The Guided Implantology allows a new approach to implantology, emphasizing the precision of the surgical process and the predictability of treatment results, thus offering many advantages for patients who are afraid of pain.
Almost every time teeth loss, the use of removable prostheses and advanced age determine atrophy of the jaw bones that normally makes it difficult or impossible to perform classical implant prosthetic treatments. Computer-guided implantology, on the other hand, is now able to give positive outcomes even in extreme cases such as these, since it also exploits the slightest residues of bone.
The guided implantology has determined an epochal turning point in the world of dentistry: through the most advanced techniques followed by surgeons, it offers patients treatment plans capable of transforming the teeth of a mobile denture, during a single session, into fixed teeth supported by implants, without any risks and with the possibility of immediate use.
The help of the guides obtained with computerized stereolithography can make osseointegrated implantology a simple technique that can be applied in almost all clinical situations, even in case of a severe atrophy of the maxillary bones, where traditional implantology, ie performed by hand , would make these interventions very difficult or even impossible even for expert dentists. In fact, it guarantees greater predictability of treatments, with less invasiveness. Bleeding is practically absent as there is no post-operative discomfort.
Most of the work is performed outside the patient’s mouth, in his absence. The intervention is designed on the computer using 3D software after a denta-scan (CT scan of the maxillary bones), using a radiological mask that will be transformed into a surgical mask, which will guarantee a precise and guided dental implant insertion .
An important role is played by the dental technician who, in close collaboration with the dentist, will have to support him and follow his instructions from the first moment, designing the teeth appropriate to the specific case.
With the data collected by the TAC exam a three-dimensional virtual intervention is performed on the computer, positioning the systems in the most appropriate manner and taking into account all the information, including the aesthetic ones.
The virtual result and the planning can be previously shown to the patient through the computer.
The virtual positioning of the implants will be recorded and transmitted in a file that is sent to the headquarters, so as to make it possible to create a stereo lithographic guide that will be used in surgery to safely guide the surgeon’s hand.
In the second session, surgery is performed with guidelines and the patient is discharged after a few hours with the fixed prosthesis on already functioning implants. Normally about two months will be sufficient for complete osseointegration of the implants.
Once these months have passed, the work is fine-tuned during other 2 or 3 final appointments with audits, during which the dentist optimizes both the function and aesthetics of the final prosthesis.