Direct 3D navigation of implants is a new type of surgical system that makes it possible for the first time to transfer the treatment plan precisely and simply to the intraoperative situation. Planning graphics displayed on the computer screen with superimposed X-rays, CT or MRI views can be visualized for the surgeon during the surgical procedure using the technique of “augmented reality”. Spatial coordination of radiographic images and patient allows computer-aided stereotaxis (image-guided localization) to be achieved for the first time. As a result, no additional instruments are required for intraoperative referencing.

Another possibility of 3D navigated planning and realization of implant insertion involves the use of a surgical template, such as the Camlog Guide System developed by Prof. Ewers and his team at the CMF INSTITUTE VIENNA.

Here the positions of the implants are planned using 3D computer technology such as the SMOP planning system from Swissmeda. A template (or surgical guide) is then fabricated in a printer with the aid of CAD/CAM technology (Computer-Aided Design, Computer-Aided Manufacturing). The template is later used to insert the implants by means of the Camlog Guide System, without a risk of destroying important structures in the jaw.