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Can Dynamic Computer-Guided Surgery Be Useful for Removing an Upper Jaw Odontoma?

Martina Mezio1, Davide Brilli1, Alessandra Putrino1

  • 1Department of Oral and Maxillofacial Sciences Sapienza University of Rome Rome Italy.

Clinical Case Reports
|September 25, 2025
PubMed
Summary

Dynamic navigation systems enhance oral surgery precision. This case report details successful odontoma removal and canine recovery using dynamic navigation and cone beam computed tomography (CBCT), improving patient outcomes.

Keywords:
TADscanine impactiondynamic computer‐guided surgeryminiscrewodontoma

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Area of Science:

  • Oral Surgery
  • Dental Technology
  • Radiology

Background:

  • Odontomas are benign jaw lesions often found during unerupted permanent tooth investigations.
  • Surgical excision is the standard treatment for odontomas, carrying inherent risks.
  • Impacted teeth and odontomas can complicate oral surgical procedures.

Purpose of the Study:

  • To present a case of odontoma removal and impacted canine recovery using dynamic navigation.
  • To evaluate the efficacy and safety of dynamic navigation systems in complex oral surgery.
  • To demonstrate the integration of cone beam computed tomography (CBCT) with dynamic navigation for enhanced surgical precision.

Main Methods:

  • A 14-year-old patient with an impacted canine and adjacent odontoma was treated.
  • Dynamic navigation system integrated with CBCT was utilized for surgical planning and guidance.
  • Surgical removal of the odontoma and recovery of the impacted canine were performed under navigation.

Main Results:

  • The dynamic navigation system facilitated precise localization and removal of the odontoma.
  • The impacted canine was successfully recovered with minimal disruption to adjacent structures.
  • The procedure demonstrated enhanced safety, accuracy, and predictability compared to conventional methods.

Conclusions:

  • Dynamic navigation systems, combined with CBCT, offer significant advantages in managing odontomas and impacted teeth.
  • This technology improves precision and safety in oral surgery, potentially reducing complications.
  • The integration of navigation systems represents a significant advancement in oral surgical procedures and patient care.