POWERED BY THE DENTISTRY NETWORK

A cost-effective method of creating a dental implant surgical guide for ridge augmentation

As a general dentist, I understand the importance of creating an ideal ridge form for dental implant placement. When the implant surgeon places dental implants in a prosthetically driven position, restoration can be ideal. The ability to screw retain restorations as well as having the ability to perform effective home care is of utmost importance.

ALSO BY DR. PETER MANN | Dental implants: The importance of patient compliance with immediate loading

It is commonplace to create surgical guides for the implant surgeon to facilitate implant therapy. Building the ideal ridge form via hard- and soft-tissue ridge augmentation makes ideal implant placement possible. However, creating surgical guides for ridge augmentation, even though it is just as important as implant surgical guides, is not usual practice.

RELATED READING BY DR. PETER MANN and DR. SCOTT FROUM | Interdisciplinary management of a complex maxillary implant restoration

One of the obstacles to this type of guide implementation is financial. Many methods of creating surgical guides for both implant placement and guided bone regeneration involve using a CT scan-generated surgical guide. This type of guide fabrication contains both a financial and technical element.

ADDITIONAL READING | Does your dental extraction socket need a bone graft: A decision matrix

The following technique describes a cost-effective, easy-to-manufacture surgical guide for ridge augmentation that is accurate and easy to implement into your practice.

surgical guides for ridge augmentation, dental implant restoration, Peter Mann, DDS, FICOI, FAGD surgical guides for ridge augmentation, dental implant restoration, Peter Mann, DDS, FICOI, FAGD

Figures 1 and 2: Patient presents for an implant bridge consultation. It was determined that the patient would need significant bone grafting to repair her horizontal deficiency prior to implant placement. Prosthetically driven implant placement will allow for a restoration that can be screw retained, hygienic, and esthetic.

surgical guides for ridge augmentation, dental implant restoration, Peter Mann, DDS, FICOI, FAGD surgical guides for ridge augmentation, dental implant restoration, Peter Mann, DDS, FICOI, FAGD

Figures 3 and 4: Models were taken and then modified to create ideal ridge form in stone. This model will facilitate guide preparation for the periodontist to augment the anterior ridge with both hard and soft tissue.
 

surgical guides for ridge augmentation, dental implant restoration, Peter Mann, DDS, FICOI, FAGD

Figure 5: A denture was fabricated based on the altered stone model. This denture will serve several purposes. First, this will give our patient a preview of what the final result can look like after implants and graft integrate. Second, this serves as a guide for the periodontist to determine how much grafting is necessary and where to place the implants. Lastly, the denture will serve as an immediate denture that can be used after ridge augmentation.

surgical guides for ridge augmentation, dental implant restoration, Peter Mann, DDS, FICOI, FAGD surgical guides for ridge augmentation, dental implant restoration, Peter Mann, DDS, FICOI, FAGD surgical guides for ridge augmentation, dental implant restoration, Peter Mann, DDS, FICOI, FAGD

Figures 6, 7, and 8: The denture was fabricated and delivered. The patient approved of the esthetics.

surgical guides for ridge augmentation, dental implant restoration, Peter Mann, DDS, FICOI, FAGD surgical guides for ridge augmentation, dental implant restoration, Peter Mann, DDS, FICOI, FAGD

Figures 9 and 10: Polyvinyl siloxane impression material was placed inside the denture to show how much augmentation will be necessary to achieve the proper outcome. The patient was then referred for grafting in the areas indicated in purple.

ADDITIONAL READING | Importance of soft tissue in interdisciplinary cases: A case study involving orthodontics, periodontics, dental implants
 

Peter Mann, DDS, FICOI, FAGD Peter Mann, DDS, FICOI, FAGD , graduated from the New York University College of Dentistry in 2008, and completed his General Practice Residency at Kings County Hospital in 2009. He is the director of Smile Arts of NY, a comprehensive general practice in midtown Manhattan with an emphasis on cosmetic and implant dentistry.

Article Archives

2011 - 2012

PIA ON FACEBOOK

STAY CONNECTED