ACCURACY OF A ROBOTIC DENTAL IMPLANT NAVIGATION SYSTEM IN DENTAL IMPLANT PRACTICE

Abstract

Objective: To evaluate the implant positioning accuracy using a robotic implant navigation system in dental implant practice. Methods: The analysis of the treatment of 16 patients using a robotic implant navigation system in stages implant surgery and dental implant prosthetic rehabilitation performed for the period 2022-2023.All patients underwent a complex clinical, laboratory study, computed tomography (CT). A total of 46 implants were installed using the Navident (ClaroNav) navigation system a flapless or minimal flap approach. 25 implants were completely edentulous and 21 implants were installed in a partially edentulous area. To assess the accuracy of dental implant placement using preoperative plan cone beam computed tomography (CBCT),deviations between the planned and installed implant positions were analyzed. The coronal deviation was measured as the distance between the centers of the implant coronal platform. Apical deviation was measured as the distance between the centers of the implant apical. Angular deviation was measured as the angle of the axis of the implant center. Success of implantation and success of prosthetics of implant- supported reconstructions were evaluated. Data were statistically analyzed with. Results: No intra-operative or immediate post-operative complications were noted after procedure. The postoperative of the patients was favorable. For all implants, the mean deviations were: 0.21 mm at the entry point (lateral) and 0.27 mm at the apex. The average angle deviation from the actual and planned implant position was 1.32 degrees. Patients were satisfied with the functional and aesthetic results of implantation. Conclusion: Robotic implant navigation system allows for precise implant placement, the level of experience of the surgeon and the location of the implant do not affect the accuracy of placement and the timing of the procedure.