Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2016, vol. 22, issue 3
Subject Area: Dental Medicine
Pages: 1279-1284
DOI: 10.5272/jimab.2016223.1285
Published online: 10 September 2016

J of IMAB 2016 Jul-Sep;22(3):1285-1295
Rosen Borisov Corresponding Autor,
Department of Oral and diagnostic imaging, Faculty of Dental medicine, Medical University - Sofia, Bulgaria.

Modern digital technologies are changing significantly the classical approach when planning implant treatment. Cone-beam computed tomography (CBCT) and computer-aided design/computer-aided manufacturing (CAD/CAM) based radiological templates and surgical guides allow the clinical translation of the preoperative implant planning. In this review, literary sources concerning the use of radiological templates and surgical guides are reviewed in the dental implant treatment. On comparable bases, modern digital concepts have been explored in their preparation. The advantages and problems associated with their use have been analyzed.

Key words: CAD/CAM, CBCT, intraoral scanner, radiological template, surgical guide,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Borisov R. Radiological templates and CAD/CAM surgical guides. A literature review. J of IMAB. 2016 Jul-Sep;22(3):1285-1295. DOI:

Correspondence to: Dr Rosen Borisov, Department of Oral and diagnostic imaging, Faculty of Dental medicine, Medical University, Sofia; 1, St. Georgi Sofiiski str., 1431 Sofia, Bulgaria; E-mail:

