Technology of surgical guide development: practical application in implantology

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Abstract

Purpose. To examine and describe the steps involved in creating a surgical guide for dental implant installation, and to assess the advantages of using surgical guides compared to traditional implant placement methods.

Materials and methods. The study utilized data from cone-beam computed tomography, intraoral scanning, and specialized software for data merging and surgical guide modeling. A clinical case with the installation of three implants was analyzed to evaluate the effectiveness of the method. Additionally, 15 similar cases were reviewed where implant placement was performed without using a surgical guide to compare operation times.

Results. The results showed that using a surgical guide reduced the operation time to 23 minutes compared to the average duration of 58 minutes with the traditional method.

Conclusions. The use of guides minimizes the need for constant checks and adjustments, reduces the risk of complications, and improves patient comfort by shortening the time spent on the operating table. Patients feel more confident in the outcome since the template minimizes the likelihood of medical errors.

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About the authors

N. D. Osmanova

"Okodent" LLC

Author for correspondence.
Email: naidaosmanova18@icloud.com
ORCID iD: 0009-0006-8653-7424
Russian Federation, Saint Petersburg

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Alignment of data based on marker points made from flowable composite on the complete maxillary denture

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3. Fig. 2. Cone-beam computed tomography (CBCT) slice of the patient before surgery

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4. Fig. 3. Modeling of virtual crowns

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5. Fig. 4. Alignment of CBCT data and scanning

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6. Fig. 5. Placement of implants in optimal positions, creation of absolute parallelism between them, and control of the trajectory of the channels

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7. Fig. 6. Guide modeling with the creation of inspection windows and support beams

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8. Fig. 7. Surgical report

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9. Fig. 8. Surgery stages: а – placement of the guide; б – insertion of the implant through the guide sleeve; в – occlusal view, implants are placed; г – parallelism check on Connect-abutments

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10. Fig. 9. CBCT immediately after surgery. Implants are placed in the planned position

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