Skill Based Implant Placements - Limitations of Navigation and Computer Guided Templates

Computer-guided surgeries have advantages in bringing about precision and ease of implant placement. Scientific evidence has also favored guided surgeries. However, the utilization of guide planning assumes there is an adequate volume of bone each time to plan the guides. Patients who present with extreme atrophy would not benefit from guides since the implant positioning will result in either the implant being placed too far off the long axis or may end up not having adequate bone surrounding it. The planning eventually becomes one of bone-guided placement. This presentation will elaborate on the use of customizing every osteotomy so that the implant placement involves bone manipulation, altering the angles intraoperatively as well as achieving ideal emergence profiles. The techniques illustrated will range from single-tooth implants to full arch restorations including angled implant placements for graft-less cases.

Speaker Disclosure: This speaker has no financial disclosure to report.