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Dental Implant Surgical Guides:
Workflow with GuideMia
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GuideMia Technologies, LLCAll rights reserved
August 2016
714-391-2739
Workflow with GuideMia
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Step 1 Step 1 –– CT PATIENT SCANCT PATIENT SCAN
Send the patient to the radiological centerwith radiographic guide if necessary (dual scan protocol)
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DICOM image must be a DCM standard file “.dcm”, or no file extension, but not others like bmp, jpg files
Step 2 Step 2 –– Sending data to the project Sending data to the project processing center (GuideMia)processing center (GuideMia)
1. Patient CT scan (.dcm format)
2. Additional data to design a surgical guide:
� Patient Intra-oral scan� Patient Intra-oral scan
� 3D optical scan of plaster model or other materials
� CT scan of Radiographic Guide derived from prosthetic design
1 1 ––Patient IntraPatient Intra--oral scanoral scan
Check the digital file
� 3D optical scan of plaster model or other materials
2 2 ––3D optical scan 3D optical scan
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� The impression must be taken in silicone or polyether, with materials with dimensional stability.
NB: The Optical Scan protoco, is not a choice if:
� there are many metal components (crowns o bridges, metal fillings etc.
� the numbers of remaining teeth is low (3 or fewer)
In this cases we have to do the Radiographic Guide.
The Radioggraphic Guide is made with orthodontic resin or similarmaterials with special landmarks (guttaperca , marker, glass beads,etc) positioned inside or outside.
3 –CT scan of radiographic guide derived from prosthetic design
It’s possible to use patient prosthesis, added spherical landmarks of guttaperca, with diameter smaller than 1,5mm.
Prosthesis must have an adequate fitting.
How and When to do Radiographic How and When to do Radiographic Guide…Guide…
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Radiographic Guidewith full extension
How and When to do Radiograhic Guide…How and When to do Radiograhic Guide…
No metal elements(bridges, fillings, etc)
Metal elements
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NO Radiographic Guide
(bridges, fillings, etc)Metal elements
(bridges, fillings, etc)
Radiographic Guide like a bite splint
How and When to do Radiographic How and When to do Radiographic Guide…Guide…
No metal elements Metal elements
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No Radiographic Guide
No metal elements(bridges, fillings, etc)
Metal elements(bridges, fillings, etc)
Radiographic Guide like bite splint
How and When to do Radiographic How and When to do Radiographic Guide…Guide…
No metal elements(bridges, fillings, etc)
Metal elements
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(bridges, fillings, etc)Metal elements
(bridges, fillings, etc)
Radiographic Guide as a bite splint
Radiographic Guidewith full extension
How and When to do Radiographic How and When to do Radiographic Guide…Guide…
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Radiographic Guidewith full extension
How and When to do Radiographic How and When to do Radiographic Guide…Guide…
No metal elements(bridges, fillings, etc)
Metal elements
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No Radiographic Guide
(bridges, fillings, etc)Metal elements
(bridges, fillings, etc)
Radiographic Guide like bite splint
How and When to do Radiographic How and When to do Radiographic Guide…Guide…
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Radiographic Guide as bite splint
Radiographic Guidewith full extension
How and When to do Radiographic How and When to do Radiographic Guide…Guide…
No metal elements(bridges, fillings, etc)
Metal elements
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No Radiographic Guide
(bridges, fillings, etc)Metal elements
(bridges, fillings, etc)
Radiographic Guide as ferule
How and When to do Radiographic How and When to do Radiographic Guide…Guide…
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Radiographic Guide as bite splint
Radiographic Guidewith full extension
� CT scan of Radiographic Guide derived from prosthesis
Radiographic GuideRadiographic Guide
Basis of Radiographic Guide mast have :
• adequate fitting in the mouth;
• Adequate extension (like total prosthesis);
Specialist doctor will confirm treatment Specialist doctor will confirm treatment plan from GuideMia softwareplan from GuideMia software
Design surgical guides with Design surgical guides with GuideMiaGuideMia
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