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Clinical Q&A

How are osteotomy guides made with the Safegide Dental Implant Guide Kit similar to osteotomy guides made using cone beam tomography?

Safegide osteotomy guides are similar to osteotomy guides made using cone beam tomography in that the end product made using both systems should guide the implant drills without causing harm to your patient.

The easiest time to safely place an implant without a CT scan may be at the time of extraction into the open root socket. However it may be inconvenient to place the implant at the time of extraction because of clinical, financial or time restraint issues. 

Safegide lets you record all the socket and bone dimensions at the time of extraction. The socket is used as a form to shape the guide which can be used for safer implant placement at any future time.

The radio-opaque arrows on completed guides can be checked for accuracy on a regular X-rays before use.This type of re-assurance was previously unobtainable with a CT scan. 

Safegide kits do not replace the guides made with CT scans but substantially reduce the dependence on a CT scan.

How does the cost of a Safegide compare to that made with a CBCT scan guide?

Each guide will cost less than twenty five dollars And you don’t need a mega-expensive, radiation spewing CT scan machine in your practice.

This lower cost is passed on to the patient making safe implant placement much more affordable. Most of the fabrication involves making a stent on a stone model in the UV oven. This is usually done by the dental assistant (like a bleach tray) in minutes so you do not lose valuable clinical time. This is great for dentistry, your practice and our patients. Lower cost per case for the dentist, and safer and easier for the patients. Safegide eliminates many of the hurdles that prevent patients from having implants so more patients are willing to proceed with treatment.

What are other dentists saying about Safegide compared to CBCT scan guides?

“I sent all my implant case patients to implant specialists and radiology labs for years. This caused anxiety and frustration for my patients and myself. I still refer patients but way less than before. My patients are relieved at the decrease in costs and radiation. They feel like someone cares and they are not being nickel and dimed.

So when I tried a few cases and they turned out fantastic, I figured why not refer my patients for CBCT scan guides only with complicated cases - and when using the Safegide kit was not feasible. Now I can predictably do the osteotomy on the same day as I do the tooth extraction or 6 months later, depending on the case. Patients appreciate and love that.

I can now fabricate a guide from the intended final crown position downwards into the bone. I love that you can check occlusion during guide fabrication.

What are the benefits of Safegides over CBCT scan guides?

The 4 best benefits I say for Safegide are the convenience, simplicity, price and elimination of excessive radiation. Safegides are completed in minutes at the exodontia appointment compared to weeks with the CBCT scan made guides.  So if I am treating a patient who has a busy schedule but wants an implant as soon as possible I can create a perfect osteotomy guide in a very short time while the patient is at the office. 

Safegide can be checked for accuracy immediately. If it is not perfect , it can be adapted and corrected. Lab fabricated implant stents could take multiple visits at multiple locations, and you may still end up with an osteotomy guide that is still not ideal.

What do dentists like the most about dealing with Safegide?

The best time to place an implant without a CT scan is directly into the socket at the time of extraction.

The Safegide system lets you use an open socket to make a surgical guide. I can use this immediately to stabilize the drill or on a future date after healing. 

and 3 minutes are a small price to pay to save hundreds of dollars and have peace of mind.

What makes Safegides more predictable than CBCT scan guides.

The most predictable way to guide the implant drill is by using the recorded 3D spatial dimensions of the actual extraction socket. Many implant specialists use "direct vision" to place implants by exposing large areas of bone with surgical flaps. Safegide lets you be much less surgically aggressive.  This is possible using the x-ray visible socket inserts when the tooth has just been extracted. Pre-selection of ideal implant and abutment positions occurs before the osteotomy guide is made. The location, angulation and length of the selected implant can be verified before the osteotomy drill contacts the patient.

It can be very frustrating for the patient and the dentist if the guide received from the lab does not place the implanted tooth exactly where you want it. This becomes a challenge for the restoring dentist and the lab that fabricates the crown. So the control and predictability are definitely benefits.