What are the workflows for bone supported surgical guides?

Workflows for a Bone Supported Surgical Guides

Understanding the necessary workflow steps of a bone supported surgical guide is important for operative success. In fact the steps differ slightly depending on whether the patient is dentate vs edentulous. This page addresses both scenarios as well as a bone-supported guide that requires bone reduction.

Bone Supported Surgical Guide Workflow Steps for a Dentate Patient

Step Bone Supported - Dentate
1. Inspect guide for proper implant sites placement as well as proper design and sizing for any instrumentation.
2. Extract teeth and flap the gums.

  • If fixation pins are included: firmly hold the guide in position and drill the buccal holes, and place the pins through the guide. If the guide has integrated teeth, as the denture scan appliance, close patient in the bite to set the fixation.
  • Without fixation screws or pins: firmly hold the guide in position
3. Drill the osteotomies to completion following the provided drill report as well as following the Guided Kit and implant company’s protocol.

  • If Fully Guided Kit is utilized, and allows implant placement through the guide, proceed.
  • If Fully Guided Kit is not utilized, remove guide and place implants.
4. Complete bone and tissue desired procedure to finish of the surgery.

Bone Supported Surgical Guide Workflow Steps for an Edentulous Patient

Step Bone Supported - Edentulous
1. Inspect guide for proper implant sites placement as well as proper design and sizing for any instrumentation.
2. Flap tissue adequately for guide seating directly on the bone.
3. Seat guide onto the bone surface. Minor bone adjustments may be necessary to fully seat the guide.

  • If fixation pins are included: firmly hold the guide in position and drill the buccal holes, and place the pins through the guide. If the guide has integrated teeth, as the denture scan appliance, close patient in the bite to set the fixation.
  • Without fixation screws or pins: firmly hold the guide in position.
4. Drill the osteotomies to completion following the provided drill report as well as following the Guided Kit and implant company’s protocol.

  • If Fully Guided Kit is utilized, and allows implant placement through the guide, proceed.
  • If Fully Guided Kit is not utilized, remove guide and place implants.
5. Remove the guide.
6. If you have bone reduction, this guide may be used to drill osteotomies and place implant prior to or after bone reduction, depending on the prolongation capabilities of the Guided Kit, and how the guide was requested

Bone Supported Surgical Guide Workflow Steps for a Guide Requiring Bone Reduction

Step Bone Supported / Bone Reduction with Facial Drill Channel
1. Inspect guide for proper implant sites placement as well as proper design and sizing for any instrumentation.
2. If patient is dentate, extract teeth and flap gums. If fully edentulous, proceed to flap right away, as the guide sits on the bone.
3. Seat guide onto the bone surface. Minor bone adjustments may be necessary to fully seat the guide.

  • If fixation pins are included: firmly hold the guide in position and drill the buccal holes, and place the pins through the guide. If the guide has integrated teeth, as the denture scan appliance, close patient in the bite to set the fixation.
  • Without fixation screws or pins: firmly hold the guide in position.
4. Drill the osteotomies to completion following the provided drill report as well as following the Guided Kit and implant company’s protocol.

  • If Fully Guided Kit is utilized, and allows implant placement through the guide, proceed.
  • If Fully Guided Kit is not utilized, remove guide and place implants.
5. Pass a #6 round bur through the Facial Drill Channel and score a line into the bone the length of the channel.
6. Remove the guide.
7. This guide may be used to drill osteotomies and place implant prior to or after bone reduction, depending on the prolongation capabilities of the Guided Kit, and how the guide was requested.

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Tags: Workflows

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