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Updated: Feb 18, 2026

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Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
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Fabrication of a Surgical Guide for Lateral Sinus Augmentation
Robert Stanley1, Gregori M Kurtzman2
1Co-Founder and Senior Instructor, Stanley Institute for Comprehensive Dentistry, Cary, North Carolina; Private Practice, Cary, North Carolina; Diplomate, International Congress of Oral Implantologists.
Summary
Cone-beam computed tomography (CBCT) aids dental implant planning by assessing bone volume and anatomy. This article details a surgical guide fabrication method for precise sinus augmentation and implant placement in the posterior maxilla.
Area of Science:
- Dentistry
- Oral Surgery
- Medical Imaging
Background:
- Cone-beam computed tomography (CBCT) is crucial for dental implant treatment planning.
- Assessing bone volume and identifying anatomical structures are key challenges, especially in the posterior maxilla.
- Inadequate bone in this region often necessitates sinus augmentation for successful implant placement.
Purpose of the Study:
- To present a method for fabricating a surgical guide.
- To facilitate the transfer of CBCT data into the oral cavity.
- To enable precise placement of a lateral sinus window for augmentation procedures.
Main Methods:
- Utilizing CBCT scans for detailed anatomical assessment.
- Fabricating a custom surgical guide based on CBCT data.
- Employing the surgical guide for accurate intraoral landmark transfer.
Main Results:
- The described method allows for precise transfer of CBCT information.
- Facilitates accurate creation of a lateral sinus window.
- Aids in predictable bone augmentation for dental implants.
Conclusions:
- Surgical guides enhance precision in implant dentistry.
- This technique improves accuracy for sinus augmentation procedures.
- CBCT-guided surgical guide fabrication is valuable for complex implant cases.

