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1. A surgical guide for dental implant
placement in edentulous posterior regions
INDIAN DENTAL ACADEMY
Leader in continuing Dental Education
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2. 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.
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3. 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.
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4. Surgical template :
• A guide used to assist in proper surgical placement
and angulation of dental implants
GPT-8
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5. A surgical guide for dental implant
placement in edentulous posterior regions
Saadet Saglam Atsu,
J Prosthet Dent 2006;96:129-33.
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6. Diagnostic arrangement of planned implant supported
fixed partial denture with gutta-percha markers.
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7. 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.www.indiandentalacademy.com
8. Implant sites prepared through occlusal surfaces of
artificial teeth with dental surveyor.
4.5mm diameterwww.indiandentalacademy.com
9. 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
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10. 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
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13. A surgical guide for accurate mesiodistal
paralleling of implants in the
posterior edentulous mandible
Kıvanç Akça, Haldun I˙plikçiog, and Murat C. Çehreli
J Prosthet Dent 2002;87:233-5.
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14. Diagnostic setup of planned implant-supported fixed
partial denture.
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15. Duplicated cast with occlusal third of prosthesis
trimmed away. Desired mesiodistal parallel reference lines
are delineated along buccal side.
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16. Transfer of mesiodistal parallel guide lines to perpendicular
plane.
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17. Surgical stent with perpendicular plane for accurate
mesiodistal paralleling of implants on master cast.
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20. 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.)
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35. Implant surgical guide fabrication for
partially edentulous patients
Jeffrey L. Shotwell, Edward J. Billy, Hom-Lay Wang, and
Tae-Ju Oh
J Prosthet Dent 2005;93:294-7.
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36. Light-polymerizing material adapted and contoured at
buccal aspect to provide reference to proposed gingival
margin of restoration.
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37. Orientation of cast with aid of dental surveyor to
establish proper angulation of implant.
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38. Implant site with reference lines drawn to determine
bucco-lingual as well as mesio-distal placement of implant.
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39. Small-sized drill creating hole in cast at precise
location and angulation previously determined
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40. Drill blank placed in opening showing orientation of
proposed implant and light-polymerized material adapted to
cast and drill blank from lingual aspect.
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41. View of presurgical radiographic guide, RCP guide,
and drill guides for each implant drill (from bottom to top).
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42. View of implant drill guide used during implant site
osteotomy.
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43. Maxillary right second premolar restored with single
metal-ceramic crown in function for 12 months.
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44. A technique to enhance closed surgical
stents for implant placement
BARRY F. McARDLE
JADA, March 2002, Vol. 133, 331
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45. The guide-core in place on the model after
trimming.
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46. The guide-core and stent after the center
channel is created.
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47. Harel Simon
J Prosthet Dent 2002;87:229-32.
Use of transitional implants to support a
surgical guide: Enhancing the accuracy
of implant placement
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53. Computerized tomography scan performed with
radiographic template demonstrates transitional implant
placed labial and mesial to conventional implant site marker.
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54. Radiographic template converted to surgical template.
Note transitional implant locations, which were
planned prior to extraction to allow optimal conventional
implant placement.
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57. Restoration cemented on transitional implants
upon completion of surgery.
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58. Predictable implant placement with a
diagnostic/surgical template and
advanced radiographic imaging
Kevin C. Kopp, Alyson H. Koslow, and Omar S. Abdo,
J Prosthet Dent 2003;89:611-5.
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59. Acrylic resin teeth luted in place and occlusion verified.
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63. Angulation to buccal wire is
calculated.
Linear relationship
to buccal wire is calculated.
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64. 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.
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65. Cylinders fixed in proper position with guide
pins to verify alignment.
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