3D Printing Guide Implant Placement: A Case Report

Open access


Background: Cone Beam Computer Tomography (CBCT) is representing a new concept of radiological diagnostics and its application occupies a special place in implantology. Today, preoperative planning, and quantitative and qualitative jaw bone analysis cannot be done without the use of these techniques. The latest in a series of achievements in this field is a method of making a guide for implant using a 3D printing technique. This way pre implantology planning reduces the chance of surgical complications to a minimum and allows installation of dental implants in the most optimal position for future prosthetic work. Aim: To show benefits of guide implantation in clinical practice.

Case report: The patient M.D. 36 years old. After making CBCT there was a qualitative and quantitative analysis of bone tissue, after which we decided to install five implants in positions #36, #37, #45, #46 and #47. The software appliance made virtually implants in the most optimal positions; treatment plan was forwarded by the internet connection into the DICOM format to Simplant Company, along with a folder of scanned plaster models in order to develop a guide. A few days later, after approval sent, we received the guide. Preparation by the pilot bur we did through transmucosal plum of the guide, and then we continued the classic flap surgery technique. Control footage shows the optimal position of the implant from both surgical and prosthetic aspects.

Conclusion: Application guide implantology represents a safe and modern method that provides ability of implant placement in optimal positions in terms of future prosthetic rehabilitation.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1. Eggers G Patellis E Mühling J. Accuracy of template-based dental implant placement. Int J Oral Maxillofac Implants 2009; 24:447-454.

  • 2. Kopp KC Koslow AH Abdo OS. Predictable implant placement with a diagnostic/surgical template and advanced radiographic imaging. J Prosthet Dent 2003; 89:611-615.

  • 3. Marković A Mišić T. Implant Therapy in the Esthetic Zone - Surgical Considerations. Balk J Dent Med 2016; 20(2):83-88.

  • 4. Ramasamy M Giri R Subramonian K Narendrakumar R. Implant surgical guides: From the past to the present. Journal of Pharmacy & Bioallied Sciences 2013; 5:S98-S102

  • 5. Vlahović Z Marković A Todorović A Šćepanović M. Application of ‘SKY PLAN X’ system in the planning of implant placement with the terminal mutual loss of teeth of the upper jaw. PONS 2010; 7(4):157-160.

  • 6. Gupta J Parveez AS. Cone beam computed tomography in oral implants. Natl J Maxillofac Surg 2013; 4:2-6.

  • 7. Jaju PP Jaju SP. Clinical utility of dental cone-beam computed tomography: current perspectives. Clinical Cosmetic and Investigational Dentistry 2014; 6:29-43.

  • 8. Cassetta M Stefanelli LV Giansanti M Calasso S. Accuracy of implant placement with a stereolithographic surgical template. Int J Oral Maxillofac Implants 2012; 27:655-663.

  • 9. Geng W Liu C Su Y Li J Zhou Y. Accuracy of different types of computer-aided design/computer-aided manufacturing surgical guides for dental implant placement. Int J Clin Exp Med 2015; 8:8442-8449.

  • 10. Nokar S Moslehifard E Bahman T Bayanzadeh M Nasirpouri F Nokar A. Accuracy of implant placement using a CAD/CAM surgical guide: an in vitro study. Int J Oral Maxillofac Implants 2011; 26:520-526.

  • 11. Dandekeri SSL Sowmya MK Bhandary S. Stereolithographic surgical template: a review. J Clin Diagn Res 2013; 7:2093-2095.

  • 12. Moon SY Lee KR Kim SG Son MK. Clinical problems of computer-guided implant surgery. Maxillofac Plast Reconstr Surg 2016; 38:15.

  • 13. Lin YK Yau HT Wang IC Zheng C Chung KH. A novel dental implant guided surgery based on integration of surgical template and augmented reality. Clin Implant Dent Relat Res 2015; 17:543-553.

  • 14. Cushen SE Turkyilmaz I. Impact of operator experience on the accuracy of implant placement with stereolithographic surgical templates: an in vitro study. J Prosthet Dent 2013; 109:248-254.

  • 15. Valente F Schiroli G Sbrenna A. Accuracy of Computer-Aided Oral Implant Surgery: A Clinical and Radiographic Study. International Journal of Oral & Maxillofacial Implants 2009; 24:234-242.

  • 16. Papaspyridakos P Lal K. Flapless implant placement: a technique to eliminate the need for a removable interim prosthesis. J Prosthet Dent 2008; 100:232-235.

  • 17. Beretta M Poli PP Maiorana C. Accuracy of computer-aided template-guided oral implant placement: a prospective clinical study. J Periodontal Implant Sci 2014; 44:184-193.

  • 18. Koshy E Surathu N Raj FS. Computer guided implant surgery: A clinical report. International Journal of Clinical Implant Dentistry 2009; 1:23-29.

Journal information
Cited By
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 826 553 37
PDF Downloads 244 171 1