Comparative Evaluation of Positional Accuracy of Dental Implants Placed using Piezoelectric Osteotomy with and without use of Dynamic Navigation - A Randomised Controlled Trial

The study methodology involves informed consent from the patient followed Diagnostic impressions  and models Surface scans will be taken in STL format and preoperative CBCT will be obtained to generate DICOM files. The DICOM and STL files will be merged, and implant planning will be carried out using specialized software. The total sample size will be 32, divided into two groups of 16 each. Group 1 will undergo implant placement using the freehand technique, while Group 2 will undergo implant placement with dynamic navigation. In Group 1, a supracrestal incision will be given, followed by elevation of a full-thickness mucoperiosteal flap, and implant placement will be performed freehand. In Group 2, a drill tag will be attached to the drill, and a jaw tag will be attached to the stent in the patient’s mouth, followed by calibration of the tooth in the same arch and opposing arch before implant placement using dynamic navigation. Postoperative CBCT will be obtained for both groups, with Group 1 using Implant Studio software and Group 2 using Navident software. positional accuracy is measured as primary outcome at baseline and day zero and primary stability insertion torque as secondary outcomes will be measured.