Computer-Assisted Immediate Implant Placement: From Static Surgical
Guides to Dynamic Navigation: A Mini Review
Kareem Mohamed Mohamed El Hossiny, Hala Ahmed Abu El Ela* and
Mohamed Wagdy Bissar
Department of Oral Medicine, Periodontology and Oral Diagnosis, Faculty of
Dentistry, Ain Shams University, Cairo, Egypt
*Corresponding Author: Hala Ahmed Abu El Ela, Department of Oral Medicine,
Periodontology and Oral Diagnosis, Faculty of Dentistry, Ain Shams University, El-
Khalyfa El-Mamoun Street, Abbasya, Cairo, Egypt.
Received:
May 14, 2026; Published: June 10, 2026
Immediate implant placement has become an important treatment option in contemporary implant dentistry because it can
reduce treatment time, preserve the peri-implant soft tissue contour, and improve patient acceptance. However, placing an implant
into a fresh extraction socket is technically demanding. The irregular socket anatomy, thin facial plate, and tendency of the drill
to deviate toward the path of least resistance may compromise the planned implant position. For this reason, computer-assisted
implant surgery has gained increasing importance, particularly in esthetic and anatomically sensitive areas. Static computer-assisted
implant surgery uses a preoperatively fabricated surgical guide to transfer the virtual implant plan to the patient, while dynamic
navigation provides real-time visual guidance during drilling and implant insertion. Both systems aim to improve the accuracy of
implant placement, but each has its own advantages and clinical limitations. Static guides are generally practical, time-efficient, and
highly predictable when guide seating is stable. Dynamic navigation, on the other hand, allows intraoperative flexibility, better visual
access, and real-time correction of the drilling trajectory. Available evidence suggests that both approaches can achieve clinically
acceptable accuracy, although direct comparative evidence in immediate implant placement remains limited. The choice between
them should therefore depend not only on radiographic accuracy, but also on case complexity, available support, mouth opening,
cost, surgical time, operator experience, and the need for intraoperative modification.
Keyworda: Immediate Implant Placement; Dynamic Navigation; Static Surgical Guide; Computer-Assisted Implant Surgery; Implant
Accuracy; Digital Dentistry
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