Clinical application of dynamic navigation for dental implantation in bone augmented sites

Background The successful implant placement in augmented sites is dependent on adequate volume of bone and relies on the proper implant body placement. Minimal risk during surgical and healing phases is also of high importance. One of the most promising technique has been introduced recently. This technique is dedicated to minimizing invasiveness associated with surgical interventions during implant placement. Aim/Hypothesis The purpose of this study was clinical and radiological assessment of the healing process in augmented sites of the patients treated with dental implants inserted with the use of dynamic implant navigation system. Material and Methods The group of 4 healthy patients with bone augmented sites were estimated by the CBCT examination. The workflow required the use of optical markers attached to the patient's arch during CBCT examination. The DICOM data was loaded into the navigation system computer. The implants were inserted according to the pre surgical planning under traditional local anesthesia. The flapless surgery with the use of punch tissue technique was performed. After the period of 3–6 months the implants were uncovered and the prosthetic treatment was introduced. In all cases CBCT was performed after implantation as well as implant stability measured by (OSSTELL). Results (i) In all cases the assessment revealed very good effectiveness of the treatment according to the pre surgical treatment planning. (ii) The healing process was uneventful in each patients due to the minimal invasiveness of the surgery. (iii) Implant placement was performed after complete bone regeneration and confirmed clinical efficacy of this bone reconstruction technique and implant stability achieved after insertion and secondary stability as well. Conclusions and Clinical Implications The use of dynamic navigation and performance of flapless implant surgery reduced harm to patients leading to reduced patient discomfort, risk of infection and faster recovery.