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Updated: May 22, 2026

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Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
Published on: October 18, 2021
Surgical navigation recording systems in orbitozygomatic traumatology
Giorgio Novelli1, Gabriele Tonellini, Fabio Mazzoleni
1Department of Maxillofacial Surgery, University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy. g.novelli@hsgerardo.org
The Journal of Craniofacial Surgery
|May 9, 2012
Summary
This study introduces a simple dental marker method for accurate intraoperative navigation system triangulation in maxillofacial surgery. The technique, using orthodontic brackets or screws, achieves sub-millimeter accuracy, enhancing surgical precision.
Area of Science:
- Maxillofacial Surgery
- Medical Devices
- Surgical Navigation
Background:
- Accurate intraoperative navigation relies on precise marker triangulation.
- Existing systems can be complex or costly.
- A simplified method for marker application is needed.
Purpose of the Study:
- To describe a simple dental marker technique for intraoperative navigation system triangulation.
- To evaluate the preliminary results and accuracy of this method.
- To highlight indications, contraindications, and limitations.
Main Methods:
- Analysis of 8 patients undergoing maxillofacial surgery for fractures.
- Application of dental markers (orthodontic brackets or osteosynthesis screws) on maxillary teeth.
- Accuracy assessment by comparing intraoperative findings with computed tomographic images.
Main Results:
- The dental marker technique achieved triangulation accuracy comparable to leading systems, with discrepancies under 1 mm.
- The method proved effective in patients with orbital or orbitozygomatic fractures.
- Preliminary analysis confirmed successful navigation system triangulation.
Conclusions:
- A simple, effective dental marker procedure enables successful triangulation for intraoperative navigation in maxillofacial surgery.
- This technique offers a viable alternative for surgeons requiring navigation assistance.
- The method demonstrates high accuracy and broad applicability.
