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Image Guided Implantology

IGI is the originator & world leader in image-guided dental implant placement.

No Lag | Maximum Field of View | Better Ergonomics | Seamless Fluency

The Image Guided Implant Dentistry System is the world’s first dental navigation technology to utilize 3D imaging and motion tracking.

Through the use of a CT scan and a computerized surgical navigation system, the IGI enhances safety and promotes ideal dental implant placement.

The IGI system helps minimize postoperative morbidity, reduce surgical treatment time, assist the surgeon in placing implants precisely, according to pre-surgical planning, while avoiding critical structures.

In addition, the IGI increases the opportunity for flapless surgical access, thereby reducing soft tissue manipulation.

Making the Virtual a Reality®

During surgery, the IGI uses the stored images from the pre-surgical treatment plan, the CT image, all vital structures, and the actual position of the patient’s head in real-time on a computer monitor.

Increased Precision

With advanced GPS-guidance system, IGI allows for increased precision and accuracy. IGI provides you with precise drilling navigation that enables you to realize your implant plan with the patient. The exact drill position is tracked and displayed on screen thereby eliminating all doubts and allowing full monitoring of the drilling progress.

Reduced recovery time

IGI minimizes gingival trauma allowing your patients to benefit from flapless implant surgery and a smoother postoperative recovery.

Grow your business

IGI can help you grow your business as you can expand the range of services you offer. Use the IGI to attract new patients and new patient referrals and provide your implant patients with a safer and better controlled method for placing dental implants. Let the IGI empower you to develop your comfort zone and expand your practice to multiple implant cases, cases of limited bone and implants in the aesthetic zone.

What is IGI?

IGI (Image Guided Implant Dentistry) is a computerized image navigation system for placing dental implants.

IGI utilizes dental surgeon’s 3D treatment plans to direct targeted, precise placement of dental implants, in real-time, exactly where planned.

As the clinician constantly positions the drill, this is reflected in real time on screen, with no lag, ensuring precise and correct positioning
of the implant.

Why Use IGI – What can I achieve?

Using IGI ensures accurate, precise placement of implants, per your 3D treatment plan.
It enables you to verify accuracy at any stage.

IGI= the Missing Link

Until IGI, there was always a disconnect between the surgeon’s perfect computerized treatment plan and actual patient surgery.

The surgeon either had to drill implant osteotomies manually; freehand or use cumbersome drill guides.

With IGI

IGI has developed new technology that replaces these old, inaccurate technologies.

Providing pinpoint accuracy when placing dental implants near delicate adjacent anatomy such as the inferior alveolar nerve, a maxillary sinus, or narrow spaces near adjacent teeth.

Who Should Use IGI

Any dental surgeon who uses CT scans for treatment planning dental implant cases can use IGI.

How does IGI work?

IGI uses actual CT scan treatment plans like a GPS uses a road map.

IGI uses integrated Active LED Technology vs. Passive LED Technology.

Tracking is completely fluent in all directions (including from behind the handpiece) and there is no on-screen lag time.

Our proprietary TRAX™ system comprises a camera and light emitting diodes (LEDs) arrays on both the handpiece and patient-tracker.

We track at the speed of light and there is no ambiguity as to the location of our tiny LEDs (which consume only a few pixels), hence high accuracy. Other systems use a slower, less accurate, passive LED technology.

The on-screen representation is real-time, with neither lag nor rubber-band effect common to passive tracking systems. IGI and DentSim are applications that run on the TRAX™ infrastructure.

IGI monitors and guides the surgeon’s handpiece positioning during surgery to keep the implant drill on track with the precise location, angulation, and depth specified in the 3D treatment plan.

This product/system is for use with Image Navigation’s patented method under method patent US7457443

Surgical benefits

With IGI, the surgical site is fully accessible.

Drilling with the IGI is freehand. The surgical site is fully accessible while the navigation is provided by the onscreen feedback.

The IGI piloting indicators are used to navigate the implant drilling (lateral incisor) to achieve accurate implant placement as was pre-planned on the IGI planning screen.