1. Kola MZ, Shah AH, Khalil HS, Rabah AM, Harby NM, Sabra SA, et al. Surgical templates for dental implant positioning; current knowledge and clinical perspectives. Niger J Surg. 2015 Jan-Jun;21(1):1-5. [PubMed]
2. Misch CE. Contemporary Implant Dentistry. 3rd ed. Elsevier Ltd, Oxford; Nov. 2007.
3.el Askary AS, Meffert RM, Griffin T. Why do dental implants fail? Part II. Implant Dent. 1999; 8(3):265-77. [PubMed]
4. el Askary AS, Meffert RM, Griffin T. Why do dental implants fail? Part I. Implant Dent. 1999; 8(2):173-85. [PubMed]
5. Reyes A, Turkyilmaz I, Prihoda TJ. Accuracy of surgical guides made from conventional and a combination of digital scanning and rapid prototyping techniques. J Prosthet Dent. 2015 Apr;113(4):295-303. [PubMed]
6. Farley NE, Kennedy K, McGlumphy EA, Clelland NL. Split-mouth comparison of the accuracy of computer-generated and conventional surgical guides. Int J Oral Maxillofac Implants. 2013 Mar-Apr;28(2):563-72. [PubMed]
7. Garber D, Belser U. Restoration driven implant placement with restoration generated site development. Compend Contin Educ Dent. 1995 Aug;16(8):796–804. [PubMed]
8. Moslehifard E, Nokar S. Designing a custom made gauge device for application in the access hole correction in the dental implant surgical guide. J Indian Prosthodont Soc. 2012 Jun;12(2):123-9. [PubMed]
9. Chan PW, Chik FF, Pow EH, Chow TW. Stereoscopic technique for conversion of radiographic guide into implant surgical guide. Clin Implant Dent Relat Res. 2013 Aug;15(4):613-24. [PubMed]
10. Chadwick JW, Lam EW. The effects of slice thickness and interslice interval on reconstructed cone beam computed tomographic images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Oct;110(4):e37-42. [PubMed]
11. Chan HL, Misch K, Wang HL. Dental imaging in implant treatment planning. Implant Dent. 2010 Aug;19(4):288-98. [PubMed] [CrossRef]
12. Figliuzzi M, Mangano F, Mangano C. A novel root analogue dental implant using CT scan and CAD/CAM: selective laser melting technology. Int J Oral Maxillofac Surg. 2012 Jul;41(7):858-62. [PubMed]
13. Elhayes KA, Gamal Eldin MA. Calibration of new software with cone beam c.t. for evaluation of its reliability in densitometric analysis around dental implants. Life Sci J. 2012; 9(2):61-67. [CrossRef]
14. Tardieu PB, Vrielinck L, Escolano E. Computer-assisted implant placement. A case report: treatment of the mandible. Int J Oral Maxillofac Implants. 2003 Jul-Aug;18(4):599 604. [PubMed]
15. Sarment DP, Sukovic P, Clinthorne N. Accuracy of implant placement with a stereolithographic surgical guide. Int J Oral Maxillofac Implants. 2003 Jul-Aug;18(4):571-7. [PubMed]
16. Vercruyssen M, Jacobs R, Van Assche N, van Steenberghe D. The use of CT scan based planning for oral rehabilitation by Means of implants and its transfer to the surgical field: a critical review on accuracy. J Oral Rehabil. 2008 Jun;35(6):454-74. [PubMed]
17. Di Giacomo GA, da Silva JV, da Silva AM, Paschoal GH, Cury PR, Szarf G. Accuracy and complications of computer-designed selective laser sintering surgical guides for flapless dental implant placement and immediate definitive prosthesis installation. J Periodontol. 2012 Apr;83(4):410-9. [PubMed]
18. Scherer U, Stoetzer M, Ruecker M, Gellrich NC, von See C. Template-guided vs. non-guided drilling in site preparation of dental implants. Clin Oral Investig. 2015 Jul;19(6):1339-46. [PubMed]
19. Block MS, Emery RW. Static or Dynamic Navigation for Implant Placement-Choosing the Method of Guidance. J Oral Maxillofac Surg. 2016 Feb;74(2):269-77. [PubMed]
20. Pozzi A, Tallarico M, Marchetti M, Scarfò B, Esposito M. Computer-guided versus free-hand placement of immediately loaded dental implants: 1-year post-loading results of a multicenter randomised controlled trial. Eur J Oral Implantol. 2014 Autumn;7(3):229-42. [PubMed]
21. Arisan V, Karabuda CZ, OzdemirT. Implant surgery using bone- and mucosa-supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques. Clin Oral Implants Res. 2010 Sep;21(9):980-8. [PubMed]
22. Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants. 2005 Jul-Aug;20(4):569-77. [PubMed]
23.Yatzkair G, Cheng A, Brodie S, Raviv E, Boyan BD, Schwartz Z .Accuracy of computer-guided implantation in a human cadaver model. Clin Oral Implants Res. 2015 Oct;26(10):1143-9. [PubMed]
24. Cassetta M, Giansanti M, Di Mambro A, Stefanelli LV. Accuracy of positioning of implants inserted using a mucosa-supported stereolithographic surgical guide in the edentulous maxilla and mandible. Int J Oral Maxillofac Implants. 2014 Sep-Oct;29(5):1071-8. [PubMed]
25. Vieira DM, Sotto-Maior BS, Barros CA, Reis ES, Francischone CE.Clinical accuracy of flapless computer-guided surgery for implant placement in edentulous arches. Int J Oral Maxillofac Implants. 2013 Sep-Oct;28(5):1347-51. [PubMed]
26. Turbush SK, Turkyilmaz I. Accuracy of three different types of stereolithographic surgical guide in implant placement: an in vitro study. J Prosthet Dent. 2012 Sep;108(3):181-8. [PubMed]
27. Soares MM, Harari ND, Cardoso ES, Manso MC, Conz MB, Vidigal GM Jr. An in vitro model to evaluate the accuracy of guided surgery systems. Int J Oral Maxillofac Implants. 2012 Jul-Aug;27(4):824-31. [PubMed]
28. Giordano M, Ausiello P, Martorelli M. Accuracy evaluation of surgical guides in implant dentistry by non-contact reverse engineering techniques. Dent Mater. 2012 Sep;28(9):e178-85. [PubMed]
29. Behneke A, Burwinkel M, Knierim K, Behneke. Accuracy assessment of cone beam computed tomography-derived laboratory-based surgical templates on partially edentulous patients. Clin Oral Implants Res. 2012 Feb;23(2):137-43. [PubMed]
30. D'haese J, Van De Velde T, Elaut L, De Bruyn H.A prospective study on the accuracy of mucosally supported stereolithographic surgical guides in fully edentulous maxillae. Clin Implant Dent Relat Res. 2012 Apr;14(2):293-303. [PubMed]
31. Ersoy AE, Turkyilmaz I, Ozan O, McGlumphyEA.Reliability of implant placement with stereolithographic surgical guides generated from computed tomography: clinical data from 94 implants. J Periodontol. 2008 Aug;79(8):1339-45. [PubMed]
32. Van Assche N, van Steenberghe D, Guerrero ME, Hirsch E, Schutyser F, Quirynen M, Jacobs R.Accuracy of implant placement based on pre-surgical planning of three-dimensional cone-beam images: a pilot study. J Clin Periodontol. 2007 Sep;34(9):816-21. [PubMed]
33. Arisan V, Karabuda ZC, Ozdemir T. Accuracy of two stereolithographic guide systems for computer-aided implant placement: a computed tomography-based clinical comparative study. J Periodontol. 2010 Jan;81(1):43-51. [PubMed]
34. Geng W, Liu C, Su Y, Li J, Zhou Y. Accuracy of different types of computer-aided design/computer-aided manufacturing surgical guides for dental implant placement. Int J Clin Exp Med. 2015 Jun 15;8(6):8442-9. [PubMed].
35. Koop R, Vercruyssen M, Vermeulen K, Quirynen M. Tolerance within the sleeve inserts of different surgical guides for guided implant surgery. Clin Oral Implants Res. 2013 Jun;24(6):630-4. [PubMed]
36. Behneke A, Burwinkel M, Behneke N. Factors influencing transfer accuracy of cone beam CT-derived template-based implant placement. Clin Oral Implants Res. 2012 Apr;23(4):416-23. [PubMed]
37. Horwitz J, Zuabi O, Machtei EE. Accuracy of a computerized tomography-guided template-assisted implant placement system: an in vitro study. Clin Oral Implants Res. 2009 Oct;20(10):1156-62. [PubMed]
38. Van Assche N, Vercruyssen M, Coucke W, Teughels W, Jacobs R, Quirynen M. Accuracy of computer-aided implant placement. Clin Oral Implants Res. 2012 Oct;23 Suppl 6:112-23. [PubMed]
39. Gonzalo E, Suárez MJ, Serrano B, Lozano JF. A comparison of the marginal vertical discrepancies of zirconium and metal ceramic posterior fixed dental prostheses before and after cementation. J Prosthet Dent. 2009 Dec;102(6):378-84. [PubMed].

Received: 12 April 2016
Published online: 10 September 2016

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