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What is the difference between fully guided and drill-only surgical guides with GuidedTEMP?

Context

Understanding the distinction between fully guided and drill-only surgical guides is essential when planning GuidedTEMP™ cases. The type of surgical guide used directly impacts the predictability of the immediate provisional fit and the amount of chairside adjustment required. Dental professionals should understand how each guide type affects the GuidedTEMP™ workflow to optimize case outcomes.

Answer

While GuidedTEMP™ can work with both guide types, fully guided surgical guides are strongly preferred for optimal results. Understanding the differences helps you choose the best approach for each case.

Fully Guided Surgical Guide (Preferred):

  • Allows the implant to fit through the sleeve and be guided during placement
  • Provides superior accuracy for implant positioning
  • Ensures temporary cylinders are in ideal planned positions
  • Minimizes adjustments needed for GuidedTEMP™
  • The master tube accommodates both the implant driver and abutment for correct indexing, rotation, and depth

Drill-Only Surgical Guide:

  • Only guides the drilling sequence, but not the actual implant placement
  • Implants are placed freehand after drilling
  • May result in less precise positioning
  • Can require more adjustment of the GuidedTEMP™ due to implant position variations
  • Methods exist for using GuidedTEMP™ with this approach, but they are more technical and challenging

Why Fully Guided Is Preferred:

The GuidedTEMP™ system uses the same digital file as the surgical guide. When using a fully guided approach, the implant position matches the planned position exactly, which means the pre-made access hole in the temporary aligns perfectly with the temporary abutment trajectory. This eliminates guesswork and reduces chairside adjustments significantly.

Resources

Contact Information

For guidance on selecting the right surgical guide approach for your case, contact ROE Dental Laboratory: