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Updated: Jul 22, 2025

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
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Piezocision Through Computer-Guided Navigation.

Trevor Fujinaka, Jeremy Kernitsky, Jess Liu

    The International Journal of Periodontics & Restorative Dentistry
    |July 20, 2023
    PubMed
    Summary
    This summary is machine-generated.

    This study introduces a novel navigation technique for Piezocision, enhancing orthodontic treatment safety. Combining cone-beam computed tomography (CBCT) with dynamic navigation improves accuracy and minimizes risks during piezoelectric corticotomies.

    Keywords:
    dynamic guidancenavigationperiodontal surgerypiezocisionsurgically accelerated orthodontics

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    Area of Science:

    • Orthodontics
    • Oral and Maxillofacial Surgery
    • Medical Technology

    Background:

    • Surgical techniques can accelerate orthodontic treatment but often cause discomfort.
    • Piezocision is a minimally invasive flapless technique using piezoelectric corticotomies to speed tooth movement.
    • Existing methods like CAD/CAM surgical guides aim to prevent damage but lack real-time feedback.

    Purpose of the Study:

    • To introduce and evaluate a novel method combining computer-assisted dynamic navigation with Piezocision.
    • To enhance the safety and accuracy of piezoelectric corticotomies during orthodontic procedures.

    Main Methods:

    • Integration of cone-beam computed tomography (CBCT) with motion-tracking technology.
    • Real-time intraoperative tracing of piezoelectric instruments using dynamic navigation.
    • Guidance of the piezoelectric knife relative to anatomical structures and tooth roots.

    Main Results:

    • The combined technique provides real-time location data of the surgical instrument.
    • Improved safety and accuracy in performing piezoelectric corticotomies were achieved.
    • Minimally invasive Piezocision procedure is enhanced with advanced navigation.

    Conclusions:

    • Computer-assisted dynamic navigation offers a significant advancement for the Piezocision technique.
    • This integrated approach increases procedural safety and precision in orthodontic surgery.
    • Future applications may involve wider use in accelerating orthodontic tooth movement with reduced complications.