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How to Avoid Errors When Using Navigation to Place Implants - A Narrative Review.

Michael S Block1

  • 1Private Practice, Metairie, LA, Clinical Professor, LSU School of Dentistry, Department of Oral and Maxillofacial Surgery, Metairie, LA.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|December 8, 2022
PubMed
Summary
This summary is machine-generated.

This review identifies sources of error in guided implant surgery navigation to help surgeons minimize inaccuracies. Understanding these factors improves implant placement accuracy and reduces complications.

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Area of Science:

  • Dental Implantology
  • Surgical Navigation
  • Medical Error Analysis

Background:

  • Navigational systems enhance implant placement accuracy in surgery.
  • Identifying and mitigating sources of error in these systems is crucial for optimal outcomes.
  • This review focuses on documenting error factors in guided implant surgery.

Purpose of the Study:

  • To systematically document sources of error in surgical navigation for dental implant placement.
  • To provide surgeons with a reference to recognize and decrease navigational errors.
  • To optimize the use of navigation for accurate implant placement.

Main Methods:

  • A comprehensive literature search was conducted on PubMed.gov from 2010 to 2022.
  • Inclusion criteria focused on peer-reviewed articles, including in vitro studies on microgap, cone beam computerized tomography (CBCT) accuracy, and printed model accuracy.
  • Data extraction involved study objectives, outcomes, statistical significance, and author conclusions, analyzed for each error-related topic.

Main Results:

  • Analysis of 70 collated articles revealed multiple error sources in guided implant surgery, often below 1 mm.
  • Identified errors include those related to scanning methods, merging scanned files with CBCT data, guide fabrication, intraoperative techniques, learning curves, and planning.
  • Unaddressed minor errors can lead to implant placement deviations exceeding 1-2 mm and angulation errors over 8°.

Conclusions:

  • Surgeons must consider controllable factors to avoid implant malposition.
  • Effective utilization of navigation requires awareness and management of identified error sources.
  • Minimizing navigational errors is key to achieving accurate implant placement.