Bhalerao Ashwini, Kumar Vaibhav
Department of Oral and Maxillofacial Surgery, Saveetha Dental College, Chennai, India.
Department of Public Health Dentistry, Dr GD Pol Foundation YMT Dental College and Hospital (Affiliated to Maharashtra University of Health Sciences), Navi Mumbai, India.
Front Oral Health. 2025 May 13;6:1598206. doi: 10.3389/froh.2025.1598206. eCollection 2025.
Oral health disparities remain a pressing global concern, especially in communities with limited access to specialized dental care. Implant dentistry, while transformative for tooth replacement, often relies on techniques that can be imprecise, operator-dependent, and prone to complications. Dynamic Navigation (DN), a real-time computer-assisted technology, offers a promising solution by enhancing accuracy, reducing errors, and supporting minimally invasive procedures. This narrative review explores how DN can improve clinical precision, reduce surgical complications, and make implantology more accessible and cost-effective. It introduces the DN-PUBLIC framework-a strategic, public health-focused approach for integrating DN into broader healthcare systems, with a strong alignment to the United Nations Sustainable Development Goals (SDGs).A comprehensive review of current literature was conducted, assessing DN's impact on surgical safety, recovery outcomes, cost-efficiency, and its growing role in dental education. The findings highlight that DN significantly improves implant placement accuracy and reduces risks such as nerve injury or misalignment. By allowing for flapless procedures and better soft tissue preservation, DN leads to quicker recovery and greater patient comfort. Beyond clinical outcomes, DN enables general practitioners to perform complex procedures more confidently, expanding access to quality care in underserved regions. Economic analyses also suggest reduced operative time, fewer complications, and lower healthcare costs. In conclusion, DN has the potential to transform public oral health by improving outcomes, training, and access. The DN-PUBLIC framework offers a clear roadmap to guide ethical, inclusive, and sustainable integration of DN technology in dental practice worldwide.
口腔健康差距仍是一个紧迫的全球问题,尤其是在获得专业牙科护理机会有限的社区。种植牙科虽然对牙齿替代具有变革性,但通常依赖于可能不精确、依赖操作者且容易出现并发症的技术。动态导航(DN)作为一种实时计算机辅助技术,通过提高准确性、减少误差并支持微创手术,提供了一个有前景的解决方案。本叙述性综述探讨了DN如何提高临床精度、减少手术并发症,并使种植牙科更易于获得且更具成本效益。它介绍了DN-PUBLIC框架——一种以公共卫生为重点的战略方法,用于将DN整合到更广泛的医疗保健系统中,与联合国可持续发展目标(SDGs)高度一致。对当前文献进行了全面综述,评估了DN对外科手术安全性、恢复结果、成本效益的影响及其在牙科教育中日益重要的作用。研究结果表明,DN显著提高了种植体植入的准确性,并降低了神经损伤或错位等风险。通过允许进行无瓣手术和更好地保存软组织,DN可实现更快的恢复并提高患者舒适度。除了临床结果外,DN还使全科医生能够更自信地进行复杂手术,扩大了在服务不足地区获得优质护理的机会。经济分析还表明,手术时间缩短、并发症减少且医疗成本降低。总之,DN有潜力通过改善治疗效果、培训和可及性来改变公共口腔健康。DN-PUBLIC框架提供了一个明确的路线图,以指导在全球牙科实践中对DN技术进行符合伦理、包容和可持续的整合。
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