NAVIDENT IN ENDODONTICS

RELIABLE

GUIDED NAVIGATION

01

DYNAMIC GUIDED NAVIGATION IN ENDODONTICS

NEW TECH

FINDING THE PATH

start

ACHIEVE YOUR GOAL

BACK TO THE ROOTS

1896 - Dr Otto Walkhoff

1946 - ENIAC

01

First Computer, thanks to Presper ECKERT and John William MAUCHLY 30 tons

02

First dental x-ray

03

1994

05

06

04

Apparition of the Cone Beam Computed Tomography (CBCT)

2019

2010

2000

First Implant Guided Navigation System

GF : Dentist Degree UCB LYON - FRANCE

Beginning of the study in Endodontics GF : Specialization

07

2022

GF : Navident (ClaroNav) acquisition

HOW ?

WHEN ?

DYNAMIC GUIDED

NAVIGATION

WHY ?

PRECISION - Angulation

"THE NGD REDUCES THE angulation AND THE distance"

GIANLUCA GAMBARINI

Precision of Dynamic Navigation to Perform Endodontic Ultraconservative Access Cavities: A Preliminary In Vitro Analysis, JOE, 2020

ACCESS Cavity

PERSERVATION :10.5 mm3 vs 29.7 mm3

THOMAS CONNERT

Real-Time Guided Endodontics with a Miniaturized Dynamic Navigation System Versus Conventional Freehand Endodontic Access Cavity Preparation: Substance Loss and Procedure Time, JOE, 2021

ACCES CAVITY

EXPERIENCE :10.3 vs 10.6 mm3

THOMAS CONNERT

Real-Time Guided Endodontics with a Miniaturized Dynamic Navigation System Versus Conventional Freehand Endodontic Access Cavity Preparation: Substance Loss and Procedure Time, JOE, 2021

CAVITE ACCES

LOCALISAtion IN CASE OF OBLITERATION : 41,7 % TO 91,7 %

THOMAS CONNERT

Guided Endodontics versus Conventional Access Cavity Preparation: A Comparative Study on Substance Loss Using 3-dimensional–printed Teeth. J Endod. 2019;45:327-31

ACCESS CAVITY

TISSUE LOSS REDUCES : 49,9mm3 à 9,8mm3

THOMAS CONNERT

Guided Endodontics versus Conventional Access Cavity Preparation: A Comparative Study on Substance Loss Using 3-dimensional–printed Teeth. J Endod. 2019;45:327-31

CAVITY ACCESS

HALF TIME REDUCTION WITH NGD

THOMAS CONNERT

Guided Endodontics versus Conventional Access Cavity Preparation: A Comparative Study on Substance Loss Using 3-dimensional–printed Teeth. J Endod. 2019;45:327-31

FIBER POST

"THE NGD TAKES LESS TIME AND IS MORE PRECISE THAN FREE-HAND TECHNIQUE"

AMAR JANABI

Accuracy and Efficiency of 3-dimensional Dynamic Navigation System for Removal of Fiber Post from Root Canal–Treated Teeth, JOE, 2021

HOW ?

WHEN ?

DYNAMIC GUIDED

NAVIGATION

WHY ?

HOW ?

TECHNOLOGY HELP

NAVIDENT (CLARONAV)

Although confusing at first, like any new approach, its precision is impressive and allows to achieve minimally invasive accesses and to process pulp canal obliterations and calcifications. This technology also makes it possible to pass through fiber post or a metallic inlay-core under a crown carrying a prosthetic bridge.

The dynamic guided navigation allows to locate the position of the bur in space and to visualize in real time its progress into crown and the canal root. The principle is based on the use of a patient marker, an other on the contra-angle handpiece and two cameras to geolocate the bur. Drilling is done by visualizing the screen in front of you

CONNECTED SOLUTION

REAL-TIME COMPUTER ASSISTANCE

STEP 1

IMPORTATION SETTINGS

3D DICOMS VISUALISATION

DEFINITION OF THE WORKING PLAN (UP OR DOWN)

STEP 2

IMPORTATION SETTINGS

CURVE DEFINITION

MODIFICATION TOOLS

STEP 3

DRILLING AXIS DEFINITION

PANORAMIC VIEW

AXIS MODIFICATION TOOLS

STEP 4

MARKING 3 or 4 POINTS

TRACING POINTS

PRECISION SCALE OF THE NAVIGATION SYSTEM

STEP 5

CALIBRATION AND TRACING

Tracing handpiece on the calibrator position

STEP 5

CALIBRATION AND TRACING

WINDOW SHOWING THE CALIBRATION PROCESS

STEP 5

CALIBRATION ANDTRACING

STE P 6

CONTROL

Real-time precision

STEP 7

Illustration of the correct position

HANDPIECE CALIBRATION

visualization of the calibration with a loading bar

STEP 7

HANDPIECE CALIBRATION

Square Zone to modify the size of the real-time axis

STEP 8

Illustration of the correct position

BUR CALIBRATION

visualization of the calibration with a loading bar

STEP 9

GUIDED DRILLING

Real-Time Targe

Bur axis represents by the green cylinder

TRAINING

TRAINING

TRAINING

CLINICAL CASES

CLINICAL CASE

CLINICAL CASE

CLINICAL CASE

CLINICAL CASE

HOW ?

WHEN ?

DYNAMIC GUIDED

NAVIGATION

WHY ?

INDICATIONS

OBLITERATIONS CALCIFICATIONS

80 %

FIBER POST RETREATMENT

10 %

10 %

MB2

CONS

PROS

- Real-Time axis modification - Classic endodontic burs - Ultrasonic inserts comptability - Reactivity - Working-time reduce - No Digital Work-Flow

- Learning curve - High Cost - Full mouth CBCT - Axis planification

DYNAMICNAVIGATION SYSTEM

Thanks