Guided implant surgery and immediate implant placement in esthetic zone

Abstract

With the introduction of digital imaging techniques such as computerized tomography (CT) and lately cone beam computed tomography (CBCT), anatomical structures of the oral and maxillofacial region can be appreciated in three dimensions. The aim of this article is to familiarize clinicians with a workflow for guided implant surgery based on the use of CBCT and intraoral scanner in case of immediate implant placement. A CBCT was recorded for the patient and a digital impression was registered using an intraoral scanner (Lava COS). Codiagnostix® software was used for the coupling of cone beam computed tomography (CBCT) and intraoral scan data and virtual treatment planning. Ideal implant position and suprastructure were planned by digitally integrating the anatomic situations and future prosthetic demands. In the present case, digital planning software and fabricated surgical guide were beneficial in accurate immediate implant placement in the esthetic zone. The positioning of implants is more precise with guided implant surgery which will help clinicians to achieve prosthetically driven implant placement as it offers many advantages in terms of favorable esthetic, desirable occlusion, phonetics, and long-term peri-implant hard and soft tissues stability.