IGI ensures safe placement of implants near the inferior alveolar nerve.

Without IGI the surgical site not fully accessible

Attempting to drill through a sleeved positioned drilling guide at the posterior arch. Even the shortest drill bur does not go in.

Courtesy of Dr. Dan Estaquio, Fremont, California

The IGI Advantage

IGI is more accurate than using drill sleeves

No drill sleeves needed. Use with regular drills.
IGI is better for narrow interproximal spaces.

Accuracy Verification during Surgery

IGI enables the surgeon to verify accuracy anytime during surgery.
The surgeon can change the plan in the middle of the procedure.
Results are precise and consistent.

Shortened procedure time

The procedure time is shortened to about 30min doctor’s time.
Less stress for the doctor.
Time-effective immediate implant loading:
Fabricate the immediate restoration in advance and save valuable post surgery time
Use the IGI prior to patient surgery to create an accurate working model with the pre-planned positions of the implants.

IGI enabled accurate implant placement avoiding perforation of the buccal concavity while achieving palatal alignment for an aesthetic restoration.

3-dimensional image of the final implant in harmony with the adjacent roots and in a favorable prosthetic alignment.

The final implants accurately positioned with IGI navigation. Courtesy of Dr. Dan Estaquio, Fremont, CA

The IGI piloting indicators are used to navigate the implant drilling (lateral incisor) to achieve accurate implant placement as was preplanned on the IGI planning screen.

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Faster Implant Integration

The implant integration is also faster.
The osteotomy is almost a perfect circle with no need to change angulation while drilling.
The surgeon can get low torque (25Ncm) upon insertion with a very high Osstell reading of 80.
This is the best system to use in larger cases like the All on 4 since the plan can be easily modified; including those for the posterior angulated implants.

IGI is cost effective

Easily adapts for rotary bone expanders and sinus lift kits
Consumables cost about $25 per arch
Stents are reusable for future implants on the same arch
Can be used to locate calcified canals during endo
IGI allows reproducing the same implant positions with the patient – the prefabricated restoration is easily adapted and immediately loaded!

Courtesy of Dr. Dan Estaquio, Fremont, California

Case studies and research

Published research

IGI ACCURACY:
The accuracy of the navigation provided by the IGI was found to average 0.35mm.
Casap N, Wexler A, Persky N, Schneider A, Lustmann J. Navigation surgery for dental implants: assessment of accuracy of the image guided implantology system. J Oral Maxillofac Surg. 2004 Sep;62(9 Suppl 2):116-9.

ACCURACY APEX & ANGLE:
Scientific and clinical investigations carried out on patients confirmed a mean linear accuracy of implant positioning in the IGI system which was less than 1 mm on the level of the implant neck and its apex and mean angular deviation was less than 4 degrees on condition that implantation was unrestricted by surgical templates equipped with faucets for implant insertion [22,23].
Case Report: The Clinical Application of a Surgical Navigation System for Implant-Prosthetic Rehabilitation of the Patient with Maxillary Lateral Incisors Agenesis. J Clin Case Rep 5: 650. doi:10.4172/2165-7920.1000650 Copyright: © 2015 Kownacki P, et al.

22. Casap N, Wexler A, Persky N, Schnaider A, Lustmann J (2004) Navigation
surgery for dental implants: assessment of accuracy of the image guided
implantology system. Int. J. Cranio Maxillofac Surg 62: 116-119.
23. Elian N, Jalbout ZN, Classi AJ, Wexler A, Sarment D, et al. (2009) Precision of
flapless implant placement using real-time surgical navigation: a case series.
Int. J. Oral Maxillofac implants 23: 1123-1127.

ALL ASPECTS:[W]e can conclude that the optical active navigation system is a unique tool which allows the
surgeon to evaluate the diagnosis and prepare virtual simulation of all aspects of implantological treatment. Due to a precise planning of the whole treatment, the realization of the surgical protocol in a detailed and safe way becomes possible.

Case Report: The Clinical Application of a Surgical Navigation System for Implant-Prosthetic Rehabilitation of the Patient with Maxillary Lateral Incisors Agenesis. J Clin Case Rep 5: 650. doi:10.4172/2165-7920.1000650 Copyright: © 2015 Kownacki P, et al.

