Navident EVO Dental Implant Navigation System: Everything Patients Need to Know Before Surgery

You’ve been told you need a dental implant. You’ve done your research. You know implants are titanium posts surgically placed into your jawbone. You know they’re the gold standard for replacing missing teeth. And somewhere in your research, you’ve encountered a question that nobody seems to answer clearly:

How does the surgeon know exactly where to place it?

This question matters more than most patients realize. Dental implant placement involves surgical decisions made millimeter by millimeter, adjacent to nerves, sinuses, and neighboring tooth roots. The answer to “how does the surgeon know” has changed dramatically with the introduction of computer-guided navigation—and specifically with systems like Navident EVO, available at V Bose Dental Care in Madurai.

This guide explains everything: what Navident EVO is, how it works in plain language, why it matters for your safety, what surgery with it feels like, and why its availability should influence where you choose to have your implants placed.

The Problem With Traditional Implant Surgery

To understand why Navident EVO matters, you need to understand what happens without it.

How Traditional Freehand Implant Surgery Works

In conventional implant surgery, the oral surgeon or dentist works from:

2D Radiographic Images: Panoramic x-rays (OPG) provide a flattened, two-dimensional view of the jaw. Periapical x-rays show individual teeth areas. These images are valuable but fundamentally limited—they show height and width but cannot accurately represent the three-dimensional structure of bone, or the precise location of nerves in the third dimension (depth from the facial side).

Mental Three-Dimensional Reconstruction: The surgeon mentally translates 2D images into a 3D surgical reality. This skill develops through experience and training. Excellent surgeons do this well. But the mental model is inherently approximate—no matter how skilled the surgeon.

Tactile Feedback and Measurement: During surgery, the surgeon uses instruments to probe bone, measures with surgical guides, and relies on experience-informed judgment about depth and angulation.

Surgical Experience: The sum of previous cases informs current decisions. A surgeon who has placed 500 implants makes better freehand judgments than one who has placed 50. But neither has real-time verification of position during the procedure.

The Inherent Limitations

Even excellent freehand surgeons face unavoidable limitations:

No Real-Time Position Verification: The surgeon cannot see precisely where the drill tip is in three-dimensional space during drilling. They estimate based on measurements and experience.

Nerve Identification Challenges: The inferior alveolar nerve—a critical structure running through the lower jaw—appears as a line on 2D x-rays. Its exact position in the third dimension (distance from the facial plate of bone) requires estimation. Getting this wrong causes temporary or permanent numbness of the lower lip, chin, and teeth.

Angular Deviation: Studies of freehand implant placement show average angular deviation of 4-8 degrees from planned position. In many cases this is clinically acceptable. In cases requiring precise angulation for prosthetic reasons—full arch rehabilitation, immediate loading—this deviation creates significant problems.

Cumulative Error in Multiple Implants: When placing 4-6 implants for full arch cases, angular errors compound. Implants placed for All-on-4 or All-on-6 must be precisely coordinated or the prosthesis cannot be manufactured to fit correctly.

The Planning-to-Execution Gap: The most significant limitation of freehand surgery is the gap between what was planned and what is executed. Pre-surgical planning happens; surgery happens; the two are connected only through the surgeon’s judgment and skill.

Static Surgical Guides: A Partial Solution

Many clinics offering “guided implant surgery” use static surgical guides—3D-printed templates fitting over teeth and bone, with pre-formed channels determining drill direction.

These represent meaningful improvement over pure freehand approaches. However, static guides have significant limitations:

Cannot Adapt During Surgery: The channel is fixed at fabrication. If bone quality differs from imaging (common in certain patient populations), if anatomy varies unexpectedly, or if clinical circumstances change, the guide cannot respond. Surgery proceeds through the fixed channel regardless.

No Continuous Position Feedback: The guide directs entry angle but provides no feedback about actual position during drilling. Once drilling begins through the channel, the surgeon loses positional information.

Fit Accuracy Concerns: The guide must seat precisely on teeth or bone for channels to align with planned positions. Movement, inaccurate impressions, or surgical access difficulties can compromise guide fit and thus accuracy.

