Protocol workflow for immediate loading protocol under dynamic navigation technique

Abstract

Aim: To assess the marginal fit and occlusal assessment of the crown after implant placement under dynamic navigation technique. Materials and methods: This
study was conducted in the Department of Implantology, Saveetha Dental College, Chennai and involved an in-vitro analysis of twenty implants placed by a single
operator using dynamic navigation. The crowns were fabricated in advance using 3shape software. Sequential drilling and implant placement were performed
under dynamic navigation, ensuring proper calibration. The primary outcome measures included accuracy parameters such as bucco-lingual deviation, apicocoronal deviation, mesio-distal angulation, and apical deviation. Additionally, the vertical marginal adaptation of the crowns was assessed, while secondary outcome
measures included a questionnaire regarding the crown's adaptation. Results: The accuracy of implant placement was measured using the EVALUNAV software.
There was a statistically significant difference in the mesio-distal angulation, whereas no significant difference was seen in buccolingual, mesiodistal and apical
coronal deviation. Conclusion: Digital workflows in implant dentistry enhance precision, efficiency, and treatment outcomes. Technologies like CBCT and
intraoral scanning improve planning and custom guide creation, leading to better implant placements and patient satisfaction. The benefits of static and dynamic
navigation are significant, while 3D analysis offers a path for more accurate assessments of marginal fit. Embracing these innovations streamlines workflows and
improves patient communication, supporting the ongoing integration of digital technologies for superior clinical outcomes