ClaroNav

NavidentDynamic Navigation for Dental Implantation

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A breakthrough in computer-aided implantology, Navident offers dental surgeons an easy to use, accurate, highly portable and affordable way to plan the desired restoration and implant placement on a virtual patient, then execute the plan on the real patient’s jaw. The virtual patient’s jaw is created from the CT and, optionally, digital impression data, in seconds. The plan, including crowns and implants, is prepared in a few minutes and can be modified any time. During surgery, Navident shows the advance of the drill tip or implant in the patient’s jaw relative to surrounding structures and the implantation plan.

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PLAN
Plan restorative-driven implant placement on a laptop

The restoration and implant placement plan is created using the CT image data, optionally with added intraoral scans or any other surface data (STL files). The plan can be modified at any time, even during surgery. Navident is compatible with any implant size and type available on the market.

TRACE
Register the CBCT scan to the patient by selecting 3-6 landmarks on the screen and tracing around those landmarks in the mouth with a tracer tool.

The registration process that formerly involved making a thermoplastic stent, taking an additional CBCT scan with a significant opportunity for irrecoverable user error, has become an efficient, user friendly and easily repeatable 2 minute process.

PLACE
Drill and place the implants under dynamic guidance

Following a brief drill or implant calibration, Navident dynamically presents the deviation between the actual/planned position and orientation of the drill/ implant, guiding the surgeon to accurately implement the plan.

“Real-time navigation is a valuable alternative to stereolithographic (static) guided surgery as it offers the clinician some advantages compared to the former technique. Using real-time (dynamic) navigation one can avoid the fabrication of a stereolithographic template resulting in a less expensive treatment. As navigation is considered as a dynamic guided surgery system, changes to the treatment planning (location and size of the implants, number of the implants, flap or flapless…) can be easily made intra-operatively. Also the tactile feeling during the drilling procedure, as well as the manual control over the implant stability, is still present when using navigation surgery.”

Flexibility

View the CT data and change the plan at any time, even during surgery.

Immediacy

Guidance immediately available following planning – no need to wait weeks for guide to arrive.

Predictability

More predictable – stent problems can be detected and corrected on the spot.

Safety

Accuracy check always available – large errors immediately observed and addressed.

Simplicity

User friendly and intuitive planning – no need to design the guide and sleeves.

Economy

Lower cost per procedure. No expensive kits or specific drills.

Irrigation

Better irrigation during drilling of open osteotomy site.

Access to implantation site

No need for longer drills which interfere or preclude usage in posterior implantation sites with minimal jaw opening.

Integration

Fully open – any implant, any drill system, any handpiece. No need to buy special kits.

Completeness

Guides the implant itself, not just the drilling.

The EvaluNav application, included in Navident, enables evaluation of the deviations between the planned and the actual position of implants appearing in a post-operative (“post-op”) CT scan. Once the pre- and post-op scans are loaded and registered to each other, the exact position of each implant is detected in the post-op CT and compared to its planned position in the pre-op scan. The deviations at entry and apex and angle are automatically computed and presented both visually and numerically. Provided the implant itself was inserted under guidance, EvaluNav is able to further separate guidance deviation (system error) from drilling deviation (user error).