Additional Cost and Time: Static guides require laboratory fabrication after planning, adding cost and a 1-2 week delay between imaging and surgery.

Navident EVO addresses all of these limitations.

What is Navident EVO? A Plain-Language Explanation

Navident EVO is a real-time computer-guided surgical navigation system specifically designed for dental implant surgery.

Think of it as GPS navigation for your car—but instead of tracking your car on a road map, it tracks the surgeon’s drill in your jawbone, continuously showing exactly where it is relative to your pre-planned surgical map.

The Core Components

Patient Reference System: A small reference marker is attached near the surgical site (on teeth or bone). This marker is tracked by the navigation system continuously throughout surgery, compensating for any head movement.

Instrument Tracking: The surgical handpiece (drill) is equipped with tracking markers recognized by the navigation camera system. The system knows precisely where the drill tip is in 3D space at all times.

Optical Navigation Camera: An infrared camera system mounted in the operating area tracks both the patient reference and instrument markers simultaneously, calculating their precise spatial relationship in real time.

Navigation Display: A monitor in Dr. Bose’s line of sight shows the drill’s current position relative to the surgical plan in multiple views simultaneously—top view, side view, cross-section—updating continuously as drilling progresses.

Pre-Loaded Surgical Plan: Your 3D CBCT scan data, with Dr. Bose’s virtual implant placement plan, is loaded into the Navident system. The navigation display shows the planned implant position and continuously shows where the drill is relative to that plan.

What Dr. Bose Sees During Your Surgery

During your Navident-guided implant surgery, Dr. Bose views a navigation display showing:

Current Drill Position: Exact three-dimensional location of the drill tip in your jaw—shown as a cursor on your actual CT scan data.

Deviation From Plan: The angle of the current drill trajectory compared to the planned implant angle—displayed numerically and graphically. Any deviation from plan is immediately visible and quantified.

Depth Information: Current drilling depth compared to planned depth. A clear indicator shows remaining distance to planned stop point.

Critical Structure Distances: Distance from drill tip to inferior alveolar nerve, maxillary sinus, or other programmed safety boundaries—displayed as numbers updating in real time.

Safety Alerts: If the drill approaches a pre-set safety margin around critical structures, the system provides immediate visual alert before any boundary is reached.

This information transforms implant surgery from estimated positioning to verified, real-time guided precision.

The Navident EVO Surgery Process at V Bose Dental Care

Understanding the complete process—from your first appointment through surgery and recovery—removes uncertainty and builds justified confidence.

Phase 1: Comprehensive Diagnostic Imaging

CS 9600 3D CBCT Scan:

Before any planning begins, Dr. Vinod Bose obtains a comprehensive 3D CBCT (cone beam computed tomography) scan using V Bose Dental Care’s CS 9600 system.

This scan provides:

Complete 3D visualization of your jawbone structure
Bone density and quality mapping
Precise nerve canal location and pathway
Sinus anatomy for upper jaw cases
Adjacent tooth root positions
Bone volume measurement at implant sites
Any pathology requiring attention before implant surgery

The CBCT scan is the data foundation for everything that follows. Its quality directly influences planning precision, which is why V Bose uses the CS 9600—a premium system providing high-resolution imaging with reduced radiation compared to medical CT scanners.

Phase 2: Virtual Surgical Planning

Dr. Bose’s Pre-Surgical Design Session:

Using your CBCT data loaded into Navident planning software, Dr. Vinod Bose virtually places your implant(s) before touching you:

Bone Analysis: Examining bone volume, density, and quality at each planned site. Identifying optimal bone regions for primary stability.

Critical Structure Mapping: Precisely locating the inferior alveolar nerve (lower jaw), maxillary sinus (upper jaw), nasal cavity, and adjacent tooth roots. Safety margins programmed around each structure.

Implant Selection: Choosing optimal implant length and diameter based on bone volume and density at each site.

Position Planning: Determining precise implant placement—exact three-dimensional coordinates, angulation in all planes, depth. For multiple implants, coordinating positions relative to each other for prosthetic requirements.

