Title

Dynamic navigation versus conventional 3D-printed guides in implant surgery: A randomised controlled trial

Authors

Aumkar Trivedi¹, Kondaveeti Viswaja^2,*, Nidhi Mangtani Kalra³, Nasim Nasim⁴, Abdul Kalam Azad⁵, Gulshan Kumar Tomar⁶, Vardharajula Venkat Ramaiah⁷ & Awadhesh Kumar Gupta⁸

Affiliation

¹Department of Dentistry, GMERS Medical College and Hospital, Vadnagar, India; ²Department of General Pathology, SRM Dental College, Ramapuram, Chennai-600089, Tamilnadu, India; ³Department of Prosthodontics, MMCDSR, Mullana, India, 4Department of Oral and Maxillofacial Surgery, Inderprastha Dental College and Hospital, Ghaziabad, India; ⁵Department of Oral and Maxillofacial Surgery, College of Dentistry, Qassim University, Saudi Arabia; ⁶Department of Prosthodontics, Uttranchal Dental and Medical research Institute, Dehradun, Uttarakhand, India; ⁷Department of Public Health, College of Applied Medical Sciences, Qassim University, Buraydah 51542, PO Box 6666, Saudi Arabia; ⁸Department of Oral Pathology and Microbiology, DJ Dental College and Research, Modinagar, Ghaziabad, Utter Pradesh, India; *Corresponding author

Email

Aumkar Trivedi - E-mail: dr.aum.trivedi@gmail.com
KondaveetiViswaja - E-mail: drviswaja@gmail.com
Nidhi Mangtani Kalra - E-mail: drnidhimangtani@mmumullana.org
Nasim Nasim - E-mail: nasimsid89@yahoo.com
Abdul Kalam Azad - E-mail: a.azad@qu.edu.sa
Gulshan Kumar Tomar - E-mail: gulshankumartomar@gmail.com
Vardharajula Venkat Ramaiah - E-mail: v.vardharajula@qu.edu.sa
Awadhesh Kumar Gupta - E-mail: drawadheshgupta@gmail.com

Article Type

Research Article

Date

Received November 15, 2025; Revised December 15, 2025; Accepted December 15, 2025, Published December 15, 2025

Abstract

Accurate implant positioning is essential for ensuring long-term prosthetic success and peri-implant health. Therefore, it is of interest to compare the precision, surgical efficiency and short-term clinical outcomes between dynamic navigation (DN) and static 3D-printed guides (SG) in single-tooth implant placement. Fifty patients were randomly assigned to either the DN (n=25) or SG (n=25) group and parameters such as coronal, apical and angular deviations, surgical time, implant stability (ISQ) and patient satisfaction were assessed. DN demonstrated significantly higher accuracy (coronal deviation 0.90±0.30 mm vs 1.40±0.40 mm; p<0.001) and reduced surgical time (18±4 min vs 22±5 min; p=0.002) compared with SG, while early implant stability and complication rates were similar between groups. Thus, we show that dynamic navigation enhances implant placement accuracy and efficiency without compromising short-term clinical outcomes, supporting its clinical advantage over conventional static guides.

Keywords

Dental implant, dynamic navigation, 3D-print, computer-assisted implantology, CBCT, patient satisfaction

Citation

Trivedi et al. Bioinformation 21(12): 4333-4337 (2025)

Edited by

P Babaji

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.