Placement of dental implants using 3D surgical guide
Authors:   Faculty of Dental Medicine, “Ovidius” University of Constanța, Romania, Alexe Dorin ,   “Titu Maiorescu” Private Clinical Center for Dental Medical Assistance in Bucharest, Romania, Di Francesco Paolo ,   “Titu Maiorescu” Private Clinical Center for Dental Medical Assistance in Bucharest, Romania,   Faculty of Dental Medicine, “Titu Maiorescu” University of Bucharest, Romania, Ionescu Tudor ,   “Titu Maiorescu” Private Clinical Center for Dental Medical Assistance in Bucharest, Romania,   Faculty of Dental Medicine, “Titu Maiorescu” University of Bucharest, Romania, Gioga Cherana ,   Department of Specialty Disciplines, Faculty of Dental Medicine, “Titu Maiorescu” University, Bucharest, Romania, Pangica Teodora Maria ,   Faculty of Dental Medicine, “Titu Maiorescu” University of Bucharest, Romania, Draghici Lucia Alexandra ,   “Titu Maiorescu” Private Clinical Center for Dental Medical Assistance in Bucharest, Romania, Sapte Elena ,   Faculty of Dental Medicine, “Ovidius” University of Constanța, Romania
Published: December 2024

Background. The procedures of dental implant application can lead to optimal clinical outcomes, being simplified by the guided implantology protocol. In the latest articles from specialized literature it is said that digital planning of implants ensures the most accurate diagnosis of the area where the implant will be positioned, with clinical benefits including reduced operative time and a lower rate of complications, all of which can ultimately lead to better acceptance and greater patient satisfaction. Case report. A 55-years-old female patient came to the clinic for a full mandibula rehabilitation. In this situation, the patient wanted a solution using only fixed restoration so the treatment plan that the patient agreed to was an all-on-X restoration. Aim. Given the constant evolution of technology, along with the development of dental technical laboratories, this paper wants to prove that the latest technology can help doctors in placing the dental implants accurately and in a more comfortable manner for both the patient and the doctor. Material and methods. For this case, the insertion of dental implants was performed using the static approach, which refers to the use of tissue-supported surgical guides; this replicates the virtual position of the implant directly from the data provided by Cone Beam Computed Tomography (CBCT). This information was converted into a surgical guide that was used during the surgical procedure. Before the surgical intervention, a CBCT scan was performed, which was used along with the patient's intraoral scanning to establish the ideal position of each dental implant. After the surgical intervention and after the complete healing, another CBCT scan was conducted. Thus, to analyze the accuracy of dental implant insertion, radiological investigations were compared to see the differences between the ideal situation planned before the surgery and the situation resulting from the surgery. Results. The results demonstrate a high degree of accuracy in the insertion of dental implants using the three-dimensional surgical guide, without significant positioning differences. Conclusions. These outcomes support the main purpose of three-dimensional surgical guides, namely the conservation of anatomical structures at the level of the dento-maxillary system.