Surgical Sequence: Planning the order of implant placement for multiple-implant cases.

Outcome Preview: Viewing the virtual result—where each implant sits relative to bone, nerves, and adjacent structures—verifying the plan meets clinical and aesthetic requirements before surgery begins.

This virtual surgery typically takes 30-60 minutes per case for complex planning. The result is a surgical blueprint of extraordinary precision.

Before scheduling surgery, Dr. Bose shows you the surgical plan:

Your actual jaw anatomy in 3D on screen
Planned implant position(s)
Distance to critical structures
Expected outcome

Seeing your planned surgery before it happens is uniquely reassuring. Patients consistently report that surgical plan visualization resolves anxiety more effectively than any verbal explanation.

Phase 4: Surgery Day

Pre-Surgical Setup (15-20 minutes): Navident EVO system calibrated to your specific anatomy. Patient reference marker positioned. Instrument tracking verified. Navigation accuracy confirmed before first incision.

Anesthesia: Complete local anesthesia ensuring zero surgical discomfort. Dr. Bose confirms numbness before proceeding. You are awake but experience no pain throughout.

Surgical Navigation: Dr. Bose works with continuous navigation guidance:

Incision and tissue management
Initial bone site preparation
Progressive drilling to planned diameter and depth
Navigation display guides every millimeter
Deviation alerts if trajectory varies from plan
Depth indicator confirms planned depth reached
Final implant placement

Implant Placement: Implant inserted to planned position. Navigation confirms final position matches surgical plan.

Immediate Assessment: Final position verified against surgical plan before closure. Documentation of planned versus actual position recorded.

Closure: Sutures placed (dissolvable or removable depending on case). Immediate post-operative instructions provided.

Immediate Loading (When Applicable): For cases planned with immediate loading, temporary restoration placed same day. You leave with functional teeth.

Phase 5: Recovery and Integration

First 24-48 Hours:

Mild to moderate discomfort manageable with prescribed/recommended medication
Swelling typically peaks day 2, subsides through day 5-7
Soft diet during initial healing
Avoid strenuous activity
Dr. Bose available by phone for any concerns

First Week:

One-week post-operative appointment for assessment
Suture removal if non-dissolvable placed
Healing progress evaluation
Diet expansion as healing progresses

Osseointegration Period (8-16 weeks): Titanium implant integrates with surrounding bone through osseointegration. No special requirements beyond maintaining oral hygiene and avoiding excessive force on the area.

Final Restoration: Once integration is confirmed, final crown or prosthesis is fabricated using iTero Lumina digital impression, fabricated at premium laboratory, and delivered with occlusal verification.

Clinical Evidence: Why Navident EVO Outcomes Are Superior

Multiple peer-reviewed clinical studies have evaluated computer-guided implant navigation accuracy:

Angular Accuracy:

Dynamic navigation: Mean deviation 0.5-1.5 degrees
Freehand surgery: Mean deviation 4-8 degrees
Static guides: Mean deviation 2-4 degrees

Depth Accuracy:

Dynamic navigation: Mean deviation 0.2-0.5mm
Freehand surgery: Mean deviation 1-2mm
Static guides: Mean deviation 0.5-1.5mm

Clinical Significance:

A 1-degree angular error at the implant head translates to approximately 1mm of positional error at the apex (bottom) of a standard implant. For a 13mm implant:

Freehand average (5 degrees): 4-5mm apex deviation
Navigation average (1 degree): < 1mm apex deviation

This difference is clinically significant in:

Nerve proximity cases
Adjacent tooth root proximity
Immediate loading protocols (requires precise position)
Aesthetic zone cases (emergence profile)
Full arch rehabilitation (prosthetic coordination)

Complication Rate Comparison

Navigation-guided implant surgery demonstrates:

Reduced nerve injury incidence
Lower implant failure rates in complex cases
Fewer prosthetic complications from malpositioning
Reduced need for surgical revision
Higher patient satisfaction scores

Who Needs Navident EVO? Case-by-Case Assessment

Lower Jaw Posterior Implants: The inferior alveolar nerve runs through the lower jaw, supplying sensation to teeth, gum, lower lip, and chin. Implants placed too deep or at incorrect angles risk nerve contact, causing temporary or permanent numbness. Navident EVO shows real-time distance to the nerve throughout drilling—the definitive safety measure.

