X-Nav Technologies

Scores by criterion

Each criterion is defined on our methodology page.

Who uses X-Nav and what it's for

General dentists, oral surgeons, and periodontists with a cone beam CT scanner use X-Guide to plan implants and follow the plan during surgery, including same-day guided cases without a printed surgical guide.¹

Full-arch practices use FastMap, a navigated photogrammetry feature, to map final implant positions and register the plan inside X-Guide.⁴

History

Ed Marandola co-founded X-Nav in October 2012. He earlier led Imaging Sciences International, maker of the i-CAT cone beam 3D dental imaging system, which Danaher bought in January 2007.^3,7

Dr. Robert W. Emery, an oral and maxillofacial surgeon, is a co-founder and chief medical officer. In 2024 X-Nav added AI segmentation from Relu to X-Guide.⁶

X-Guide and the X-Nav robot

X-Guide works with a practice's cone beam CT. Its patented X-Point target gives a single live view of drill position and anatomy, and the newer X-Guide NXT adds a low-profile design and a foot pedal for hands-free control. The FDA cleared the X-Guide Surgical Navigation System under 510(k) K253954 on August 28, 2026.^1,5

X-Nav is developing the X-Nav Robotic System as an evolution of X-Guide. The company says it is not available for sale or patient use, and surgeons have tested it, including in cadaver labs.²

Pricing

X-Nav does not publish a price. It says X-Guide costs a fraction of traditional printed surgical guides over time, and buyers request a demo through X-Nav or Nobel Biocare.^1,4

Competitive landscape

Limits

Prices are not published.¹

The robot is in development, with no FDA submission announced, so X-Guide is navigation only for now.²

Revenue is not disclosed. We estimate it at $8 million to $15 million, based on its single X-Guide product line and US distribution through Nobel Biocare. This is an estimate, not a reported figure.^4,1

What customers say

Where it helps

Same-day implant cases are the main benefit: practices can scan, plan, and place implants in one visit without waiting for a printed guide.^4,1

Practices already in the Nobel Biocare system get X-Guide inside a workflow they know, including FastMap for full-arch provisionals.⁴

Where it falls short

Practices that want a robot arm that physically constrains the drill today should look at Neocis Yomi, since the X-Nav robot is not yet on sale.

Leadership

• 

  Ed Marandola

  Co-founder, president, and CEO

  Marandola co-founded X-Nav in 2012 after leading Imaging Sciences International, maker of the i-CAT cone beam scanner.^3,7

  Read full profile

• Robert W. Emery

  Co-founder and chief medical officer

  Dr. Emery is an oral and maxillofacial surgeon and one of X-Nav's three co-founders.⁶

Sources