The template-guided, navigated implantation in the lower jaw shown here is based on three-dimensional implant planning and prior CBCT imaging.The template-guided, navigated implantation in the lower jaw shown here is based on three-dimensional implant planning and prior CBCT imaging. Here, Dr. Wolfgang Bolz (Munich) demonstrates immediate implantation and immediate loading of three implants.

The advantages of navigated implantation are the fact that it offers maximum safety during the surgical procedure and that the surgeon is already aware of all steps in advance. In contrast to conventional surgery, navigated implantation involves the minimally-invasive preparation of very small access areas for the implants.

Once the drill template has been placed into position, the surgeon verifies whether the guide sleeves result in bone contact or whether soft tissue that might obstruct the procedure must be removed. Palpation must also be performed to determine the direction of the sleeves, as in navigated implantation, the drill is not visible during guidance.

Pilot drilling is performed via the guide sleeves, and the diameter then extended without using a guide. In order to verify the individual steps, it is helpful if the guide is not fixed into position. In navigated implantation, the completed temporary can already be inserted during the surgical procedure and secured into position.