Surgical implant placement guides/ dentistry dental implants

A surgical guide for dental implant
placement in edentulous posterior regions
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

Introduction:
The accurate placement of the implant is
critical to achieving a pleasing esthetic result, as
well as the correct alignment for withstanding
occlusal forces.
It is well documented that dental implants
placed using a surgical guide are more accurately
positioned than those placed without a guide.

An implant placement guide also allows for less
stressful surgery for the operator, knowing that the
critical placement factors were considered in the
fabrication of the guide.
It then becomes a matter of exposing and
preparing the osteotomy site and placing the
implant.
A stable and accurate surgical guide provides a
precise reference for implant placement.

Surgical template :
• A guide used to assist in proper surgical placement
and angulation of dental implants
GPT-8

A surgical guide for dental implant
placement in edentulous posterior regions
Saadet Saglam Atsu,
J Prosthet Dent 2006;96:129-33.

Diagnostic arrangement of planned implant supported
fixed partial denture with gutta-percha markers.

Correct angulation of implants
determined by angulation
of bone and gutta-percha
markers for second premolar.
Second molar, line a is
angulation of bone, line b
is angulation of gutta-percha
incorporated in guide, and x
represents angle change required.

Implant sites prepared through occlusal surfaces of
artificial teeth with dental surveyor.
4.5mm diameterwww.indiandentalacademy.com

Stainless steel tubes placed in channels drilled
through artificial teeth.
3 internal diameter
4 external diameter
2.8 mm drill
3.7 internal diameter
4.3 external diameter
3.5 mm drill

Smaller metal tubes inserted into larger metal tubes to
facilitate drilling pilot holes for implant placement.
2.4 mm internal diameter
Pilot path 2.2 mm

Surgical guide

A surgical guide for accurate mesiodistal
paralleling of implants in the
posterior edentulous mandible
Kıvanç Akça, Haldun I˙plikçiog, and Murat C. Çehreli

Diagnostic setup of planned implant-supported fixed
partial denture.

Duplicated cast with occlusal third of prosthesis
trimmed away. Desired mesiodistal parallel reference lines
are delineated along buccal side.

Transfer of mesiodistal parallel guide lines to perpendicular
plane.

Surgical stent with perpendicular plane for accurate
mesiodistal paralleling of implants on master cast.

Surgical guide in place.

A technique for making a diagnostic
and surgical template
Fujio Tsuchida, Toshio Hosoi, Masahiro Imanaka, and
Kaoru Kobayashi,
(J Prosthet Dent 2004;91:395-7.)

Diagnostic wax-up on articulator.

Completed diagnostic template.

Silicone impression and template.

CT images with silicone markers.
Left, Horizontal overview. Right, Cross-sectional view.

Facial portion of surgical template removed before
surgery.

Fabrication and use of a simple
implant placement guide
Richard J. Windhorn,
J Prosthet Dent 2004;92:196-9.)

Diagnostic cast with wooden stick in place.

Diagnostic casts occluded.

Handpiece head in place on wooden stick as
reference for molding acrylic resin.

Trimmed acrylic guide placed back on cast
with reference line drawn on vertical wall.

Contrasting color of acrylic resin added.

Completed 2-piece implant placement guide.

Intraoral placement of guide. (Inset) Round bur
inserted through semi-circular hole.

After completion of osteotomy site.

Implant surgical guide fabrication for
partially edentulous patients
Jeffrey L. Shotwell, Edward J. Billy, Hom-Lay Wang, and
Tae-Ju Oh

Light-polymerizing material adapted and contoured at
buccal aspect to provide reference to proposed gingival
margin of restoration.

Orientation of cast with aid of dental surveyor to
establish proper angulation of implant.

Implant site with reference lines drawn to determine
bucco-lingual as well as mesio-distal placement of implant.

Small-sized drill creating hole in cast at precise
location and angulation previously determined

Drill blank placed in opening showing orientation of
proposed implant and light-polymerized material adapted to
cast and drill blank from lingual aspect.

View of presurgical radiographic guide, RCP guide,
and drill guides for each implant drill (from bottom to top).

View of implant drill guide used during implant site
osteotomy.

Maxillary right second premolar restored with single
metal-ceramic crown in function for 12 months.

A technique to enhance closed surgical
stents for implant placement
BARRY F. McARDLE
JADA, March 2002, Vol. 133, 331

The guide-core in place on the model after
trimming.

The guide-core and stent after the center
channel is created.

Harel Simon
Use of transitional implants to support a
surgical guide: Enhancing the accuracy
of implant placement

Tissue-supported surgical template for implant placement
in edentulous mandible.

Transitional implants strategically placed away from
future location of conventional implants.
Impression copings placed on transitional implants.

Transitional implant analogues connected to
impression copings.

Mandibular cast with transitional
implant analogues.

Radiographic markers placed in tentative implant sites.

Computerized tomography scan performed with
radiographic template demonstrates transitional implant
placed labial and mesial to conventional implant site marker.

Radiographic template converted to surgical template.
Note transitional implant locations, which were
planned prior to extraction to allow optimal conventional
implant placement.

Surgical template supported by transitional
implants.

Accurate implant placement facilitated by
template.

Restoration cemented on transitional implants
upon completion of surgery.

Predictable implant placement with a
diagnostic/surgical template and
advanced radiographic imaging
Kevin C. Kopp, Alyson H. Koslow, and Omar S. Abdo,

Acrylic resin teeth luted in place and occlusion verified.

Buccal wire luted in place.

Cross-sections in SIM/Plant of desired sections.
Frame 37 demonstrates buccal wire (arrow).

Implant replica placed at ideal angulation.

Angulation to buccal wire is
calculated.
Linear relationship
to buccal wire is calculated.

Modified surveyor table is adjusted
to correct buccal-lingual and
mesiodistal angulation as determined
from SIM/Plant. Protractor is used to
determine angle on surveyor table
Finalized position of
surveyor table spatially.

Cylinders fixed in proper position with guide
pins to verify alignment.

Final implant placement.

Thank you
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Surgical implant placement guides/ dentistry dental implants

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