Comparative Evaluation Of Accuracy Between Various Surface Tracing Techniques Under Dynamic Navigation
DOI:
https://doi.org/10.52783/jns.v14.2807Keywords:
Dynamic navigation systems, combining intraoral scanning (IOS), cone-beam computed tomography (CBCT)Abstract
Background: Dynamic navigation systems have enhanced the precision of dental implant placement. However, the necessity of combining intraoral scanning (IOS) with cone-beam computed tomography (CBCT) for improved accuracy remains debatable.
Aim: This study aimed to compare the accuracy of implant placement using CBCT alone versus CBCT combined with IOS under dynamic navigation.
Materials and Methods: A total of 40 dentate patients requiring mandibular posterior implants were randomly divided into two groups. Group 1 underwent implant planning using CBCT and IOS, while Group 2 used CBCT data alone. All surgeries were performed using dynamic navigation (Navident system), and postoperative deviations were assessed using CBCT-based analysis.
Results: Across most anatomical reference points, no statistically significant differences were observed between groups. Statistically significant differences were found only in apex mesiodistal deviation at site 36 (mean+/-SD (N) - 0.28 ± 0.52 (20));(0.28 mm, p = 0.02) and apex vertical deviation at site 37 (mean+/-SD (N) - 0.32 ± 0.68 (20)); (0.32 mm, p = 0.04); however, these remained within clinically acceptable limits (<0.5 mm).
Conclusion: The addition of IOS to CBCT did not result in significantly improved implant placement accuracy under dynamic navigation, suggesting CBCT alone provides sufficient accuracy in clinical settings.
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References
Chhabra, K., Selvaganesh, S. and Nesappan, T. (2023) ‘Hybrid Navigation Technique for Improved Precision in Implantology’, Cureus, 15(9), p. e45440.
Dolidze, T., Kublashvili, M. and Iantbelidze, M. (2025) ‘Advantages of Using Intraoral Scanner in Prosthodontic Dentistry’, European Scientific Journal, ESJ, 21(39), pp. 23–23.
Dotia, A. et al. (2024) ‘Dynamic Navigation Protocol for Direct Sinus Lift and Simultaneous Implant Placement: A Case Report’, Cureus, 16(2), p. e53621.
Han, X. et al. (2024) ‘Digital registration versus cone-beam computed tomography for evaluating implant position: a prospective cohort study’, BMC oral health, 24(1). Available at: https://doi.org/10.1186/s12903-024-04088-x.
van Hooft, J. et al. (2022) ‘Intraoral Scanning as an Alternative to Evaluate the Accuracy of Dental Implant Placements in Partially Edentate Situations: A Prospective Clinical Case Series’, Journal of clinical medicine, 11(19). Available at: https://doi.org/10.3390/jcm11195876.
Jaju, P.P. and Jaju, S.P. (2014) ‘Clinical utility of dental cone-beam computed tomography: current perspectives’, Clinical, cosmetic and investigational dentistry, 6. Available at: https://doi.org/10.2147/CCIDE.S41621.
Knipper, A. et al. (2024) ‘Accuracy of Dental Implant Placement with Dynamic Navigation—Investigation of the Influence of Two Different Optical Reference Systems: A Randomized Clinical Trial’, Bioengineering, 11(2), p. 155.
Li, P. et al. (2023) ‘Accuracy of autonomous robotic surgery for dental implant placement in fully edentulous patients: A retrospective case series study’, Clinical oral implants research, 34(12), pp. 1428–1437.
Nirula, P., Selvaganesh, S. and N, T. (2023) ‘Feedback on dental implants with dynamic navigation versus freehand’, Bioinformation, 19(3), pp. 290–294.
Parekar, D., Selvaganesh, S. and Nesappan, T. (2024) ‘Comparative Evaluation of Accuracy of Adjacent Parallel Implant Placements Between Dynamic Navigation and Static Guide: A Prospective Study’, Cureus, 16(3), p. e57331.
Skjerven, H. et al. (2019) ‘Comparison of postoperative intraoral scan versus cone beam computerised tomography to measure accuracy of guided implant placement—A prospective clinical study’, Clinical Oral Implants Research, 30(6), pp. 531–541.
Sundaram, S. et al. (2023) ‘Post-operative pain management using two drugs following dental implant surgery among Indians’, Bioinformation, 19(4), pp. 476–478.
Wang, J. et al. (2024) ‘Recent Advances in Digital Technology in Implant Dentistry’, Journal of Dental Research [Preprint]. Available at: https://doi.org/10.1177/00220345241253794.
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