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ePaper created 2017-05-10, 16:12:25 | version 1.38.0
| cone beam supplement dynamic navigation Dynamic navigation for precise implantation in cases of critical anatomy Author: Dr David Burgess, United Kingdom Introduction Using the CBCT image as a map, dynamic navigation guides surgeons just like a GPS guides drivers. The cli- nician virtually plans where implants should be placed. During surgery, the navigation system dynamically tracks the drill and the patient’s jaw, providing guid- ance and visual feedback to ensure the implants are placed according to plan. There are several advantages with dynamic naviga- tion. The technology allows clinicians to place im- plants more accurately than free-hand. This results in improved safety and aesthetics, as it helps the clini- cian to anticipate and to avoid potential complica- © Tom Pitkin Photography 42 CAD/CAM 2 2017 tions. Other advantages are the ability to have more minimal invasive treatments, which means less chair time, less patient discomfort and less recovery time. This treatment option has generally been seen as a “blind” procedure in the past, but the ability to avoid delicate anatomical structures due to the real-time surgical feedback makes so-called flapless surgery a valuable option. In the following case report, Dr David Burgess de- scribes how using computer-guided dynamic naviga- tion helped him overcome clinical challenges for den- tal implant placement in the lower posterior region. Case report A 75-year-old male patient had endured a gap for five years, following removal of his lower left second molar, due to an acute apical infection. He was finding mastication increasingly difficult and sought advice about the treatment options available. Planning for optimum implant positioning As there was no tooth distal to the space, conven- tional fixed bridgework was not possible. The treat- ment options were either a unilateral single saddle lower partial denture or restoration of the space with two dental implants. The patient chose to have info Dr Burgess is holding four hands-on courses in 2017 for experienced implant dentists who want to incorporate dynamic navigation into their digital workflow. For further information, course reservations or other related requests, email: dns@claronav.com