Guided implant surgery has become an important approach to improve the accuracy and predictability of dental implant placement by providing control over angulation, depth, and positioning. This case report describes the use of a laboratory-fabricated surgical guide for implant placement in a 42-year-old male patient presenting with a missing mandibular molar. Clinical and radiographic evaluations were performed to assess the edentulous site and to plan implant positioning. A conventional impression was obtained to fabricate the surgical guide, which was designed to direct the osteotomy and maintain an accurate implant trajectory. During the procedure, the guide was adapted intraorally to ensure stability, and osteotomy preparation was performed through the guide to achieve controlled drilling along the planned path. The implant was placed using the guide to maintain proper angulation and positioning. Postoperative radiographic evaluation confirmed appropriate implant alignment consistent with the intended trajectory. The use of a surgical guide facilitated a predictable surgical workflow, reduced the risk of deviation, and contributed to a favorable clinical outcome. This case highlights a practical and effective technique for achieving accurate implant placement in routine clinical practice.
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Richard M Cavero
Hematology Oncology Associates
Ana C Gramcko
Luis Fernandez Cotera
Cureus
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Cavero et al. (Sat,) studied this question.
synapsesocial.com/papers/6a1538a4b5d9c58d83e8c76b — DOI: https://doi.org/10.7759/cureus.109517