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.