Mixed Reality Implementation in X-Guide Navigated Implant Surgeries: A Retrospective Analysis

Virtual and augmented reality are both integrated into mixed reality, enabling users to interact with real or artificial environments based on their needs. Integrating mixed reality into dental loupes could reduce treatment time and minimize the need to constantly look away from patients to consult computer screens. This study aims to determine the impact of mixed reality adoption by examining digital screen usage in X-Guide navigated implant surgeries, and to evaluate whether newly adopted assisted reality for navigated implant surgeries reduces computer screen dependency. This retrospective analysis involves two oral surgeons with a total of 55 treated patients. Data from these practitioners will assess mixed reality implementation in dental loupes, measuring their interactions with digital computers based on the treatment type. All implant surgeries utilized X-Guide by X-Nav Technologies. Statistical analysis was conducted using two-sample t-tests to identify whether the usage of assisted reality glasses in implant surgeries reduces treatment time and computer usage. An ANOVA test revealed significant variance in computer usage, indicating that mixed reality benefits vary across oral surgical procedures. Two independent two-sample t-tests revealed a statistically significant 22.1% reduction in treatment time and an 66.7% reduction in computer usage in X-Guide implant surgeries utilizing assisted reality. The findings on computer usage indicated that oral surgery could benefit significantly from mixed reality adoption. Digital implant surgeries with mixed reality integrated loupes would be more advantageous for implant procedures by enabling hand interaction, a feature not available in the screen-mirroring assisted reality glasses used in this study.