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Updated: Dec 10, 2025
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
Impact of fully or partially guided surgery on the position of single implants immediately placed in maxillary
Bruno Kraft1, Fausto Frizzera2, Rubens Moreno de Freitas1
1Faculdade Ilapeo, School of Dentistry, Department of Dentistry. R. Jacarezinho, Curitiba, Puerto Rico, Brazil.
Purpose:
The aim of this study was to compare the deviation of the implant position after placement in single maxillary incisor post-extraction sockets between fully and partially guided surgery.
Materials And Methods:
Twenty-four patients with a failing maxillary incisor were randomly allocated into two groups: the partially guided surgery (PGS, n = 12) group or fully guided surgery (FGS, n = 12) group. Clinical analyses, intra-oral scans, and computed tomography scans (CT) were initially performed to define the virtual positioning of the implants and fabrication of the 3D printed surgical guides. A narrow, 3.5 × 16 mm implant was placed in each socket. In this moment, the insertion torque (IT) was assessed and resonance frequency analysis (RFA) was performed. All patients received an immediate provisional without occlusal contacts. Another CT scan was performed after the procedures to compare the implant position with the virtually planned position.
Results:
Significant deviations occurred at the implant apex, according to the global and facial-palatal analyses, in comparison to its cervical position. The PGS group also presented a larger deviation in the MD position. No statistical differences between the groups were detected, however, there was a tendency of lower angular deviation in the PGS group.
Conclusions:
While there was a slight deviation from the virtually planned position of the implant to the actual position and a tendency of lower angular deviation in the PGS group, there was no difference among groups regarding its position and primary stability. (UNT: 1111-1214-2812 - http://www.ensaiosclinicos.gov.br/rg/RBR-4tmcrk/).
