Dental Implants, Surgery, Computers
Conditions
Brief summary
Placement of dental implants via the freehand approach may result in damage to the surrounding critical anatomy of undiscordant prosthetic position. A real-time navigational stereotaxic surgical instrument (navigation) may help to alleviate these undesired outcomes in the freehand approach. All patients received implants in the right and left the side of their upper jaws via the random use of the navigation or the freehand approach. Positional deviations between the planned and placed implants were measured on a final tomographic image matched to the baseline.
Interventions
Implant surgery using dynamic navigation assistance
Dental implant surgery via conventional freehand
Sponsors
Study design
Masking description
Investigation of the post-op images included anonymized patient names providing unbiased analysis.
Intervention model description
Dental implant surgery assisted by a stereotaxic surgical instrument
Eligibility
Inclusion criteria
* men and women aged \>18 years. * Patients approving to participate in the trial and giving written consent * must be able to open his/her mouth
Exclusion criteria
* Hemodynamically significant mitral valve stenosis * Prosthetic heart valve (annuloplasty with or without prosthetic ring, commissurotomy and/or valvuloplasty are permitted) * Planned cardioversion (electrical or pharmacological) * Transient atrial fibrillation caused by a reversible disorder (e.g., thyrotoxicosis, pulmonary embolism, recent surgery, myocardial infacrtion) * Known presence of atrial myxoma or left ventricular thrombus * Active endocarditis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change between the planned and placed implant positions | 12 weeks | Deviations between the planned and placed implants will be measured by matching the pre- and post-op tomographic images. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Damage to the surrounding critical anatomy | 1 day (On the day of surgery). | Any damage to the sinus maxillaries |