Dental Implant Placement

Traditionally, most implants were placed "Free-Hand." This meant trying to determine how much bone was left in the area where a tooth was missing. Conventional 2-dimensional dental radiographs would help to see the vertical amount of bone left. If the anatomy seen in the mouth looked favorable, the patient was numbed up; the gum was cut and peeled back on the lip/cheek side as well as the palatal or tongue side.  The dentist then directly looked at the bone height and width available for the implant.

Starting with a thin, pointed dental bur a hole was made on the crest of the bony ridge and using successively wider and longer drills, a channel was drilled in the bone. It was checked one or more times with x-rays. An implant was then selected with an appropriate width and length, and placed in the prepared socket with a mechanical dental handpiece and then torqued by hand.

With the wide-spread availability of 3-D Imaging with CBCT (Cone Beam Computerized Tomography), dentists moved to get a CBCT scan and use specialized software to exam the bone architecture in 3-D.  That software also helps to select the best implant for the situation and superimpose the digital implant with the image of the bone look from all sides.

Guided Implant Placement

Information is sent to the Lab

A precise impression of the upper and lower teeth and ridges is made and sent to the Lab. The CBCT data is uploaded to the lab, which uses software to interprete the available bone available and identify anatomical structures in the area of the implant placement. After analyzing the available bone, the lab tech will design the implant placement and then have the Dentist "Skype" into the lab's computer to review the needed steps and parts. Once the dentist has approved the design, the surgical placement guide is made and sent to the dentist.

Hiossen One Guide Surgical Kit

This keyless guided surgery kit is designed to be as simple and as safe as possible. Featuring several precise drilling tools and guide development from Hiossen® Implant, this kit allows for more accurate, efficient and safe surgery with minimal error and drill heating.

OneGuide Benefits:

  • Drilling steps are shortened dramatically by adopting 122 concepts, using different techniques according to bone density. Generally only 3 to 5 burs are needed to prepare the hole to receive the implant. This contrasts to the 8 to 12 burs and guide pins needed in traditional implant placement.
  • The guide is used with a round tissue punch to remove a small round piece of gum tissue, where the implant will be placed.  This is in contrast to free-hand technique where a larger flap of the gum tissue is reflected, which is slower to heal and more painful following implant placemeny
  • The One Guide design allows the clinician to implant teeth despite intermaxillary space limitations by including a side open.
  • The guides included in the kit allow clinicians to do precise surgery with unshaken drilling at every step of the drilling process.
  • A side open in the OneGuide drills facilitate a water supply, cooling the contact area to prevent heating at the drill site.


On top of these components is the essential OneGuide design, developed and printed by Hiossen Implant when a clinician provides a CT scan and Oral model or scan of a patient’s mouth. After confirmation from the clinician, Hiossen Implant 3D-prints the unique guide, along with any other requested materials like abutments and crowns, to the clinician for surgery.


Watch the OneGuide Video