It is not possible to use any implant brand for guided closed surgery. Only some implant brands offer special drill sets and special sleeves for plaque preparation that are specific to guided closed surgeries. You can contact us for detailed information about these implant brands.
The surgery is typically performed under local anesthesia and often requires no sutures. The template that have been produced is securely fixed in position on the jaw. The openings in this template form precise guides for the placement of the implants. So the implants will be accurate in terms of position, width and depth. If necessary, a new oral 3-D image is taken to be sure that the template and the practice are identical. The surgeon makes a cut to open patient’s gum and expose the bone. Holes are drilled into the bone where the dental implant metal post will be placed. Finally, a gum shaper is placed in the implant to prepare the gum for the prosthesis. As this procedure often requires no stitches, it is also known as flapless guided implant surgery.
After planning, the digital data is transferred to special CAD / CAM systems to fabricate the surgical guide template. This template is a transparent plastic plaque which guides the surgeon to position the implants with precision. Special sleeves that guide the drills to open implant holes, are located on that template. Finally the template is being disinfected to be ready for surgical operation.
If the patient has removable denture, barium sulfate is put into that denture to get the implant template. With this method, the distance between the gum and the bone can be measured more precisely. Another method is that, the surgeon places 2 or 3 mini implants within the jawbone of the patient by using minimum anesthesia and takes a 3-D image of patient’s mouth. The aim of this method is to make sure that the planned surgical guide fits patient’s mouth with precision.
After guided implant surgery, the patient may have fixed prosthesis on the same day of implant placement procedure. As there are no sutures and minimum swelling, the prosthesis measures are taken more accurately.
In standard implant treatment, first the implants are placed and then the prosthesis measures are taken to manufacture the prosthesis. However with guided implant procedures, the prosthesis is planned at the beginning of the procedure and the implants are placed to the points that are best for the prosthesis. Thus, more aesthetic, stable and functional prostheses can be made.
Other prosthesis phases are same with the standard implant treatment.