CAD/CAM-produced Surgical Guides: Optimizing the Treatment Workflow

The increased availability of devices for 3D radiological diagnosis allows the more frequent use of CAD/CAMproduced surgical guides for implant placement. The conventional workflow requires a complex logistic chain which is time-consuming and costly. In a pilot study, the workflow of directly milled surgical guides was evaluated. These surgical guides were designed based on the fusion of an optical impression and the radiological data. The clinical use showed that the surgical guides could be accurately placed on the residual dentition without tipping movements. The conventional surgical guides were used as a control for the manual check of the deviation of the implant axis. The direct transfer of the digital planning data allows the fabrication of surgical guides in an external center without the need of physical transport, which reduces the logistic effort and expense of the central fabrication of surgical guides. Palabras clave: digital workflow, 3D diagnosis, cone-beam CT, digital implant planning, guided implant placement, telemedicine, reduced logistics, image fusion