The Surgical Guides for TADs: The Rational and Laboratory Procedures

Abstract

The widespread and popular use of TADs for orthodontic anchoring has become a daily routine in clinical orthodontic treatment. However, as there have been many accidents over the past decade, safety action is needed to help reduce these accidents. We have advocated using the surgical guide and developed a procedure that can benefit patients and orthodontists. The first part of this paper is about the rationale for making the surgical guide for various implant placements that were observed. Due to their anatomical structure, some placements may require particular attention, which is focused on and discussed in length. The second part deals with fabricating the surgical guide in the laboratory procedure. The data from the intraoral SLT acquisition was extracted, and with the DICOM data from CBCT and in a 3-Shapes software, the guidance was designed. The detailed and step-by-step laboratory procedure, CAD/CAM, and 3D printers to make the surgical guide for TADs are explained. The procedure is performed in an easy-to-understand manner to make using the surgical guide possible for the daily practice of orthodontics (Pubmed).

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“…Additive manufacturing is used to fabricate study models, clear aligners (direct printing or using 3D-printed models), surgical guides of any kind (including guides for mini-implant insertions), components for fixed or removable appliances and occlusal splints [18]. It seems that having highly individualised lingual appliances have the added value of excellent outcomes [32,91]. In the same manner, there have been attempts to promote in-office custom-made brackets for vestibular appliances [92].…”