A simple, safe and affordable cast-based guided implant placement system.

Area of Science:

• Dental surgery
• Medical device fabrication
• Surgical planning

Background:

• Controlled execution of osteotomy and implant placement is crucial for surgical success.
• Surgical guides improve accuracy in dental implant procedures.
• Existing fabrication methods for surgical guides have limitations.

Purpose of the Study:

• To describe the fabrication and application of a fully restrictive surgical guide.
• To present two distinct fabrication pathways for surgical guides.
• To introduce the 3D Click Guide as a chairside-producible option.

Main Methods:

• Surgical guides fabricated using a digital workflow from cone beam CT (CBCT) data.
• Surgical guides fabricated using a cast-based workflow from dental casts and periapical radiographs.
• Evaluation of the 3D Click Guide, a cast-based, fully restrictive surgical guide.

Main Results:

• Fully restrictive surgical guides facilitate controlled osteotomy and implant placement.
• Digital fabrication relies on CBCT data for guide creation.
• Cast-based fabrication utilizes dental casts and radiographs, enabling in-office generation.

Conclusions:

• Fully restrictive surgical guides offer enhanced control in preimplant surgery.
• Both digital and cast-based fabrication methods are viable for producing surgical guides.
• The 3D Click Guide provides a practical, in-office solution for surgical guide fabrication.