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Updated: May 7, 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
Computer guided implantology accuracy and complications.
Vincenzo Bruno1, Mauro Badino, Francesco Riccitiello
1Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples, Italy.
Case Reports in Dentistry
|October 2, 2013
Summary
Computer-guided surgery for dental implants requires precise planning and adherence to protocols. While effective, this method can encounter complications if not executed meticulously, as seen in a case requiring prosthesis revision.
Area of Science:
- Oral and Maxillofacial Surgery
- Biomedical Engineering
- Dental Implantology
Background:
- Computer-based methods, including computed tomography (CT), enable precise planning for surgical implantology procedures.
- The success of computer-guided surgery relies heavily on operator training and strict protocol adherence to minimize potential errors.
- A 70-year-old edentulous patient sought a lower jaw implant-supported prosthesis, necessitating advanced surgical planning.
Purpose of the Study:
- To evaluate the application and outcomes of computer-guided surgery for a lower jaw implant-supported prosthesis.
- To assess the efficacy of the NobelGuide technique for immediate loading in a complex patient case.
- To highlight the importance of accurate data and meticulous execution in computer-guided implantology.
Main Methods:
- Utilized 3D CT scans of maxillary bones and prosthesis for computerized surgical planning.
- Planned computer-guided surgery with immediate loading using the NobelGuide technique.
- Involved pre-operative denture construction for vertical dimension adjustment and post-operative prosthesis delivery.
Main Results:
- An interim screwed metal-resin prosthesis was delivered immediately post-surgery but was removed after two weeks due to a complication.
- A definitive screwed implant bridge was ultimately delivered to the patient.
- The case underscores that computer-guided surgery is beneficial when supported by accurate 3D CT data and specialized planning software.
Conclusions:
- Computer-guided surgery offers a valuable approach to dental implant placement when protocols are strictly followed.
- Accurate 3D CT imaging and sophisticated implant planning software are crucial for minimizing errors and ensuring successful outcomes.
- Careful patient management and prosthesis selection are essential, even with advanced guided surgery techniques.
