Computer-guided implants

A clinical case

We now present a clinical case in a very schematic way and without going into too much detail, the likes of which would require a scientific explanation.

We would warn you that this section, being a clinical case, includes real photographs which may seem a little crude.

This is a 21 year old patient who due to a traffic accident breaks the roots of the superior incisors.  There is no choice but to extract those teeth and it is decided that the best solution is to insert three implants and upon these, subsequently, some fixed teeth.

Initial frontal photograph.


Straight after the extraction of the irretrievable teeth (in this case the surgical act was completed with osseous regeneration using growth factors and bone graft).  And condition of the gum after 2 months (during this period the patient wore a provisional prosthesis, to ensure the presence of teeth at all times).

.Shot of the computer screen wherein the images can be seen in their different situations:  longitudinal, transversal and saggital sections together with the image in three dimensions

Surgical splint.

Start of the surgery:  creating the apertures to allow passage of the drills and the implants.

Passage of the first drill.

Insertion of the first implant.

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First implant placed into position.

The final moment in which the implants are inserted.  See how there is barely any surgical trauma.

After 5 months, impressions are taken and work started on the definitive teeth.  During this time the aesthetics and functionality have been maintained with the provisional prosthesis.

The structure is tested (currently – and this is a new step – we have eliminated the metals and now use Zirconium: a material as hard as metal but much more aesthetic, being white).

The teeth are now in porcelain.   Here you can see how the tips of the screws that join the teeth to the implants look and how their orientation and angulation are perfect.

And the end result.

You can read the full case in an article published in the “Scientific Universe” section of the Maxillofacial Surgeons Magazine (PDF 2,6MB).