PMID- 34006059 OWN - Quintessenz Verlags-GmbH CI - Copyright Quintessenz Verlags-GmbH OCI - Copyright Quintessenz Verlags-GmbH TA - Int J Comput Dent JT - International Journal of Computerized Dentistry IS - 2702-9514 (Electronic) IS - 1463-4201 (Print) IP - 1 VI - 24 PST - ppublish DP - 2021 PG - 9-17 LA - en TI - First comparison of a new dynamic navigation system and surgical guides for implantology: an in vitro study FAU - Duré, Michael AU - Duré M FAU - Berlinghoff, Frank AU - Berlinghoff F FAU - Kollmuss, Maximilian AU - Kollmuss M FAU - Hickel, Reinhard AU - Hickel R FAU - Huth, Karin Christine AU - Huth K CN - OT - dynamic navigation OT - dental implantology OT - surgical guide OT - implant planning AB - Aim: The transfer of 3D implant position planning to the clinical site is challenging. The aim of this study was to compare in vitro this transfer accuracy by using dynamic real-time navigation or static surgical guides. Materials and methods: Deviations between planned and actual pilot drill positions were calculated (Denacam and NobelGuide; each n = 90), matching pre- and postoperative CBCT images: entry point, angle, tip (each 3D); depth, mesiodistal/bucco-oral entry points, and angles (each 1D). The influence of the maxilla and mandible, implant region (anterior/posterior), and marker position (ipsilateral/contralateral, Denacam only) was investigated (Mann-Whitney U test). Results: No significant differences occurred regarding entry point (3D), mesiodistal/bucco-oral entry points (1D) or mesiodistal angle (1D) (P > 0.05). The angular and tip deviations (3D) were significantly smaller using Denacam (2.16 ± 0.59 degrees, 0.80 ± 0.55 mm; NobelGuide 2.54 ± 1.19 degrees, 1.09 ± 0.56 mm; P = 0.024, P < 0.0001). The deviations in depth and bucco-oral angle (1D) were significantly smaller using NobelGuide (1.05 ± 0.50 mm, 1.02 ± 1.16 degrees; Denacam 1.50 ± 0.64 mm, 1.51 ± 0.82 degrees; P < 0.0001). Significantly smaller deviations occurred within the mandible (Denacam, 5/8 parameters). Region and marker position showed no influence. No distinct influences were found with the use of NobelGuide. Conclusion: Denacam might possibly be a promising alternative to static surgical guides. AID - 1105015