Digital Implant Planning and Guided Implant Surgery

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Niveditha S. Prasad, MDS – Assistant Professor, Department of Prosthodontics, KMCT Dental College and Hospital, Calicut, Kerala
Sheejith Madapathi, MDS – Professor and Head of Department of Prosthodontics, KMCT Dental College and Hospital, Calicut, KeralaDental College, Kozhikode, India
Sarath Raj, DMRD, DNB – Radiodiagnosis, IQRAA International Hospital & Research Centre, Calicut, Kerala, India
Nivea T. Francis, MDS – Assistant Professor, Department of Prosthodontics, KMCT Dental College and Hospital, Calicut, Kerala

Series: Dentistry and Oral Sciences; Surgery – Procedures, Complications, and Results
BISAC: MED016070; MED016080; MED019010
DOI: https://doi.org/10.52305/GDQO4706

In guided implant surgery, dentists utilize advanced machinery and imaging technology to guide them to manufacture and place implants more efficiently, precisely, and accurately. This new and improved dental implant surgery allows the dentist to have a more complete picture of the patient’s mouth and accurately produce the most appropriate dental implants. These steps that used to require many dental office visits can now be performed on the same day, concluding with the surgery.

The evaluation of 3D data extracted from computerized tomography, but also more recently from optical scanner, together with modern implant planning software, allows to carefully simulate surgical and prosthetic phases. Implant sites can be decided before surgery according to bone volume and quality, location of anatomical structures (nerves, vessels, sinuses), prosthetic and aesthetic evaluations, and accurate one-to-one measurements of the width and height of bone in planned implant sites. The distances and angulations between implants can also be calculated. Moreover, a careful three-dimensional positioning of the implants allows for obtaining the best clinical results, especially in regard to aesthetic aspects. Guided implant surgery (GIS) allows to transfer planned rehabilitation projects directly into the surgical field. Guided-implant surgery could also be needed for minimally traumatic or flapless surgery, optimal implant positioning and immediate loading, along with the reduction of post operative pain.

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Table of Contents

Foreword
M. Ranjith

Acknowledgments

Chapter 1. Introduction

Chapter 2. History
Historical Overview in Brief

Chapter 3. Evolution of Guided Implant Surgery

Chapter 4. Goals of Guided Implant Surgery

Chapter 5. Indications of Guided Implant Surgery
Planning for Three or More Implants in a Row
Proximity to Important Anatomic Structures
Problems Related to the Proximity of Adjacent Teeth
Questionable Bone Volume
Implant Position: Critical to the Restoration

Chapter 6. Advantages of Guided Implant Surgery

Chapter 7. Disadvantages of Guided Implant Surgery

Chapter 8. Guided Implant Surgery Systems

Chapter 9. Guided Surgical Templates

Chapter 10. Types of Surgical Templates
Universal Master Sleeves
Manufacturer-Specific Master Sleeves
Universal Templates (Pilot Surgiguide, Universal Surgiguide)
Manufacturer-Specific Guide (SAFE SurgiGuide)
Customized Conventional Radiographic Surgical Template
Fabrication Process
Computer-Generated Surgical Template
Procedures for the Fabrication of Stereolithographic Templates
Double Scan Protocol
Making a Computer-Aided Template

Chapter 11. Surgical Application of Templates
Nonlimiting Design
Completely Limiting Design

Chapter 12. Advantages and Disadvantages of Templates

Chapter 13. Protocols for Guided Implant Surgery
Access to a Cone-Beam CT Scanner
Implant Planning Software
A Surgical Template
Guided Implant Surgery Drill Kit

Chapter 14. Guided Implant Surgery
Surgical Procedure in Brief
Guided Implant Placement

Chapter 15. CT Based Guided Implant Surgery
Data Acquisitions
Identification
Registration
Navigation

Chapter 16. CAD Cam Based Guided Implant Surgery
Technique
Surgical Procedure

Chapter 17. Cast Based Guided Implant Surgery

Chapter 18. CBCT Guided Flapless Implant Surgery
Surgical Procedures
Pre-Operative Instructions
Free-Handed Surgery
Pilot-Drill-Guided Surgery
Fully-Guided Surgery
Post-Operative Instructions
Post-Operative CBCT
Prosthetic Procedures

Chapter 19. Image Guided Implant Surgery
Surgical Accuracy
Fabrication and Guide Seating
In-Office Guide Printing
Complications
Robotic Surgery
When to Use Image-Guided Surgery

Chapter 20. Printed Surgical Template for Guided Implant Surgery
Virtual Template Design

Chapter 21. One Abutment One Time
Treatment Plan
Surgical Procedure
Postoperative Treatment

Chapter 22. Teeth in an Hour

Chapter 23. Clinical Outcomes of Guided Implant Surgery
Implant Survival
Accuracy
Complications

Chapter 24. Artificial Intelligence and Guided Implant Surgery

Chapter 25. Conclusion

About the Authors

Index

Author’s ORCID iD

Niveditha S. Prasad – 0000-0003-0265-9880
Sheejith M. – 0000-0002-6525-3725
Sarath Raj V. S: 0000-0003-3039-1615
Nivea T. Francis: 0000-0001-8640-6359

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