Observational studyInternational journal of implant dentistry2025
Clinical accuracy assessment of a dynamic navigation system and surgical guide using an oral appliance-secured patient tracker targeting anterior teeth.
Observational study in International journal of implant dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Accuracy of Freehand, Static, and Dynamic Computer-Assisted Implant Placement: A Systematic Review and Meta-Analysis.Journal of periodontal research · 2026Pooled it
- Accuracy of dental implant positioning by dynamic or static computer-assisted implant surgery: a randomized controlled clinical trial.Scientific reports · 2026Trial
- Is Accurate Dental Implant Placement Feasible Using a Novel Dynamic Computer-Assisted Surgery System Without Patient Optical Markers or Registration? A Preliminary Retrospective Cohort Study.Clinical and experimental dental research · 2026Article
- Accuracy of dynamic computer-assisted implant surgery among novice operators using three different patient registration methods: an in-vitro study.International journal of implant dentistry · 2026Article
- Digital Dentistry in Clinical Practice: A Scoping Review of Current Capabilities and Future Directions.International dental journal · 2026Article
- Selective use of dynamic navigation for anatomically challenging immediate loading of all-on-four implants: a retrospective cohort study.European oral research · 2026Article
- Real-Time Motion Compensation for Dynamic Dental Implant Surgery.Journal of clinical medicine · 2025Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDynamic navigation systems and surgical guides have been reported to be equally accurate. However, the accuracy of dynamic navigation systems is affected by the movement of the patient tracker fixed to the tooth. We hypothesized that fixing the patient tracker to the oral appliance could improve accuracy. Therefore, this study aimed to compare accuracy between a dynamic navigation system with a patient tracker fixed to an oral appliance and a surgical guide.
methodsThis observational study was conducted on patients who had undergone complete implant treatment at Kanagawa Dental University from 2020 to September 2024. Fifty implant bodies were placed in 42 patients with anterior tooth defects in both the dynamic navigation and surgical guide groups (25 implants each). DTX Studio™ (Nobel Biocare AG, Kloten, Switzerland) was used to overlay planning data on postoperative Digital Imaging and Communications in Medicine data to calculate entry point, apex point, and angular deviation accuracy.
resultsThe entry point, apex point, and angular deviation values were 0.99 ± 0.33 mm, 0.97 ± 0.43 mm, and 2.64 ± 0.87° in the dynamic navigation group and 1.33 ± 0.26 mm, 1.38 ± 0.3 mm, and 3.42 ± 1.03° in the surgical guide group, respectively, differing significantly at all measurement sites (P < 0.01).
conclusionsThe fixation of the X-clip to the oral appliance improved intra-oral stability and inhibited intraoperative movement of the X-clip, resulting in high accuracy. These results suggest that dynamic navigation by oral appliance fixation is more accurate than surgical guides.
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