Implant placement using dynamic navigation
Dental implant placement is a surgical procedure where high precision is of greatest importance. Extra-precise dental implant positioning has a lower risk of complications, and occasionally allows us to avoid bone augmentation.
ProDentum is the first clinic in Lithuania to perform implant placement using dynamic navigation. Dental implant placement is a surgical procedure where high precision is of greatest importance. Extra-precise dental implant positioning has a lower risk of complications, occasionally allows us to avoid bone augmentation, and improves implant placement results. Accurate implant placement facilitates restoration manufacturing, there is a smaller margin of error in prosthetic components, a lower risk of complications and a better long-term prognosis. Dynamic navigation has been used in neurosurgery and other surgical areas requiring exceptional precision for some time.
After a consultation and evaluation of the jaws, the teeth and other factors, the clinician draws up a treatment plan and discusses it with the patient. A cone-beam 3D computed tomography (CBCT) exam is performed. The number of implants, the design of the restoration, need for bone augmentation and other issues are evaluated. Using this data implant positions are planned in the virtual environment using navigation software. When the plan is confirmed, implant placement may be done during the same visit.
Dynamic navigation is a type of guided implant placement. These days a very common guided implant placement procedure is using 3D-printed surgical guides (static navigation). However, 3D printing these surgical guides requires a lot of time, it is difficult to cool the implant site, which increases the risk of bone heating, patient feels more discomfort and the healing period may be more difficult. If there are some errors, it is not possible to modify this guide, and implant placement may have to be carried out without it (free-hand). On the other hand, during dynamic navigation it is possible to modify the position of the implant in the software screen and the procedure is continued without losing accuracy.
Advantages of this technique:
- The virtual planning of implant placement is done quickly, implant placement may be done during the same visit;
- No need for a 3D-printed guide, reduced time and cost of treatment;
- Better bone cooling during dynamic navigation, less traumatic, easier healing;
- Limited mouth opening is not an issue during dynamic navigation, less need for wide mouth opening resulting in more patient comfort;
- In case of inaccuracies, the dynamic navigation plan may be modified on the spot and the procedure may be safely continued;
- The procedure is simple and flexible (compatible with any implant system and various surgical instruments);
- Implant placement is vastly more accurate, compared to “free-hand” implant placement..
Implant placement, augmentation price list
The cost is determined during consultation and may be adjusted during treatment.
Implant placement using dynamic navigation
Prof. med.dr. V. Rutkūnas
Implant placement (Premium+ category) Straumann SLActive, Nobel Biocare Active
Implant placement (Premium category) Straumann SLA, Camlog, Nobel Biocare Replace, CC Parallel
Implant placement (Standard category) Medentika, Megagen, Neodent
Small bone augmentation
Medium bone augmentation
Extensive bone augmentation
Augmentation using autogenous bone block
Augmentation using a custom-made bone block (not including cost of materials)
Soft tissue augmentation
Closed sinus lift
Open sinus lift
Mini-implant, provisional implant
Additional bone material
Prosthodontist Prof. Dr. V. Rutkūnas price list
Prof. med.dr. V. Rutkūnas
Milled PMMA provisional crown
Tooth restoration using glass fiber/titanium post
Full-ceramic (zirconia or glass-ceramic) crown
Full-ceramic layered crown
Veneer, layered glass-ceramic
Veneer (feldspathic porcelain)
Metal alloy restoration (excl. cost of precious metal)
Implant-supported full-ceramic (zirconia or glass-ceramic) crown
Implant-supported full-ceramic layered crown
Custom zirconia/titanium abutment
TFW protocol for fixed partial denture
Fixed acrylic prosthesis with metal framework (4 implants)
Porcelain-fused-to-milled-metal fixed prosthesis (4 implants)
Zirconia fixed prosthesis (4 implants)
Zirconia TFW prosthesis (4 implants)
Fixed zirconia prosthesis with milled metal framework (4 implants)
Glass-ceramic crown in full-arch prosthesis
Each additional implant prosthetics
Partial removable prosthesis
Full removable prosthesis
Partial removable denture (no attachments)
Implant-supported overdenture (no attachments)
Cast-frame implant-supported overdenture (no attachments)
Other recommended treatments
The ProDentum clinic has a wide range of services and provides patients with the highest level of professionalism.
TFW protocol includes digital and analog technology used for everything from diagnostic imaging, implant planning to final restoration using special devices for measuring accuracy.
Dental implants for edentulous patients
We fully inform our patients about tooth preservation, the consequences of tooth loss and prosthetics.
Veneers are very thin (from 0.2 mm) ceramic plates that cover the outer surfaces of natural teeth.
Fillings help to remove damage caused by tooth decay. The cause of this damage is plaque.
ICON system procedure (treatment of tooth decay without drilling)
Using the ICON system, the initial decay is treated in a microinvasive way (without drilling) while the decay is limited to the enamel and the outer third of dentin.
The goal of orthodontic treatment is an effective correction of improper bite. During treatment, tooth and whole arch anomalies are corrected.
A child’s first encounter with a dentist should be after the first primary tooth has erupted, when it is generally recommended to bring a child for a check-up.
Sinus lift surgery
During the maxillary sinus lift surgery, sinus mucosa is lifted, then protected using a special membrane, and the sinus floor is filled using bone substitute.
Professional tooth cleaning
During the procedure ultrasonic, manual and rotary instruments are used to clean mineralized plaque (calculus) and to polish tooth surfaces.
Digital smile design
It is great that today dentistry can use digital technology and visualization to provide an approximate image of the planned result.
Temporomandibular disorders are problems of the jaw joint and chewing muscles.
Tests and consultations
The goal of all consultations in the ProDentum clinic is to create the most detailed treatment plan which is acceptable in all aspects, taking in consideration patient's general health and the condition of the masticatory system, patient's complaints, financial ability and preferences.
Services for clients from abroad
ProDentum clinic specializes in modern digital technology to provide shorter treatment times, reduce the number of visits, and minimize patient discomfort, while achieving excellent treatment results.