Tooth-supported guides are considered one of the most stable and precise options for guided implant surgery, especially in cases where natural teeth are present to provide support and reference points for the guide.

Tooth-supported surgical guides are custom-made devices designed to assist in the precise placement of dental implants.

They fit over the adjacent teeth to maintain stability during the implant procedure.

These guides transfer the pre-surgical planning to the actual surgical site, ensuring accurate implant positioning.
Design and Fabrication:

Created using advanced 3D imaging and CAD/CAM technology

Based on the patient’s specific anatomy and planned implant positions
Often made from clear acrylic or 3D-printed resin materials

Advantages:

High precision due to computer-aided design and manufacturing

Increased stability compared to mucosa- or bone-supported guides

Do not require additional anchoring pins or screws
Ideal for partially edentulous cases

Used specifically for guiding the drill and implant placement during the surgical procedure

Technology: Modern tooth-supported guides typically involve more advanced technology in their design and fabrication compared to traditional surgical stents
Customization: Highly customized to the individual patient’s dental anatomy and planned implant positions
Applications: Best suited for single or multiple implant placements in patients with remaining natural teeth