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Computer Guided Implant Surgery

Virtual Digital Imaging for Implant Dentistry

The field of Implant Dentistry, Oral and Maxillofacial Surgery and other oral surgery disciplines are adapting to digital and virtual imaging.

There is a small, elite group of dentistry professionals who are making investments in technologies that enable them to provide treatment specificity that, up until recently, was only available in the medical community.

Dedication to Dentistry Science: Guided Implants

The individual doctors and dental practices who are totally focused on providing the best of the best usually do so out of their unrelenting drive to provide the best patient care imaginable that significantly narrows the gap of treatment failure due to any number of reasons.

Those doctors who have made the necessary investments of time, energy and resources... do so at no small cost. The technology investment is considerable. The underlying interests of most doctors embracing Guided Implants is primarily to provide a degree of treatment accuracy that has never been heretofore possible.

Guided Implants: A New Treatment Standard?

Most radiographic images that are used today for determining where to place implants are two dimensional. By combining multiple x-rays of a particular implant site, a reasonable estimate of bone height can be obtained.

In many cases however, absolute bone quality is not determined until the bone is exposed during surgery. This often leads to surprises for the implant surgeon. Taking the gamble of placing an implant device into bone of marginally inadequate width may result in failure or a restoration that cannot be completed properly.

Cat Scan
technology (a existing standard in the field of medicine), and more recently, new Cone Beam types of scanning devices have been developed that provide levels of accuracy and precision data collection that enable digital mapping and Virtual Treatment Planning.

Implant doctors can readily visualize "slices" of jawbone anatomy, from several perspectives, and create treatment plan choices that take the best advantage of jawbone structure and integrity so the guesswork of where, which implant device and how to firmly place an implant is virtually eliminated.

Unique drilling guides are developed for an individual treatment and are based on the technical data derived from the virtual assessments. An implant guide can be developed for a single tooth... all the way to an entire set of new teeth, for edentulous patients.

Freehand implants, a currently accepted and readily practiced method of implant placement, is avoided
.

High Resolution Imagery: Foundation for Virtual Surgery

Dental practices that have the full complement of technologies for Virtual Treatment Planning and the creation of Implant Guides (SurgiGuide) are able to assess, diagnose and develop treatment plans that incorporate the best advantages of dental implants, especially important for certain patient population groups.

Patients who are at risk for having "bone integrity complication issues" may include:

  • patients who have had numerous untreated extractions
  • previous denture wearers
  • patients needing anchored dentures
  • candidates for fixed bridges
  • replacement of failed implants
  • alternative treatment for failed bone grafts
  • patients seeking to avoid bone graft surgery
  • patients who have completed severe gum disease treatments
  • trauma victims
  • congenital jawbone defects
  • aging patients needing renewal or replacement of worn out restorations
  • other compromised bone or resorption issues

The Implant Surgery Event

The entire process of assessment, treatment planning, selection of implant devices and final restoration products is achieved "virtually" before treatment even begins.

Implant patients typically accompany the doctor in reviewing digital representations of their treatment needs. This may include any number of computerized digital images that refect the shape, density and other characteristics of their jawbone structures.

Patients will determine, with the guidance of the implant surgeon, their best treatment choice for creating the best possible tooth replacement infrastructure. Next, the cosmetic and aesthetic phase is completed, where the final restoration products are selected, based on their choice of types of crowns, abutments, shape, color shading, size, etc.

The technical data can be used to fabricate the implant guide(s) and attachment devices, if needed, that are sometimes instrumental for treatment.

The actual process of undergoing surgery is comparatively short, since all planning has been completed. Having 3 or 4 implants placed in less than an hour is not unheard of. Understandably, this particular feature of having guided implants is very appealing for most patients.

Need for anesthesia is short ... as is the need for having the jaws kept open for an extended period of time. Post treatment pain or muscular discomfort issues may be non-existant for many patients.


In order to better control the late discovery of inadequate bone structures, cross sectional images are required. They are now quickly becoming the standard level of care. There are only two ways to acquire these images.

These 3-D Cone Bean visualizations coupled with the appropriate software allow implants to be placed with a level of precision that was unattainable several years ago. In addition, the surgical procedures can often be accomplished in a much more conservative procedure which involves greatly reduced discomfort, less treatment time and a more accurate final outcome.  Dr. Neale is one of a very few dentist that have this in-office capability avaiable to his patients. Discount Promotional Code FMR-0360

Virtual Pre-Op Surgery Images with the PaxDuo 3D Cone Beam