Upper Jaw Posterior Implants: The maxillary sinus creates a boundary above upper posterior implant sites. Sinus perforation during implant placement requires additional procedures (sinus lift) not planned for, and complicates healing. Navident shows continuous distance to sinus floor.

Full Arch Rehabilitation (All-on-4, All-on-6): Multiple implants must be angulated precisely for the prosthesis to seat correctly. A 3-degree angular error on one implant in an All-on-4 may prevent prosthesis delivery. Navigation guides each implant to planned position relative to the full prosthetic plan.

Immediate Loading Cases: Same-day teeth require implants in exactly planned positions. Any deviation from plan may prevent the pre-fabricated temporary prosthesis from fitting. Navigation is essentially required for reliable immediate loading.

Adjacent Root Proximity: Implants placed between natural teeth require precise mesio-distal positioning to avoid damaging adjacent roots. Navigation provides continuous guidance preventing inadvertent root contact.

Narrow Ridge Cases: Limited bone width demands precise drilling within narrow margins. Navigation prevents inadvertent perforation of thin bone walls.

Aesthetics-Critical Anterior Implants: Upper front tooth implants require precise positioning for natural emergence profile and crown aesthetics. Small deviations are visible in the final crown. Navigation precision directly improves aesthetic outcomes.

All implant cases benefit from navigation. Beyond the essential cases above, every implant patient benefits from:

Documented precision rather than estimated placement
Real-time safety verification throughout surgery
Surgical confidence reflected in efficient, purposeful procedure
Digital record of achieved versus planned position
Reduced anxiety knowing GPS-level guidance is active

Navigation provides maximum benefit in complex cases. Simple, single implants in straightforward anatomy with abundant bone away from critical structures may achieve similar outcomes with experienced freehand surgery. Dr. Bose discusses case-specific navigation recommendations during consultation, recommending the approach providing optimal outcomes for your specific anatomy and treatment plan.

Navident EVO for Specific Patient Groups

Patients With Dental Anxiety

Surgical anxiety often centers on uncertainty—“what if something goes wrong?” Navident EVO changes the anxiety equation fundamentally:

Seeing your surgical plan before surgery demonstrates exactly what will happen
Knowing continuous GPS guidance protects you throughout surgery
Understanding that the system alerts Dr. Bose if any deviation occurs
Experiencing a surgeon who operates with confident, verified knowledge rather than estimated judgment

Many anxious patients report that learning about Navident EVO navigation transformed their approach to implant surgery from dreaded obligation to confident decision.

International and Out-of-Town Patients

Traveling for implant surgery requires confidence in outcomes—you cannot easily return for complications. Navident-guided precision:

Reduces complication probability
Enables immediate loading protocols for same-day function
Creates digital documentation shareable with home dentists
Provides verifiable surgical precision for international patients’ confidence

For international patient information, explore our premium dental treatment guide for international patients.

Patients With Medical Complications

Diabetes, medications affecting bone healing, and systemic conditions influence implant surgery. Optimal positioning through navigation—maximum bone contact, ideal primary stability—is particularly valuable when healing factors are compromised. Precision placement compensates for reduced biological healing capacity.

Patients Requiring Full Mouth Rehabilitation

Complex cases involving multiple implants, crowns, and prosthetics achieve best outcomes when the surgical foundation is precisely placed. Navident EVO’s coordination of multiple implant positions relative to the prosthetic plan creates the precise surgical foundation complex rehabilitation requires.

For full mouth rehabilitation information, explore our article on digital smile design and full mouth transformation.

V Bose Dental Care: Navident EVO in Madurai

Why V Bose Dental Care Invested in Navident EVO

Dr. Vinod Bose’s decision to invest in Navident EVO reflects a clear philosophy: patient safety and outcome quality are non-negotiable priorities. When dynamic navigation became clinically validated and evidence-supported, the path was clear.

