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Updated: Jul 20, 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
Navigational exploration of bony defect mimicking a solid lesion of the mandible compared to conventional surgery by
Johannes Spille1, Nele Bube1, Juliane Wagner1
1Department of Oral and Maxillofacial Surgery, University Hospital of Schleswig-Holstein, Christian Albrechts University, UKSH- Campus Kiel, Arnold-Heller-Straße 3, Kiel 24105, Germany.
Introduction:
The aim of the current study was to evaluate the accuracy of resection a solid lesion in an acrylic lower jaw by young professionals using a dynamic computer-assisted surgical system comparted to conventional surgery technique.
Material And Methods:
Twenty students performed the removal of the lesion conventionally and twenty students did the operation with a dynamic computer-assisted surgical system. Both groups were compared regarding the defect size, operation time, and surgical complications.
Results:
The defect size in the jaw was significant smaller with the navigated surgery (p < 0.001). Operation time was shorter without navigation system, but no significance was found (p = 0.137). Without navigation system three young professionals perforated the lingual cortex.
Discussion:
Navigated surgery can immediately be used by young professionals and support young surgeons in everyday clinical practice, especially in operations with difficult anatomic situations.

