What is Guided Surgery?

Guided surgery is an implant treatment concept where the planning and treatment execution is “prosthetically-guided” by the project of the definitive restoration. The digital treatment-planning element of guided surgery allows us to begin with the ideal restoration and work down to the implant position. While this approach can be adopted in freehand cases, the precision and control afforded by guided surgery enable the clinician to position and angulate the implant for the most aesthetic restorative outcome possible.

What are the benefits?

Safety: in challenging cases where anatomic landmarks -such as inferior alveolar nerve or the sinus- are close to the planned implant position, the use of guided surgery drastically reduces the risk of possible complications, placing the implant at the right depth and angulation.

Precise and consistent aesthetic outcomes: the use of Nobelguide minimise the risk of the human error factor allowing an extremely accurate 3D placement of the implant. The perfect implant position will enable an excellent soft tissue profile and very natural-looking final restoration. The consistent.

Better communication with the patient as the whole treatment plan can be explained in a very visual manner, from the surgical procedure to the proposed final outcome. A better understanding of the whole procedure improves patient satisfaction.

Simplicity: making complex procedures less challenging and more predictable, such as immediate implants. It also reduces the length of the procedure improving patient’s comfort.

Less invasive surgical procedures: with guided surgery there’s no need to expose so much bone, in fact sometimes it can be done without exposing the bone at all. This minimally invasive approach reduces the postoperative discomfort and need of taking pain relief medication.

Workflow

After taking a CT scan of the area, to assess the bone volumes, and a digital scan of the teeth, to assess the tooth setup and the soft tissues. The scans are merged using Nobelclinician Software allowing a careful assessment of the case taking into account the final tooth setup, the bone availability and the soft tissue profile. Once the planning has been discussed and accepted with the patient, a computergenerated surgical template will be fabricated with a keyhole.

On the day of the procedure, the guide will be seated on the patient’s mouth and the surgical implant preparation will be done through the keyhole enabling the implant placement exactly at the predetermined depth and angulation, eliminating virtually any possible risk.