Navident EVO represents significant capital investment. The training required for proficient navigation surgery requires dedicated time and specialized education. Ongoing calibration and maintenance require commitment. Dr. Bose accepted all of these requirements because the clinical benefit to patients—documented precision, real-time safety, predictable outcomes—justifies every aspect of that commitment.

Qualifications:

Master of Dental Surgery (MDS)
UK Implantology Certification
Navident EVO navigation surgery certification
20+ years implant surgery experience
Continuous education through international conferences

The Personal Involvement Difference:

At V Bose Dental Care, Dr. Bose personally:

Plans every Navident surgical case
Performs every navigation-guided implant
Reviews every post-surgical outcome
Manages every follow-up

No delegation. No residents. No associates performing your surgery while the principal oversees. Dr. Vinod Bose is your surgeon, from first consultation through final crown delivery.

Complementary Technology: The Complete Picture

Navident EVO functions within V Bose Dental Care’s comprehensive technology ecosystem:

CS 9600 CBCT: Provides the 3D imaging data Navident requires for planning. Premium image quality enables premium planning precision.

iTero Lumina Scanner: After implant integration, provides the precise digital impression for implant crown fabrication. The complete digital workflow from surgical navigation to final restoration.

Laser Dentistry Systems: Soft tissue management enhancing surgical precision and healing.

Premium Implant Systems: Osstem and Straumann implants—globally validated systems with 10-year warranties—matched with Navident guidance for optimal outcomes.

Frequently Asked Questions

What exactly does Navident EVO do during implant surgery?

Navident EVO tracks the exact position of the surgical drill in real time throughout implant placement, displaying this position on a navigation screen relative to your pre-planned implant position. Dr. Bose sees current drill angle, depth, and distance to critical structures (nerves, sinuses) continuously updated throughout drilling. This transforms implant surgery from experience-guided estimation to continuously verified, GPS-level precision. Any deviation from the surgical plan is immediately visible and correctable before it becomes clinically significant.

Is navigation surgery more painful than traditional implant surgery?

No. The patient experience during surgery is identical—complete local anesthesia ensures you feel nothing regardless of the surgical approach. Navigation adds a brief setup phase (15-20 minutes for calibration) before surgery begins. The surgical procedure itself is often slightly shorter with navigation because Dr. Bose operates with complete positional confidence rather than repeated measurement and verification. Post-operative recovery is comparable to traditional surgery, with many patients experiencing reduced swelling due to more precise, less traumatic tissue handling.

Can Navident EVO guarantee no nerve damage?

No technology can provide absolute guarantees in surgical medicine. What Navident EVO does is provide continuous real-time monitoring of distance to the inferior alveolar nerve with alert systems preventing inadvertent approach. Published studies demonstrate significantly reduced nerve injury rates with navigation compared to freehand surgery. Dr. Bose uses Navident specifically for cases where nerve proximity creates risk, making navigation the responsible clinical standard for these situations. The combination of 3D pre-surgical mapping, safety margin programming, and real-time alerts represents the current highest standard of nerve protection available in implant surgery.

What is the difference between Navident EVO and a surgical stent?

A surgical stent (static guide) is a physical template with fixed channels determining drill direction at one moment. It cannot adapt during surgery, provide continuous feedback, or respond to intraoperative findings. Navident EVO provides dynamic, continuous navigation throughout the entire procedure—tracking actual instrument position, showing real-time deviation from plan, adapting to the surgeon's movements, and providing ongoing feedback from first contact to final depth. Navident is significantly more versatile, accurate, and informative than static guides, providing information throughout surgery rather than at entry only.

How much more accurate is Navident EVO compared to freehand surgery?

Published clinical studies show dynamic navigation achieves mean angular accuracy of 0.5-1.5 degrees compared to 4-8 degrees for freehand surgery—approximately 5-10 times more accurate angularly. Depth accuracy improves from 1-2mm freehand to 0.2-0.5mm with navigation. In practical terms, for a 13mm implant, freehand placement might position the implant apex 4-5mm from planned position, while navigation achieves less than 1mm deviation. This precision difference is clinically significant in cases near nerves, for immediate loading, for aesthetics-critical positions, and for full arch coordination.

