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Related Experiment Video

Updated: Apr 18, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
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Full-Arch Trans-Sinus Implant Placement Using a Stackable Surgical Guide With Digitally Planned Antrostomy: A Case

Mattia Manfredini1,2, Matteo Pellegrini1,2, Pier Paolo Poli1,2

  • 1University of Milan, Department of Biomedical, Surgical and Dental Sciences, Via della Commenda 10, 20122, Milan, Italy, unimi.it.

Case Reports in Dentistry
|April 17, 2026
PubMed
Summary
This summary is machine-generated.

This study introduces a digital workflow for full-arch dental implants using a stackable guided surgery system. It enables precise trans-sinus implant placement with a novel antrostomy guide for better sinus access.

Keywords:
digital implant planningmaxillary full-arch rehabilitationstackable surgical guidetrans-sinus implant

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Digital Dentistry

Background:

  • Maxillary full-arch rehabilitation often requires complex procedures like trans-sinus implant placement.
  • Traditional methods can present challenges in achieving precise implant positioning and adequate sinus access.

Purpose of the Study:

  • To present a fully digital workflow for maxillary full-arch rehabilitation.
  • To integrate trans-sinus implant placement into a stackable guided surgery system.
  • To develop a digitally planned antrostomy guide for controlled lateral sinus access.

Main Methods:

  • A sequential stackable guide protocol was developed, including key, base, drive, and prosthetic templates.
  • A custom antrostomy guide was designed for controlled lateral sinus access.
  • The system translates virtual surgical plans into precise implant positioning and guided lateral window preparation.

Main Results:

  • The digital workflow allowed accurate localization of the sinus window.
  • Guided insertion of tilted trans-sinus implants was achieved along planned trajectories.
  • The combined guide system facilitated controlled sinus access and stable implant placement for immediate loading.

Conclusions:

  • Integrating a digitally planned antrostomy guide enhances precision in trans-sinus implant rehabilitation.
  • This digital technique expands guided surgery applications to challenging posterior maxillary cases.
  • The workflow offers a reproducible method for complex full-arch restorations.