Guided Lateral Window Osteotomy Using Dynamic Navigation for Maxillary Sinus Augmentation: A Novel Technique

Bishbish, Omran; Kan, Joseph Y K; Kim, Yoon Jeong

doi:10.1563/aaid-joi-d-22-00053

Cited by 6 publications

(8 citation statements)

References 15 publications

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“…Studies have indicated that the accuracy of DN is similar to that of a static guide in assisting implant placement [ 17 – 19 ], and both of which are better than that of the free hand [ 20 – 23 ]. Currently, few reports about the application of DN in MSFE have been found after a throughout search [ 24 , 25 ]. Wu et al reported the application of DN in the surgery of TSFE [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…Wu et al reported the application of DN in the surgery of TSFE [ 24 ]. Bishbish et al conducted a pilot application of DN in LWSFE [ 25 ]. Bone grafts applied during MSFE, especially in LWSFE, however, whether they would affect the accuracy of implant placement under DN has not been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Wu et al’s research showed that the angular deviation of maxillary premolar sites was smaller than that of molar sites, and the difference between which was statistically significant [ 25 ]. Apparently, the results of our study are not the same as those of Wu’s.…”

Section: Discussionmentioning

confidence: 99%

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The safety of maxillary sinus floor elevation and the accuracy of implant placement using dynamic navigation

Yang,

Ma,

Han

et al. 2024

PLoS ONE

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Objective To date, it remains a challenge to conduct maxillary sinus floor elevation (MSFE) owing to heterogeneity of anatomical structures and limited operative visibility of the maxillary sinus. The aim of this study is to investigate the safety of MSFE and the accuracy of implant placement using dynamic navigation. Methods Forty-two implants were placed in thirty-five patients requiring implantation in posterior maxilla with dynamic navigation. They were assigned to either lateral window sinus floor elevation (LWSFE) group (n = 22) or transcrestal sinus floor elevation (TSFE) group (n = 20) according to the residual alveolar bone height (RBH). Platform deviation, apex deviation and angular deviation between actual and planned implant placement were measured in precision evaluation software. Three deviations of two groups were compared via SPSS 22.0 software. Results Neither accidental bleeding nor perforation of Schneiderian membrane occurred in any patients. The actual window position of LWSFE was consistent with the preoperative design. There were no significant differences in platform, apex and angular deviations between the two groups (P > 0.05). Conclusion In this study the dynamic navigation harvested clinically acceptable safety of MSFE and accuracy for implant placement in posterior maxillary region. The dynamic navigation would provide the clinician with assistance in achieving precise preoperative planning and reducing complications in surgical procedures. The granular bone grafts used in the LWSFE did not significantly affection on the accuracy of the simultaneous implant placement under the guidance of dynamic navigation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The safety of maxillary sinus floor elevation and the accuracy of implant placement using dynamic navigation

Yang,

Ma,

Han

et al. 2024

PLoS ONE

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“…The maxillary sinus is lined by a membrane called the Schneiderian membrane. This membrane is extremely thin, averaging 0.4 mm to 1.5 mm in most individuals [ 17 , 18 ]. Furthermore, several anatomic anomalies can further complicate a sinus lift procedure.…”

Section: Discussionmentioning

confidence: 99%

“…The risk of sinus membrane rupture during a direct sinus lift can vary depending on several factors, including the sinus's anatomy, the surgeon's experience and skill, and the technique used. Proper preoperative assessment, including radiographic imaging such as CBCT, can help evaluate the thickness and integrity of the sinus membrane and aid in treatment planning [ 17 , 18 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Dynamic Navigation Protocol for Direct Sinus Lift and Simultaneous Implant Placement: A Case Report

Dotia,

Selvaganesh,

R. P.

et al. 2024

Cureus

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Aim: This study aims to evaluate the accuracy associated with the use of a dynamic navigation system for the lateral window opening for a direct sinus floor elevation (SFE) procedure with simultaneous implant placement. Materials and methods: A female patient, aged 27 years, reported to the Department of Implantology seeking treatment for her lost tooth. On radiographic examination, the residual alveolar ridge height was 6 mm in the 26 (left upper first molar) region. For the implant placement, the case was planned to be carried out under dynamic navigation (Navident, Claronav, Canada). To make the lateral window accessible to the sinus floor, an implant trajectory resembling the required window dimensions and prosthetic implant position was planned. Post-surgery cone beam computed tomography (CBCT) was taken to assess the accuracy of the lateral window and implant trajectories using Evalunav (Navident, Claronav, Canada) analysis with dynamic navigation software. Results: There was improved accuracy of the lateral window opening, and the visualization of the lateral window was maintained in real-time throughout the procedure, which was advantageous to eliminate the tearing of the thin sinus membrane. The deviations found in the trajectory of the lateral window in comparison between the planning and post-procedure were: (a) entry was deviated by 2.83 mm; (b) the apex was deviated by 2.52 mm; (c) vertically, the apex was deviated by 0.29 mm; and (d) there was an 8.93° deviation in the angulation of the trajectory. The implant that was placed simultaneously with the SFE’s accuracy was in comparison with the position that was planned: (a) entry was deviated by 0.03 mm, (b) the apex was deviated by 0.82 mm, (c) vertically, the apex was deviated by 0.82 mm, and (d) there was a 0° deviation in the angulation of the trajectory. Conclusion: Dynamic navigation technology can help overcome complications associated with direct sinus lift procedures by providing highly accurate and precise planning and execution of the surgical procedure. This can lead to improved implant stability and a reduced risk of complications.

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Application of dynamic navigation technology in oral and maxillofacial surgery

Wang,

Cai,

Sun

et al. 2024

Clin Oral Invest

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Guided Lateral Window Osteotomy Using Dynamic Navigation for Maxillary Sinus Augmentation: A Novel Technique

Abstract: No abstract is required for case letters.

Cited by 6 publications

References 15 publications

The safety of maxillary sinus floor elevation and the accuracy of implant placement using dynamic navigation

The safety of maxillary sinus floor elevation and the accuracy of implant placement using dynamic navigation

Dynamic Navigation Protocol for Direct Sinus Lift and Simultaneous Implant Placement: A Case Report

Application of dynamic navigation technology in oral and maxillofacial surgery

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