MAXILLOFACIAL OSTEOTOMY UTILIZING NAVIGATION GUIDES DURING DENTAL SURGICAL PROCEDURES
Keywords:
To conduct this study, scientific publications available in the PubMed/Medline, eLibrary.ru, disserCat, and CyberLeninka databases were reviewed. The literature search spanned from 1953 to 2021 and covered topics related to osteotomy, specifically: thermal characteristics of bone during drilling, osteotomy protocols, surgical templates, irrigation challenges in guided surgery, guide sleeves for templates, and instruments utilized in template-guided surgery.Abstract
Osteotomy is a procedure that requires particular attention regarding bone tissue management due to its inherent risk of trauma. As documented in the literature, this risk is driven by mechanical damage, drilling duration, and thermal effects on the bone [1–4]. Currently, surgical dentistry actively utilizes surgical navigation guides (templates) to significantly enhance the accuracy and safety of interventions such as dental implantation, bone grafting, and tooth-preserving surgeries. The implementation of these templates has improved procedural precision and reduced the invasiveness of the interventions. However, their utilization requires non-standard osteotomy parameters, primarily due to the limited access of irrigation fluid to the drilling site. A minimal clearance gap between the sleeve guide and the rotating component of the instrument results in an increase in drill temperature due to friction. Consequently, this can distort the clinician's assessment of the actual pressure applied by the instrument onto the bone tissue. Failure to adhere to osteotomy guidelines, even when utilizing navigation guides, can lead to tissue inflammation and necrosis within the operative zone. Data regarding scientifically substantiated protocols for jaw osteotomy during dental surgical procedures utilizing navigation guides have not yet been widely disseminated.
References
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