title: CAD/CAM-produced surgical guides: Optimizing the treatment workflow.
abstract: The increased availability of devices for 3D radiological diagnosis allows the more frequent use of CAD/CAM-produced surgical guides for implant placement. The conventional workflow requires a complex logistic chain which is time-consuming and costly. In a pilot study, the workflow of directly milled surgical guides was evaluated. These surgical guides were designed based on the fusion of an optical impression and the radiological data. The clinical use showed that the surgical guides could be accurately placed on the residual dentition without tipping movements. The conventional surgical guides were used as a control for the manual check of the deviation of the implant axis. The direct transfer of the digital planning data allows the fabrication of surgical guides in an external center without the need of physical transport, which reduces the logistic effort and expense of the central fabrication of surgical guides.
authors.affiliation: Department of Craniomaxillofacial and Plastic Surgery, University of Cologne, Germany. neugebauer@implantate-landsberg.de
authors.forename: J
authors.initials: J
authors.lastname: Neugebauer
authors.forename: F
authors.initials: F
authors.lastname: Kistler
authors.forename: S
authors.initials: S
authors.lastname: Kistler
authors.forename: G
authors.initials: G
authors.lastname: Züdorf
authors.forename: D
authors.initials: D
authors.lastname: Freyer
authors.forename: L
authors.initials: L
authors.lastname: Ritter
authors.forename: T
authors.initials: T
authors.lastname: Dreiseidler
authors.forename: J
authors.initials: J
authors.lastname: Kusch
authors.forename: J E
authors.initials: JE
authors.lastname: Zöller
mesh_terms: D017076:Computer-Aided Design; D054893:Cone-Beam Computed Tomography; D003758:Dental Implantation, Endosseous / Q000379:methods*; D006801:Humans; D007575:Jaw, Edentulous / Q000000981:diagnostic imaging*; D008953:Models, Anatomic; D003765:Models, Dental; D025321:Surgery, Computer-Assisted; D057188:Workflow