guided surgery

Written by: Dr. Ángel Silmi Macias
Published: | Updated: 17/11/2018
Edited by: Top Doctors®


What is guided surgery?

It is a treatment by which we can place dental implants in a precise way to our patients. This technique can be performed thanks to the individualized manufacture of a surgical template perfectly adjusted to the anatomy of each of our patients. This template has some perforations, guides that will help us during the milling protocol and when placing the implants in a three-dimensional position in the bone of our patient. We will make this template thanks to some aesthetic, phonetic and functional tests individualized for each patient that will give us the correct position in which our patient should take those teeth. Once we have all this individualized information we will make a radiological template with which the patient will go for a scan. Once this is done, we will obtain this data in a digital format and we can introduce it in a planning software where we will obtain a real-scale and three-dimensional model, and our radiological template, which will be your future teeth.. All this is linked by the software and we will be able to place our implants guided by the prosthesis that we have previously designed. Once we have placed the implants in the correct position, inside the bone and guided by the prosthesis, we will send Sweden to make this surgical template with which we will intervene our patients. This template will also help us to create a working model on which we will make some provisional or definitive teeth that we will be able to place our patients on the same day in which we perform that surgical intervention in such a way that the patient that same day goes to his house with some teeth that are placed at the same time that we perform the surgical act.

guided surgery
Guided surgery is a less invasive option for the patient 

What are the main treatments or interventions that can be carried out with this technique?

The most important is the precise and painless placement of dental implants. In addition to this, we can make a correct diagnosis since we will have volumetric and real-scale images of our patient's anatomy which will help us to make a correct treatment plan since we will be able to observe the individualized anatomical characteristics of our patients and make surgical decisions before the intervention without the tension that this would entail during the surgical act. In addition, with these images obtained with our software we will have a much more fluid communication with the patients who will be informed, from the first moment they contact us, how they will be able to treat them.


What advantages does guided surgery have over conventional surgery?

The most important is the precision when placing the implants. Regardless of this characteristic, we are able to treat a greater number of patients, patients who either because of the complexity of the case, either because of the lack of bone, or because of the fear they have for treatment, before they did not decide to intervene and now thanks to this technique with images that they can see themselves, they see it much easier and they accept the treatment. For the patient itself, obviously, this technique will help him to have almost no pain and inflammation since we use minimally invasive techniques and this will help him to easily reincorporate himself to work and social life. And, finally, the possibility that patients have to be able to obtain teeth either provisional or definitive the same day they are intervened.

*Translated with Google translator. We apologize for any imperfection

By Dr. Ángel Silmi Macias

Dr. Silmi Macías, backed by 18 years of experience, has one of the brightest curriculums in dentistry both nationally and internationally. He has worked for more than 12 years in the department of oral surgery at the Clinical Hospital of Madrid, and has its own clinic in the financial heart of the capital. He is a specialist in the field of implants, prostheses and oral surgery, and combines his professional work with teaching, besides giving master classes at festivals, conferences and universities, among others. From his experience and knowledge, it is requested in prestigious dental clinics for complex treatments. He is an expert consultant Nobel Blocare and member of the SEPES.

*Translated with Google translator. We apologize for any imperfection

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