Guided implantology and its effect on avoiding osseous grafts. Case study

Currently, guided implantology allows the use of a software that helps the practitioner to obtain a surgical guide in order to insert implants in areas rich in osseous offer and, therefore, he/she can renounce osseous grafts. Introduction. A 38-year-old male patient came to the dental office. He needed a speciality implant-prosthetic treatment. As a result of the endo-oral clinical and radiological examination, we noticed the occurrence of bilateral edentation of the upper canines, with two 13-year-old Maryland bridges. The two upper canines were in palatal position and the dentist preferred extraction and not the orthodontic treatment. The patient recalls that, over time, there were multiple episodes of decementation of the two temporary dental bridges and also episodes of dentinal sensitivity in contact with physical stimuli. He also recalls that each recementation was followed with multiple interventions on aggregation elements or on pillar teeth. Subsequently, there were performed study photos, impressions of the study and the 3D scanner was used. The proposed solution by the dentist previously was to insert two endoossesous implants after an initial autogenous graft with iliac crest assay. Conclusions. In this clinical study, we proposed the building of a surgical guide used in Simplant software, having as purpose the insertion of two Zimmer TSV implants with 13 mm length, without appealing to the osseous procedure initially proposed for the two implants. In our case, the permanent prosthesis was performed two months after the successful insertion.