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A novel application of dynamic guided navigation system in immediate implant placement
oleh: Po-Jan Kuo, Chi-Yu Lin, Tsung-Fu Hung, Hsien-Chung Chiu, Hsin-Yu Kuo
Format: | Article |
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Diterbitkan: | Elsevier 2022-01-01 |
Deskripsi
Background/purpose: Immediate placement in the esthetic zone has been a predictable treatment option. However, it requires the clinician to be experienced and knowledgeable about esthetic diagnosis, accurate 3-dimensional (3D) implant placement, and restoratively driven planning/placement. Therefore, this study aimed to investigate a novel workflow integrating dynamic navigation to immediate single-implant placement in the aesthetic zone. Materials and methods: We included ten patients who required at least one implant in the esthetic area and were treated with post-extraction socket implant placement. Osteotomy and implant placement followed computer-assisted implant positioning and image-guided dynamic navigation. Treatment outcomes were implant success rates, surgical and prosthetic complications, marginal bone level (MBL), modified pink esthetic score, and white score. Results: In the consecutive clinical cases, patients were satisfied with implant therapy's function and esthetic outcome in the esthetic zone. No other surgical or biological complications occurred, which accounts for the 100% cumulative success rate. The mean MBL was −0.76 ± 0.15 mm assessed using standardized intraoral digital periapical radiographs. Conclusion: The novel application of a dynamic guided navigation system is a dependable clinical protocol to obtain optimal implant position/angulation and esthetics on immediate implant placement.