With technological advances and their contribution in dentistry many of the traditional procedures have been able to move forward to improve treatments and obtain more predictable results. The placement of implants through guided surgery is a very innovative surgery whereby the intervention is less traumatic thanks to a good previous study and a correct procedure.
WHAT IS THE PLACEMENT OF DENTAL IMPLANTS WITH GUIDED SURGERY?
The placement of dental implants through guided surgery is a type of intervention in which the dental implants are placed but with a virtual three-dimensional prior planning. It is an advance in surgery and dental implantology in which a surgical splint is used to place the implant or dental implants in an exact position, which has been established with an exhausted previous study. Guided surgery offers multiple advantages when compared to traditional techniques since the diagnosis that is made previously is much more precise since the most optimal place for the placement of dental implants where there will be an optimal function and aesthetics is planned.
It is also a surgical intervention through which sutures are not made, making the postoperative and healing much more bearable. Thanks to this guided surgery the patient can preview the result that will be obtained with the intervention. With the placement of the implants through guided surgery, the intervention time decreases considerably thanks to a detailed digital planning and a previous study. Thus, this guided surgery for the placement of dental implants provides great prior visibility of where the implant will be placed and also greater accuracy and precision of the surgery. In addition, it is a very little invasive surgery, so the risks decrease. The technique is very safe because it guarantees a 98% success on the placement of dental implants. This type of surgery can usually be performed both in patients with complete edentulism and for the placement of a unit implant.
Before carrying out guided implant surgery, the case must be studied in detail in order to properly plan guided surgery. This study is the most important of the entire implant procedure.
To begin with, a complete medical history is carried out in which all the history of the patient obtained by means of an individualized interrogation is made and recorded. Next, the patient is explored both extra orally and intraorally in order to begin to diagnose properly and in detail.
Complementary tests are usually necessary to be able to diagnose properly, some of the most used tests for the study of guided surgery are orthopantomography and computed tomography. Thanks to these complementary tests, for example, the quality and quantity of existing bone can be better assessed. The patient should also be analyzed aesthetically, functionally and phonetically in order to obtain first steps to obtain the guide. In addition to making some records of the occlusion of the patient and obtaining some models through a three-dimensional scan of the patient’s mouth or with a silicone impression and a subsequent emptying with plaster. With all this information, you enter the digital program, in one of the many software’s, to start planning the placement of dental implants step by step. To be able to study the case correctly, a previous diagnostic waxing and its digitalization are performed. As well as a subsequent mock-up or teeth test to assess the position in which the implant or dental implants will be placed.
Using a specific software, the treatment to be carried out in the oral cavity is virtually simulated in three dimensions (3D). This simulation can be carried out since all the information obtained has been previously transferred to the computer and thus see all the factors that can vary the position of the implants and thus determine the final position in which the implants must be placed. This virtual simulation can be seen by the patient where he can virtually observe the final position of the implant and thus be able to give his opinion or comments about it.
The surgical guide is prepared once the planning of the entire intervention is carried out. This guide is prepared individually for each patient and also each case in particular. The guide is responsible for transferring the information that has been obtained thanks to prior computer planning. Thus the placement of dental implants is carried out in a specific way, avoiding the completion of gum flaps. And with this technique the postoperative is much better compared to the placement of implants.