Pellegrino Gerardo, Lizio Giuseppe, Basile Francesco, Stefanelli Luigi Vito, Marchetti Claudio, Felice Pietro
Oral of Maxillofacial Surgery Unit, Department of Biomedical and Neuromotor Sciences, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy.
Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00185 Rome, Italy.
Methods Protoc. 2020 Nov 5;3(4):75. doi: 10.3390/mps3040075.
Dynamic Navigation is a computer-aided technology that allows the surgeon to track the grip instruments while preparing the implant site in real time based on radiological anatomy and accurate pre-operative planning. The support of this technology to the zygoma implant placement aims to reduce the risks and the errors associated with this complex surgical and prosthetic treatment. Various navigation systems are available to clinicians currently, distinguished by handling, reliability, and the associated economic and biological benefits and disadvantages. The present paper reports on the different protocols of dynamic navigations following a standard workflow in correlation with zygomatic implant supported rehabilitations and describes a case of maxillary atrophy successfully resolved with this technology. An innovative and minimally invasive dynamic navigation system, with the use of an intraoral anchored trust marker plate and a patient reference tool, has been adopted to support the accurate insertion of four zygomatic implants, which rapidly resolved maxillary atrophy from a 75-year-old male system. This approach provided an optimal implant placement accuracy reducing surgical invasiveness.
动态导航是一种计算机辅助技术，可让外科医生在根据放射解剖结构和精确的术前规划实时准备种植体植入部位时跟踪握持器械。该技术对颧骨种植体植入的支持旨在降低与这种复杂的外科和修复治疗相关的风险和误差。目前临床医生可以使用各种导航系统，这些系统在操作、可靠性以及相关的经济和生物学优缺点方面各有不同。本文报告了与颧骨种植体支持的修复相关的遵循标准工作流程的动态导航的不同方案，并描述了一例使用该技术成功解决上颌骨萎缩的病例。采用了一种创新的微创动态导航系统，使用口内锚定的信任标记板和患者参考工具，以支持四颗颧骨种植体的精确植入，迅速解决了一名75岁男性患者的上颌骨萎缩问题。这种方法提供了最佳的种植体植入精度，降低了手术创伤性。
