![]() Her medical history was clear and she had a mildly restored dentition with no current dental pathology. Once the implant was osseointegrated, the final restoration was fabricated chairside using the CEREC MC XL milling machine (Sirona) and an IPS e.max CAD block (Ivoclar Vivadent).Ī young female patient had lost tooth 36 a few years ago and wanted an implant solution. In this particular case, Facilitate (Astra Tech/DENTSPLY Implants) was used to place the implant. The guide can then be used in conjunction with specific drill keys, which are compatible with the guided surgery drill sets from all leading implant manufacturers. ![]() These guides do not require any impressions to be sent to a third party and can be made rather cheaply in the surgery within around 30 minutes. In this case report, I shall demonstrate a surgical guide manufactured in-house using the CEREC Bluecam ( Sirona). The reasons for this are multiple, ranging from dentists not wanting to follow the procedure, or not having confidence in the procedure, the increased costs of guide fabrication, and the time delay and extra appointments needed to obtain a fully functional and reliable surgical guide. However, very few dentists in the UK place implants using surgical guides. Guided surgery has been around for a long time.
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