Is Navident EVO available for all implant procedures at V Bose Dental Care?

Navident EVO is available for all implant procedures at V Bose Dental Care. Dr. Bose recommends navigation case by case based on anatomy complexity, patient risk factors, and treatment requirements. For straightforward single implant cases in abundant bone far from critical structures, Dr. Bose provides honest assessment of whether navigation provides meaningful additional benefit beyond his surgical expertise. For complex cases, navigation is recommended as the clinically responsible standard. All patients receive transparent explanation of surgical approach recommendations.

Can I see my surgical plan before agreeing to proceed?

Yes—patient review of the surgical plan is standard at V Bose Dental Care. Before scheduling surgery, Dr. Bose shows you the virtual plan using your actual CBCT data: your jaw anatomy in 3D, planned implant position, distance to critical structures, and expected outcome. Seeing your surgery planned before it happens provides genuine informed consent and significantly reduces surgical anxiety. Many patients describe plan review as the most reassuring aspect of choosing navigation-guided surgery.

What happens if Navident detects the drill is deviating from the plan?

The navigation display continuously shows any deviation from the planned trajectory as a numerical value and graphical indicator. There is no sudden alarm—rather, continuous real-time feedback allows Dr. Bose to make incremental corrections as needed. The system provides alert indicators when approaching programmed safety boundaries. This continuous feedback loop is fundamentally different from freehand surgery where deviations are unknown until post-surgical imaging. With navigation, trajectory maintenance is active throughout drilling rather than hoped for.

Does my head need to remain perfectly still during navigation surgery?

No. This is a common concern that navigation addresses elegantly. The Navident system uses a patient reference marker that moves with your head. The navigation tracks instrument position relative to the patient reference, not relative to fixed room coordinates. This means normal head movements during surgery are fully compensated—the navigation remains accurate regardless of minor patient movement. Only significant, sustained head movement would require brief recalibration, which takes under a minute to complete.

Is V Bose Dental Care the only clinic in Tamil Nadu offering Navident EVO?

V Bose Dental Care is among very few practices in Tamil Nadu with Navident EVO dynamic navigation. Most clinics—even in Chennai—perform implant surgery freehand or with static surgical guides. True dynamic navigation as provided by Navident EVO, with real-time continuous guidance throughout surgery, is found in specialist implant centers and select advanced practices. This scarcity is why patients travel from Chennai, Coimbatore, and beyond to access navigation-guided surgery at V Bose Dental Care in Madurai.

How does Navident EVO improve outcomes for All-on-4 procedures specifically?

All-on-4 requires four precisely coordinated implants to support a complete arch prosthesis. The two anterior implants must be parallel; the two posterior implants angled at precisely 30-45 degrees relative to the arch and to each other. These angular relationships determine whether the pre-fabricated prosthesis seats correctly. Angular errors compound across multiple implants. Navident guides each implant to planned position relative to the collective four-implant architecture, ensuring the prosthesis seats as designed. This coordination is virtually impossible to achieve with freehand precision in complex anatomy.

What implant brands are used with Navident EVO at V Bose Dental Care?

V Bose Dental Care uses Osstem implants (Korean precision engineering, global market leader) and Straumann implants (Swiss manufacturing, global gold standard) with Navident EVO guidance. Both are compatible with Navident's navigation system. Implant selection depends on case requirements—bone volume, loading protocol, aesthetic requirements, and patient factors. Both systems carry 10-year warranties valid globally. Material documentation including batch certificates is provided to all patients for their records.

Can Navident EVO be used for immediate same-day implant placement?

Yes, and immediate placement protocols particularly benefit from navigation precision. When an implant is placed immediately after tooth extraction, the extraction socket anatomy must be navigated precisely to achieve optimal bone contact and positioning. Navident provides continuous guidance during immediate placement, significantly improving primary stability and position accuracy compared to freehand approaches in fresh extraction sites. Immediate loading (same-day temporary teeth) is also more reliably achieved when implant positions are navigation-verified.

