Improved implant accuracy with XGuide

Research in partnership with the University of Naples Federico II

The placement of the dental implants under the navigation system for immediate implant placement can be considered an accurate and predictable procedure and can be considered a valid support for surgeons to optimize implantology, especially in the esthetic regions.

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Dynamic Navigation System for Immediate Implant Placement in the Maxillary Aesthetic Region

by

Eric Battista, Roberta Gasparro, Maria Cacciola, Gilberto Sammartino and Gaetano Marenzi
Department of Neuroscience, Reproductive Science and Dentistry, University of Naples Federico II, 80138 Naples, Italy; er.battista@studenti.unina.it (E.B.); roberta.gasparro@unina.it (R.G.); ma.cacciola@studenti.unina.it (M.C.); gaetano.marenzi@unina.it (G.M.)
* Correspondence: gilberto.sammartino@unina.it; Tel.: +39-0817462118
† These authors contributed equally to this work.

Abstract: (1) Background: The achievement of an optimal implant position is still a critical consideration in implantology, especially in the aesthetic area. Dynamic navigation is a computer-aided procedure that allows the surgeon to follow on a screen the three-dimensional position of instruments in real time during implant site preparation. The aim of this proof-of-concept study was to assess the clinical and radiographical performance and accuracy of the surgical workflow during maxillary immediate implant placement assisted by DTX studio Implant software planning and X-Guide Navigation. (2) Methods: Twelve consecutive patients requiring at least one implant in the maxillary aesthetic region were treated. Clinical outcome measures were biological complications and implant or prosthetic success rate. The accuracy was measured by calculating the deviation between the real implant position obtained from the postoperative cone beam computed tomography (CBCT) scan and the planned implant position. (3) Results: The average deviation at the implant shoulder was 0.77 ± 0.25 mm and at the apical point was 1.2 ± 0.61 mm. The depth error was 0.5 ± 0.21 mm. The axis deviation was 2.5 ± 0.41 degrees. No biological complications or implant and prosthetic failures occurred after mean 6-month follow-up. (4) Conclusions: Within the limitations of this study, it seems that the dynamic navigation system for implant placement in the maxillary aesthetic region is accurate for prosthetically driven implant placement.

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