Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

作者： Yihan Shen*1, Qinggang Dai*1, Baoxin Tao*1, Wei Huang2, Feng Wang2, Kengliang Lan1, Yuanyuan Sun1, Xiaowan Ling1, Lijun Yan1, Yueping Wang1, Yiqun Wu1 1The 2nd Dental Center, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University,National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, 2Department of Dental Implantology, Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology

简介：

Overview

This article presents a protocol for precise quad-zygomatic implant placement in patients with severely atrophic maxilla using a real-time dynamic navigation system. The technique enhances the accuracy and safety of the procedure, making it suitable for patients with various conditions affecting the maxilla.

Key Study Components

Area of Science

• Neurosurgery
• Implantology
• Real-time navigation systems

Background

• Severely atrophic maxilla presents significant challenges for implant placement.
• Real-time navigation surgery improves precision in zygomatic implant placement.
• This technique is beneficial for patients with ectodermal dysplasia, tumors, or severe periodontitis.
• Accurate implant placement is critical for clinical safety and effectiveness.

Purpose of Study

• To demonstrate a protocol for quad-zygomatic implant placement.
• To highlight the advantages of using real-time navigation systems.
• To improve treatment outcomes for patients with severely atrophic maxilla.

Methods Used

• Secure the skull reference base to the calvaria using a titanium screw.
• Attach the reference array with reflective spheres for navigation.
• Position the navigation system camera for optimal monitoring.
• Perform the implant placement under real-time navigation guidance.

Main Results

• The protocol allows for quick and accurate implant placement.
• Improved precision enhances the safety of the procedure.
• Real-time navigation effectively supports immediate implant loading.
• Demonstrated success in treating patients with complex maxillary conditions.

Conclusions

• The use of real-time navigation systems is a significant advancement in zygomatic implant surgery.
• This technique can lead to better patient outcomes and satisfaction.
• Further studies may expand its application in various clinical scenarios.

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