How long does recovery take after Navident-guided implant surgery?

Recovery timeline is similar to conventional implant surgery: discomfort peaks in the first 24-48 hours and is manageable with prescribed medication, swelling peaks around day 2-3 and resolves over 5-7 days, soft diet is recommended for 1-2 weeks, full activity resumes after 48-72 hours for most patients. Osseointegration (implant bonding to bone) takes 8-16 weeks regardless of surgical approach. Navigation surgery may reduce recovery time modestly through more precise, less traumatic tissue handling—smaller, more accurate surgical sites heal faster than larger corrective preparations.

What documentation do I receive after navigation surgery?

Navident EVO generates comprehensive digital documentation including your pre-surgical plan, intraoperative navigation data, and final implant position versus planned position comparison. This documentation is part of your permanent dental record. You receive a summary of achieved surgical precision, materials used (implant brand, size, batch number), post-operative care instructions, and warranty documentation. This record is valuable for any future dental providers and for warranty claims. Complete English-language documentation is provided for all patients.

How does Navident work for upper jaw implants near the sinus?

For upper posterior implants, the maxillary sinus creates a critical boundary. Before surgery, your CBCT data shows the precise sinus floor position at each planned implant site. This boundary is programmed into Navident as a safety margin. During surgery, the navigation display continuously shows the distance from drill tip to the sinus floor, updating in real time. Dr. Bose can confidently drill to maximum available bone height while receiving immediate alert if approaching the sinus boundary. This enables use of longer implants (better stability) while preventing sinus perforation.

Is Navident EVO appropriate for elderly patients?

Yes. Elderly patients often present with more complex anatomy—reduced bone density, more medications affecting healing, proximity to nerves from bone resorption over time. These factors make navigation more valuable, not less. Navigation precision compensates for reduced bone volume by ensuring optimal placement within available bone. Safety monitoring protects against nerve proximity common in resorbed ridges. Dr. Bose is experienced in geriatric implant surgery and adjusts treatment protocols appropriately for age-related factors while utilizing navigation to maximize precision.

What if I have had implants placed elsewhere that need to be checked or added to?

Navident EVO planning incorporates existing implants from CBCT imaging. If you have previous implants and need additional implants placed, Dr. Bose plans new placements relative to existing implants and adjacent anatomy. Navigation guides new implants precisely in relation to existing ones. Existing implants can also be evaluated during CBCT scanning for integration status, bone levels, and any concerns. Complete assessment of your existing and planned implants is conducted during consultation.

How do I know if I'm a good candidate for dental implants with Navident?

Most adults with missing teeth are implant candidates. Absolute contraindications are few: uncontrolled diabetes or systemic conditions, active oral infection, insufficient bone without grafting, and certain medications affecting bone metabolism. A consultation with Dr. Bose including CBCT imaging determines candidacy definitively. Many patients told elsewhere they "don't have enough bone" discover through 3D imaging that available bone enables implant placement with appropriate technique. Navigation allows utilization of bone volumes not suitable for freehand surgery.

How do I book a Navident EVO implant consultation at V Bose Dental Care?

Call or WhatsApp +91 93452 44555 to schedule your implant consultation with Dr. Vinod Bose. Bring any existing dental x-rays or reports. A comprehensive consultation including clinical examination and CBCT imaging provides everything needed to determine your candidacy, plan treatment, and show you your virtual surgical plan. Walk-in consultations are also welcome. Dr. Bose personally conducts all implant consultations—you speak directly with the surgeon who will perform your procedure, not a coordinator or associate.

Understanding your surgery builds the confidence to proceed with it. At V Bose Dental Care in Madurai, Navident EVO navigation transforms implant surgery from an uncertain procedure to a verified, GPS-guided experience. Contact Dr. Vinod Bose MDS today.

Contact V Bose Dental Care:

Phone / WhatsApp: +91 93452 44555
Website: VBoseDentalCare.com
Address: 236, South Veli Street, Madurai - 625001
Walk-In Welcome for Consultations
Clinic Gallery: https://vbosedentalcare.com/gallery/48/20-years-of-exexcellencenew-building/