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Updated: Apr 27, 2026
Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
Computer-designed selective laser sintering surgical guide and immediate loading dental implants with definitive
Giovanni Di Giacomo1,2, Jorge Silva2, Rodrigo Martines3
1Department of Diagnostic Imaging, School of Medicine, Federal University of São Paulo, São Paulo, Brazil.
Objective:
The aim of this study was to analyze a preliminary method of immediately loading dental implants and a definitive prosthesis based on the computer-aided design/computer-aided manufacturing systems, after 2 years of clinical follow-up.
Materials And Methods:
The study comprised one patient in good general health with edentulous maxilla. Cone beam computer tomography (CBCT) was performed using a radiographic template. The surgical plan was made using the digital imaging and communications in medicine protocol with ImplantViewer (version 1.9, Anne Solutions, Sao Paulo, SP, Brazil), the surgical planning software. These data were used to produce a selective laser sintering surgical template. A maxilla prototype was used to guide the prosthesis technician in producing the prosthesis. Eight dental implants and a definitive prosthesis were installed on the same day. A post-operative CBCT image was fused with the image of the surgical planning to calculate the deviation between the planned and the placed implants positions. Patient was followed for 2 years.
Results:
On average, the match between the planned and placed angular deviation was within 6.0 ± 3.4° and the difference in coronal deviation was 0.7 ± 0.3 mm. At the end of the follow-up, neither the implant nor the prosthesis was lost.
Conclusions:
Considering the limited samples number, it was possible to install the dental implants and a definitive prosthesis on the same day with success.
