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Volume 22 , Issue 6
November/December 2007

Pages 1007–1011

Implant Locating and Placement Based on a Novel Tactile Imaging and Registration Concept: A Technical Note

Haim Tal, DMD, MDent, PhD/Kurt A. Schicho, DSc, MD/Michal Shohat, DMD

PMID: 18271384

Computed-assisted surgery (CAS) has been designed to improve oral implant planning and positioning and to increase safety and operator comfort. This is especially important in the esthetic zone, at sites with bone deficiency, and when minimally invasive implant placement is the therapy of choice. Current available CAS systems are relatively large and expensive and require a lengthy learning period. This report presents a novel tactile imaging and registration concept that enables the operation of a newly developed computerized implant locating system. An intraoral bone-sounding device maps the surface of the jaw through the soft tissue. Bone contour data are registered over the computerized tomographic image. Guided by treatment preplanning software, a chairside robotic manipulator fabricates guiding sleeves that direct the drill and implant during the osteotomy and implant placement, respectively. The authors’ clinical experience shows that tactile registration based the Implant Locating System is simple to use and provides accurate implant design and placement that requires only basic computer experience, minimal operational space, and low infrastructure investment. The system allows final adjustments at the time of operation, transforming each implant surgery into a fully monitored procedure. Int J Oral Maxillofac Implants 2007;22:1007–1011

Key words: computer-assisted surgery, dental implants, flapless implant surgery, navigation, registration process

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