Dentaltown January 2021 - 31

Fig. 5

Fig. 6

Precision is the operative word here; I
had never been able to achieve this level of
three-dimensional precision in preplanning
and placing dental implants. Location,
depth and angulation are all controlled by
the robot down to a fraction of a millimeter.
The 3D planning software allows me to
confidently avoid anatomical features such
as nerves and sinus, enabling me to place
the implant in the best restorative position.
As the surgeon, I receive physical (haptic) feedback from the robot during surgery.
If I move the drill in the wrong direction,
the implant arm will resist, communicating
the need to change direction. What I love
most is that I can visually see the surgical

site, just as I would in a freehand surgery,
but with the accuracy of 3D-printed guides
or a navigation system. It combines the best
of both into a new approach to implant
surgery that even allows for intraoperative
adjustments. See Chart 1 (p. 32) for a
comparison among freehand, surgical
guides, navigation systems and robotic
guidance.
Something remarkably different is
communication during surgery. Present in
the room are two human assistants along
with the robot. One assistant is chairside,
assisting me as normal. The second is at
the laptop, controlling the robot, taking it
from freehand to guided mode and verbally

directing me (Fig. 5). A dialogue between
the surgeon and assistant controlling the
robot includes commands such as " free, "
" 2mm buccal, " " move lingual 5mm, "
" rotate toward the opposing jaw, " " guided "
and " pause. " The dialogue is analogous to
that of an airplane cockpit, with the pilot
communicating with flight control as she
brings in a plane to land.
Once in guided mode, it is still up to
the surgeon to initiate the drill through
the foot pedal and to gently push down on
the drill to perform the osteotomy (Fig. 6).
At this point, Yomi takes over controlling
the final position, angulation and depth of
the osteotomy according to my preplan.
dentaltown.com \\ JANUARY 2021

DT0121_Bingham_Robot_MM.indd 31

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Dentaltown January 2021

Table of Contents for the Digital Edition of Dentaltown January 2021

Dentaltown January 2021 - Intro
Dentaltown January 2021 - Cover1
Dentaltown January 2021 - Cover2
Dentaltown January 2021 - 1
Dentaltown January 2021 - 2
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