The document describes the process of digitally planning and guiding the placement of dental implants using 3D imaging and modeling software and customized guides. Key steps included aligning a 3D implant placement model, designing a 5-axis guide, precision casting the guide, and using the guide during surgery along with drill guides to accurately place implants for teeth 31, 42 based on the pre-operative plan. Post-operative x-rays confirmed correct placement of the implants.

2. DVT in volume rendering

3. model aligned by radiographic guide

4. Visualization of model in planning software

5. model with wax-up aligned

6. 31 mesio-distal

7. 31 vestibulo-lingual

8. 42 mesio-distal

9. 42 vestibulo-lingual

10. panoramic view

11. Implant axis in relation to model situation

12. Implant axis in relation to model situation

13. Implant axis in relation to model situation

14. Implant axis in relation to model situation

15. 5+5 axis wax milled guide

16. 5+5 axis wax milled guide

17. 5+5 axis wax milled guide

18. Sprued guide

19. precision casted guide

20. precision casted guide

21. precision casted guide

22. day of surgery preoperative

23. Guide inserted with perfect fit

24. NobelGuide guiding key 2 mm inserted, stable guiding

25. NobelGuide stopper for 11.5 mm

26. Guided drilling with CrystalGuide and NobelGuide components

27. Guided drilling with CrystalGuide and NobelGuide components

28. insertion 42 Nobel Active 3.0 11.5 mm

29. after insertion of 42 and 31 Nobel Active 3.0 11.5 mm

30. CrystalGuide in relation to placed implants

31. situation after suture

32. Post-op panoramic x-ray