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Status unknownNCT04344808Updated Apr 14, 2020

Dynamic Navigation System in Implantology

An interventional study of Dynamic navigation system and Freehand implant placement in Surgery, Computer-Assisted and Dental Implants, sponsored by University of Barcelona. Status unknown at 1 site in Spain. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-04-14.

Sponsored by University of Barcelona · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Apr 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study consists in a randomized controlled trial which objective is to assess the accuracy of a dynamic navigation system in dental implant placement in partially edentulous patients compared with the conventional freehand method.

Read the detailed description

This is a prospective randomized clinical trial.

Each patient enrolled in this trial will be randomly allocated to one group ( Navigation group or Freehand groups). Preoperative virtual planification of dental implants on a pre-acquired cone beam computed tomography (CBCT) will be performed for each patient using the same system.

During the surgical phase, depending on which group is allocated the patient one surgical approach or other will be used. Then after the surgical procedure a PROMs questionnaire will be asked to the patients.

Finally a postoperative CBCT will be performed and overlapped with the preoperative CBCT (with the implants planification) and implant position deviations between the planned and final position will be measured.

The study devices are CE- (Conformité Européenne, meaning European Conformity) marked products and used within their intended use.

02

Conditions studied

  • Surgery, Computer-Assisted
  • Dental Implants

Keywords

  • Surgery, Computer-Assisted
  • Dental Implants
  • Navigation system
  • Dynamic computer-assisted surgery
  • Implantology
03

In context

Lead sponsor

University of Barcelona is the lead sponsor of 95 studies on the registry; 27 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Partially edentulous patients that requires at least the placement of one dental implant
  • Healthy patients ASA I and II (American Society of Anesthesiologists classification)
  • Over 18 years old patients

Exclusion criteria

Exclusion Criteria:

  • Totally edentulous patients
  • Systemic or local conditions that contraindicates dental implant surgery
  • Patients with less than 3 teeth in the jaw.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Navigation group

    Dental implants will be placed using a dynamic computer assisted surgery system

    Device: Dynamic navigation system

  • Active comparator
    Freehand group

    Dental implants will be place without any guidance. Only virtually planning the ideal position on a 3D image (Cone beam computed tomography)

    Device: Freehand implant placement

Interventions

  • DeviceDynamic navigation system

    The navigation system allows clinicians, using a specific software, to visualize the position of the surgical drill (tip location and shaft axis direction) on the reconstructed 3D image of the pre-acquired CBCT. The software guides the surgeon, in real-time, to the preoperative planned position.

    Also known as: Dynamic computer assisted surgery

  • DeviceFreehand implant placement

    Dental implants will be placed without any guidance once a virtually planning of the ideal position on the CBCT is done

    Also known as: Non-guided implant placement

06

What researchers measure

Primary outcomes

  1. Angular deviation

    angular deviation between the virtual planed position of the implant and the final implant position. Measured in degrees

    Time frame: 3 months post operative

  2. Platform 3D deviation

    global deviation at the platform of the dental implant between the virtual planned position and the final position of the dental implant measured in the 3 axes of the space (3D deviation). Measured in millimeters (mm).

    Time frame: 3 months post operative

  3. Apex 3D deviation

    global deviation at the apex of the dental implant between the virtual planned position and the final position of the dental implant measured in the 3 axes of the space (3D deviation). Measured in millimeters (mm).

    Time frame: 3 months post operative

  4. Platform 2D deviation

    Lateral deviation at the platform of the dental implant between the virtual planned position and the final position of the dental implant measured in 2 axes of the space (x and y, 2D deviation). Measured in millimeters (mm).

    Time frame: 3 months post operative

  5. Apex depth deviation

    Depth deviation of the apex of the dental implant between the virtual planned position and the final position of the dental implant in the Z-axis. Measured in millimeters (mm).

    Time frame: 3 months post operative

Secondary outcomes

  1. Patient-reported outcome measures (PROMs) questionnaire

    Patients perception of their functional well-being and health status during the dental implant treatment with a navigation system. We will use OHIP-14 (Oral Health Impact Profile) questionnaire.

    Time frame: One week post operative.

07

Study locations

1 site
  • Universitat de Barcelona
    Barcelona, 08907, Spain
08

References and documents

Publications

  • Vercruyssen M, Fortin T, Widmann G, Jacobs R, Quirynen M. Different techniques of static/dynamic guided implant surgery: modalities and indications. Periodontol 2000. 2014 Oct;66(1):214-27. doi: 10.1111/prd.12056. PubMed 25123770 ↗
  • Aydemir CA, Arisan V. Accuracy of dental implant placement via dynamic navigation or the freehand method: A split-mouth randomized controlled clinical trial. Clin Oral Implants Res. 2020 Mar;31(3):255-263. doi: 10.1111/clr.13563. Epub 2019 Dec 29. PubMed 31829457 ↗
  • D'haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer-guided implant surgery. Periodontol 2000. 2017 Feb;73(1):121-133. doi: 10.1111/prd.12175. PubMed 28000275 ↗
  • Jorba-Garcia A, Figueiredo R, Gonzalez-Barnadas A, Camps-Font O, Valmaseda-Castellon E. Accuracy and the role of experience in dynamic computer guided dental implant surgery: An in-vitro study. Med Oral Patol Oral Cir Bucal. 2019 Jan 1;24(1):e76-e83. doi: 10.4317/medoral.22785. PubMed 30573712 ↗
  • Block MS, Emery RW. Static or Dynamic Navigation for Implant Placement-Choosing the Method of Guidance. J Oral Maxillofac Surg. 2016 Feb;74(2):269-77. doi: 10.1016/j.joms.2015.09.022. Epub 2015 Sep 30. PubMed 26452429 ↗
  • Emery RW, Merritt SA, Lank K, Gibbs JD. Accuracy of Dynamic Navigation for Dental Implant Placement-Model-Based Evaluation. J Oral Implantol. 2016 Oct;42(5):399-405. doi: 10.1563/aaid-joi-D-16-00025. Epub 2016 Jun 6. PubMed 27267658 ↗
  • Jung RE, Schneider D, Ganeles J, Wismeijer D, Zwahlen M, Hammerle CH, Tahmaseb A. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants. 2009;24 Suppl:92-109. PubMed 19885437 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 14, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04344808
Lead sponsor
University of Barcelona
Responsible party
Rui Figueiredo (Associate Professor. PhD, MD, DDS, University of Barcelona) — Principal investigator
First posted
Apr 14, 2020
Start date
Apr 2020 (estimated)
Primary completion
Jan 2021 (estimated)
Completion
Feb 2021 (estimated)
Last update
Apr 14, 2020

Study contacts

Adrià Jorba-García, DDS
Contact
adriajorba@hotmail.com
0034 699183949
Rui Figueiredo
Contact
ruipfigueiredo@hotmail.com
Adrià Jorba-García
principal investigator · University of Barcelona
Rui Figueiredo
study director · University of Barcelona
Eduard Valmaseda-Castellón
study chair · University of Barcelona
Octavi Camps-Font
study chair · University of Barcelona
Javier Bara-Casaus
study chair · University of Barcelona

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.

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