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Template-guided, single-tooth implantation

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  • Publishing date:2012
  • Expert:Dr. Wolfgang Bolz

The surgical video shows template-guided, single-tooth implantation in the lower jaw. The drill template is fabricated using CBCT imaging and based on 3D implant planning. Following prior orthodontic treatment, navigated implantation of a cylindrical implant is performed in region 44. In template-guided, single-tooth implantation, the ideal implant position and axial direction are regulated by the guide sleeve.

The risk of injuring adjacent structures is therefore minimal. In contrast to conventional surgery, template-guided, single-tooth implantation only requires the preparation of a very small bone access area, making this a minimally-invasive procedure. Pilot drilling is performed via the guide sleeve. The diameter of the implant bed is extended without a guide using a twist drill and a thread cutter, which is used because of the significant level of bone hardness in this case.

The optimum implant length and the required depth to be drilled as a result were also determined using computer-based planning and are regulated in template-guided, single-tooth implantation by a drill guide. The insertion of a test implant allows the position, seating and axial direction to be verified after drilling, before inserting the final implant as part of template-guided, single-tooth implantation.

Template-guided, single-tooth implantation

The surgical video shows template-guided, single-tooth implantation in the lower jaw. The drill template is fabricated using CBCT imaging and based on 3D implant planning. Following prior orthodontic treatment, navigated implantation of a cylindrical implant is performed in region 44. In template-guided, single-tooth implantation, the ideal implant position and axial direction are regulated by the guide sleeve.

The risk of injuring adjacent structures is therefore minimal. In contrast to conventional surgery, template-guided, single-tooth implantation only requires the preparation of a very small bone access area, making this a minimally-invasive procedure. Pilot drilling is performed via the guide sleeve. The diameter of the implant bed is extended without a guide using a twist drill and a thread cutter, which is used because of the significant level of bone hardness in this case.

The optimum implant length and the required depth to be drilled as a result were also determined using computer-based planning and are regulated in template-guided, single-tooth implantation by a drill guide. The insertion of a test implant allows the position, seating and axial direction to be verified after drilling, before inserting the final implant as part of template-guided, single-tooth implantation.

About the expert

Wolfgang Bolz

Dr. Wolfgang Bolz

Specialist for Periodontology in the Bolz/Wachtel Dental Clinic

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