“Implant dentistry is primarily practiced using freehand techniques with survival rates commonly higher then 90%. However, the freehand technique lacks the sophistication of restoratively driven concepts and management in certain types of bone. Although the diagnostic computerized tomography (CT) scan has been utilized for many years, its use has been primarily for volume determination and approximation of tooth and critical anatomy relative to the potential implant site. However, this planning information is not precisely transferred to the patient for implant placement unless computer assisted surgery (CAS) is utilized. Computer-assisted implant planning and subsequent production of a surgical template based on this plan has gained attention because it provides restoratively driven aesthetics, patient comfort, satisfaction and the option of the flap less surgery and immediate restoration.” (Schnitman et al 2014)
I was unfortunate to be involved with clinical trials and when I did the first guided surgery in 2004, I soon realized the added costs and time was a deterrent for everyday practice although the diagnostic capabilities of the software were beyond anything else that existed. Advancements ion the digital technology and development in CAM restorations has now reduced the costs for treatment and are almost comparable to freehand techniques.
Computer assisted planning, computer guided surgery and computer assisted manufactured restoration is the primary solution at Smile and Body.
The free-hand option is always available for those emergency situations.
Majority of aesthetic zone immediate implant placement are immediately loaded. The benefits have been well documented in literature.
Benefits to the patient:
- Shorter recovery
- Minimally invasive
- Restoratively driven aesthetics (tissue and tooth)
- Immediate loaded