Guided implant surgery
Guided surgery implant placement
Dental implants are usually placed by the surgeon who uses markers and measures in your mouth.
It is possible to use a digital tool to virtually plan the implant position on software before surgery, then to produce a drilling guide.
This guide, called surgical guide, will be placed in your mouth exactly in the envisaged position and the drilling and implant placement will be done through.
Advantages and disadvantages of guided implant surgery
The advantages of guided implant surgery are:
- The available bone volumes are optimized, which can avoid the need for bone grafts.
- The positioning of dental implants is precise, which is a definite advantage in complex and / or dangerous cases.
- Dental implants can be placed without having to raise your gum.
- In some cases, a temporary implant-supported prosthesis can be made before dental implants are placed.
The disadvantages of guided implant surgery are:
- The guide takes up space in your mouth and makes the placement of drilling forests more complex.
- If bone quality is not optimal in the area chosen during planning, the guide should be removed and the procedure continued without a guide.
- If bone or gum volume corrections are necessary, the guide must be removed to perform the transplants and this loses most of its benefits.
- The cost of the guide which is added to the cost of the dental implant.
Guided surgery treatment protocol
The placement of dental implants by guided surgery requires a specific protocol:
- Planning: During the implant consultation, the implants are positioned virtually on a specific planning software in which we have recorded your 3d radiographic image (cbct), as well as the digital imprint of your jaws.
- Manufacturing: Once the project has been verified and validated, the data is sent to a specialized machining center.
A custom surgical guide is machined from biocompatible material, then sterilized.
A temporary prosthesis (crown or bridge) can also be produced.
- Surgery: On the day of your surgery, the guide is placed on your remaining teeth or screwed onto your jaw. Drilling can be carried out through the guide and the dental implants placed.
The guide can be removed and the provisional prosthesis prepared in advance can be screwed on immediately.
When can we use an implant surgical guide?
We will advise you on the use of surgical guides.
Surgical guides are additional tools that allow the surgeon to optimize the implant three-dimensional position. However, they do not compensate for the surgeon clinical experience.
With or without a surgical guide, the basics of implant surgery must be respected in order to obtain the durability of the implants.