Rubio-Serrano M, Albalat-Estela S, Peñarrocha-Diago M, Peñarrocha-Diago M. Software applied to oral implantology: Update. Med Oral Patol Oral Cir Bucal. 2008 Oct1;13(10):E661-5.
Software in combination with imaging techniques is used increasingly for diagnosis, planning and treatment in oral
implantology. Computer-aided surgery allows a great accuracy in implant positioning to be obtained, taking advantage of the amount of bone available and facilitating minimally invasive surgery. It is a significant aid in determining implant number, location, angle and characteristics. A CT with a radiographic template positioned in the mouth is made for the patient. Data are stored on a CD in DICOM 3 format and then introduced in the computer where implant treatment will be planned, using the chosen software.
Navigation improves surgical accuracy through the aid of software based on the images captured from CT or MRI
and a surgical instrument tracking system. Infrared light-emitting diodes are connected to rotatory instruments and
to the patient’s template. Information is collected by special-purpose cameras, allowing the procedure to be viewed
in real time on a monitor. It is useful in situations where an exact implantation is demanded, such as anatomical
limitations, little space, atrophic maxillae, sinus lifts or zygomatic implants.
Articles reviewed agree in emphasizing the reliability and accuracy of the planning and computer-assisted navigation
systems available in the market. Nevertheless, many applications are still in the development phase.