TEMPLATE LIMITATIONS:
In the case of indirect navigation, the use of templates limits a surgical procedure and
the surgeon is not able to make any modifications [19-21]

From: Case Report: The Clinical Application of a Surgical Navigation System for Implant-
Prosthetic Rehabilitation of the Patient with Maxillary Lateral Incisors Agenesis. J
Clin Case Rep 5: 650. doi:10.4172/2165-7920.1000650
13: 59-64.

19. Wanschitz F, Birkfellner W, Watzinger F, Schopper C, Patruta S, et al. (2002)
Evaluation of accuracy of computer-aided intraoperative positioning of endosseous oral implants in the edentulous mandible. Clin Oral Implants Res Citation: Kownacki P, Morawiec T, Niedzielska I, Nawrat Z, Rój R, et al. (2015)
20. Ewers R, Schicho K, Truppe M, Seemann R, Reichwein A, et al. (2004)
Computer-aided navigation in dental implantology: 7 years of clinical
experience. J Oral Maxillofac Surg 62: 329-334.
21. Nijmeh AD, Goodger NM, Hawkes D, Edwards PJ, McGurk M (2005) Imageguided
navigation in oral and maxillofacial surgery. Br J Oral Maxillofac Surg
43: 294-302.

MATCH PLAN AND FINAL IMPLANT:
IGI accuracy has been validated with real patients: This concept has been illustrated
in a recent study by Elian et at who studied the accuracy level in placing implants by the IGI.(7)

The mean linear accuracy was less than 1mm at both the implant neck and apical tip and the
reported mean angular deviation was less than 4 degrees. Despite the fact that all implants
were drilled free handedly and not through sleeves, Elian et al found an accurate match
between the planned implant and final implant.

A major part of the error could be attributed to human error in following the onscreen drilling path. In that context the important advantage of real-time navigation is that even when the actual free handed drilling is deviating from the planned drilling path the surgeon can still monitor the actual drilling onscreen. This accurate and immediate feedback allows the surgeon to judge whether the actual drilling path is clinically acceptable or should be corrected.

(7). Elian N, Jalbout ZN, Classi AJ, Wexler A, Sarment D, Tarnow DP. Precision of flapless implant placement using real-time surgical navigation: a case series. Int J Oral Maxillofac Implants. 2009 Nov-Dec;23:1123-27.

Testimonials

Here is a case where I used the IGI from Image Navigation on a
patient w/ a small mouth. I previously had a surgical guide made from Nobel
but couldn’t use it because the guided drills couldn’t fit in the patient’s
mouth. I placed a total of six implants using the IGI. Surgery was done
flapless.

You can see here the advantages of using an image guided system as compared
to a conventional surgical guide. The time its takes to do the IGI surgery
is about the same time it takes to do it with a conventional surgical guide.
In challenging cases like this the IGI will be faster because you don’t have
to deal with the drills being too long.

Dr. Dan Eustaquio

General Practitioner

The IGI system works. It gives you the ability to see what you do, and you can watch yourself make subtle changes. In terms of recent competitors, the old system that I had 10 years ago, is superior.

Dr. Tom Wilson

Periodontist, Dallas Texas, Previous editor-in-chief, Quintessence International; Editor, Decisions in Dentistry

The IGI – Image Guided Implant Dentistry System is the world’s first dental navigation technology to utilize 3D imaging and motion tracking. Through the use of a CT scan and a computerized surgical navigation system, the IGI enhances safety and promotes ideal dental implant placement. The IGI system helps minimize postoperative morbidity, reduces surgical treatment time, and assists the surgeon in placing implants precisely, according to presurgical planning, while avoiding critical structures. In addition, the IGI increases the opportunity for flapless surgical access, thereby reducing soft tissue manipulation. During surgery, the IGI fuses the stored images from the presurgical treatment plan, the CT image, all vital structures, and the actual position of the patient’s head in real-time on a computer monitor.

Dental Economics Magazine

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