors that Influence Direction Deviation in Freehand Implant Placement. J Prosthodont 2019; 28: 511-518
• 15 McDermott N, Chuang S, Woo VV. et al. Complication of dental implants: identification, frequency, and associated risk factors. Int J Oral Maxillofac Implants 2003; 18: 848-855
• 16 Jung RE, Schneider D, Ganeles J. et al. Computer technology application in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants 2009; (suppl) 92-109
• 17 Panchal N, Mahmood L, Retana A. et al. Dynamic Navigation for Dental Implant Surgery. Oral Maxillofac Surg Clin North Am 2019; 31: 539-547
• 18 Tahmaseb A, Wismeijer D, Coucke W. et al. Computer technology application in surgical implant dentistry: a systemic review. Int J Oral Maxillofac Implants 2014; 29 (Suppl.) 25-42
• 19 Müller O. Wissenswertes zur Navigation in der Implantologie. ZWR – Das Deutsche Zahnärzteblatt 2017; 126: 516-521
• 20 Brief J, Edinger D, Hassfeld S. et al. Accuracy of image-guided implantology. Clin Oral Implants Res 2005; 16: 495-501
• 21 Somogyi-Ganss E. Evaluation of the Accuracy of NaviDent, a Novel Dynamic Computer-Guided Navigation System for Placing Dental Implants [masterʼs thesis]. Toronto, Canada: Graduate Department of Prosthodontics, University of Toronto; 2013
• 22 Arora KS, Khan N, Abboudi H. et al. Learning curves for cardio-thoracic and vascular surgical procedures – A systematic review. Postgrad Med 2015; 127: 202-214
• 23 Chiu WK, Luk WK, Cheung LK. Three-dimensional accuracy of implant placement in a computer-assisted navigation system. Int J Oral Maxillofac Implants 2006; 21: 465-470
• 24 Gargallo-Albiol J, Barootchi S, Salomó-Coll S. et al. Advantages and Disadvantages of Implant Navigation Surgery. A Systematic Review. Ann Anat 2019; 225: 1-10
• 25 Reichart PA, Schmidt-Westhausen AM, Khongkhunthian P. et al. Dental implants in patients with oral mucosal diseases – a systematic review. J Oral Rehabil 2016; 43: 388-399