Prospective randomized clinical comparison of 2 dental implant navigation systems.
OBJECTIVE
The aim of this prospective randomized study was to compare the clinical accuracy of and surgical time required for mandibular dental implant placement with 2 computer-assisted navigation systems using pre- and postoperative computerized tomographic (CT) data.


METHODS
In 16 patients with edentulous mandibles, 4 interforaminal implants per patient were placed with computer-assisted navigation. The implant bed was prepared by transmucosal drilling without mucosal punching. Patients were randomly allocated to either the VISIT navigation system (32 implants; 8 patients) or the Medtronic StealthStation Treon navigation system (32 implants; 8 patients). Pre- and postoperative CT scans were matched using the normalized mutual information 3D registration algorithm to compare preplanned and final implant positions. Operation room time was recorded from start of preoperative preparations to end of surgery.


RESULTS
All implants were placed as planned; there were no intra- or postoperative complications. Average implant deviation errors of 0.7 mm and 0.9 mm were recorded for the VISIT and StealthStation Treon navigation systems, respectively. Timing revealed an average operation room time of 81.3 +/- 15.8 minutes for the VISIT navigation system and 60 +/- 10.4 minutes for the StealthStation Treon navigation system.


CONCLUSIONS
The accuracy of implant bed preparation and placement was similar in both systems. Both navigation systems are equally precise in a clinical environment. However, total operation room time was 25% shorter with the StealthStation Treon navigation system, probably because of the faster tracking system update rate.
Wittwer
Gert
G
University Hospital of Cranio-Maxillofacial and Oral Surgery, Medical University Vienna, Austria. gert.wittwer@hirslanden.ch
Adeyemo
Wasiu Lanre
WL
Schicho
Kurt
K
Birkfellner
Wolfgang
W
Enislidis
Georg
G
D000368:Aged; D000465:Algorithms; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D007575:Jaw, Edentulous / Q000601:surgery; D008297:Male; D008334:Mandible / Q000601:surgery; D008875:Middle Aged; D009873:Operating Rooms; D010027:Osteotomy / Q000379:methods; D010347:Patient Care Planning; D011446:Prospective Studies; D025321:Surgery, Computer-Assisted / Q000379:methods*; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods
D015921:Dental Implants