Guided Surgery
Also known as: Computer-guided implants, surgical guide, digital implant planning, CAD/CAM surgery
Digitally planned implant placement using a 3D-printed surgical guide.
Guided surgery uses digital planning software and a 3D-printed surgical guide to place implants with a high degree of precision, ensuring the implant goes exactly where it was planned — at the correct position, angle, and depth.
The process
- CBCT scan of the jaw is taken
- Digital scan or impression of the teeth is taken
- The two datasets are combined in planning software
- The optimal implant position is planned virtually, considering bone volume, aesthetics, and the planned restoration
- A surgical guide is designed and 3D-printed
- The guide fits over the patient's teeth during surgery and directs the drill
Benefits
- Greater precision — reduces risk of nerve or sinus involvement
- Allows fully guided flapless surgery in appropriate cases
- Enables immediate loading (same-day teeth) planning
- Reduces surgical time and patient anxiety
- Allows the restoration to be planned before surgery (prosthetically driven)
Limitations
Guided surgery requires additional planning time and cost. The guide is only as accurate as the scan and software; any inaccuracy in the scans propagates to the surgery. Not suitable for all cases, particularly where significant grafting is needed.
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