References

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Akça K, Iplikçioğlu H, Cehreli MC A surgical guide for accurate mesiodistal paralleling of implants in the posterior edentulous mandible. J Prosthet Dent. 2002; 87:233-235 https://doi.org/10.1067/mpr.2002.120900
Brief J, Edinger D, Hassfeld S, Eggers G Accuracy of image-guided implantology. Clin Oral Implants Res. 2005; 16:495-501 https://doi.org/10.1111/j.1600-0501.2005.01133.x
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Harris D, Horner K, Gröndahl K E.A.O. guidelines for the use of diagnostic imaging in implant dentistry 2011. A consensus workshop organized by the European Association for Osseointegration at the Medical University of Warsaw. Clin Oral Implants Res. 2012; 23:1243-1253 https://doi.org/10.1111/j.1600-0501.2012.02441.x
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Surgical Guides for Implant Therapy

From Volume 51, Issue 8, September 2024 | Pages 593-598

Authors

Farya Domah

BA, BDentSc(TCD), MFDS RCS(Edin), MSc Oral Surgery (Distinction) (UCLan),

Department of Oral and Maxillofacial Surgery, University Hospitals of Birmingham, Edgbaston, Birmingham, B15 2TH

Articles by Farya Domah

Email Farya Domah

Raunaq Shah

BDS(Birm), MFDS RCS(Edin), MJDF RCS(Eng),

Barnes Hill Dental Surgery, 267 Barnes Hill, Selly Oak, Birmingham, B29 5TX, UK

Articles by Raunaq Shah

Abstract

Ideal prosthetic and aesthetic results in implant therapy results from successful implant placement. Such success depends on a number of factors; one of which is the accurate transfer of information from the planning stage to the surgical field. Surgical templates are instrumental in allowing such transfer of information. This article aims to review various designs of implant guides and their accuracy.

CPD/Clinical Relevance: A surgical guide allows precise implant placement for predictable implant therapy outcomes.

Article

It is well documented in the literature that there is clear correlation between surgical and prosthetic complications and improper implant placement.1 As such, it is imperative that methodical treatment planning on implant position is undertaken and that this is translated to the oral cavity during surgery. The use of a surgical guide facilitates this transfer with regards to implant position, angulation and depth.2

A surgical guide is the combination of a contact surface that fits onto a patient's dentition and/or edentulous space to stabilize the stent in the operative field and guiding cylinders, which assist in drill orientation.3 This article reviews different types of surgical guides used for implant placement and the level of accuracy expected.

Surgical guides have three main uses, which are highlighted in Table 1.

Advances in medical imaging and digital software have revolutionized the treatment planning of prosthetically driven implant provision.5 In turn, this has facilitated the development of novel and advanced techniques to fabricate surgical guides that are more accurate.

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