Guided Surgery Implant Restorative Workflow – Part 2

2. Make sure that the guide is completely seated and not binding anywhere.

3. Many people believe that guided surgery means that you have “tissue punch”. "Although this is less traumatic to the patient, it can sometimes lead to issues that can cause the implant to fail.  If the tissue does not completely heal over the healing abutments or cover screws, a pericoronitis type of phenomenon can occur.“ Note: When making an incision for flapping tissue, avoid placing it on the crest of the ridge so you don’t have to manage two flaps. In this case, a lingual incision is often best.

4. The ring in the sleeve may pop out during surgery. Make sure to properly protect the patient’s airway at all times during surgery.

5. Confirm that you fully drilled to depth and have bottomed out the drills.

6. Make sure that your carrier has not bumped into bone and did not allow you to seat all the way.

7. Double-check the plan and consider confirming the exact drills that are to be used.

8. Consider using anesthetic without epinephrine; blood flow is good for the wound!