Surgical Stent for Dental Implants: Is this Necessary?

I had #30 & #31 extracted with allografts three months ago. #29 now has two cracks from grinding (after the loss of these teeth my bite is a mess) so my oral surgeon (OS) referred me to a prosthodontist who is preparing a crown. He recommended making a surgical stent, or guide, for the OS to use for the dental implant placement. The OS had no plans to use a stent, but he also had no plan to do a CT prior to placement. I am considering using a different OS, and he doesn't use stents, either, but does do CT scans. My question is - how important is a surgical stent? The cost is $350.00, and if it is highly recommended I will have one made, but I would greatly appreciate hearing what a few more experts think. Thanks so much.

2 thoughts on “Surgical Stent for Dental Implants: Is this Necessary?

  1. I have a few statements to your question. First, alot of surgeons do not use a stint. If you know the anatomy and tooth positions you could get by without one. Secondly, The fee you are quoted for the stint is probably a lab fabricated stint which does not take account for the anatomy of your mouth. Finally, there are stints that utilize the CT anatomy and correct tooth position, but it is far more expensive for this type of stint.I personally use a CT fabricated stint for all my cases. There are situations when the patient is draped that you loose orientation for the correct position.There are also situations where correct implant placement is critical by either anatomy or tooth positioning and maximum aesthetics. It makes me more prepared for each case to know the anatomy before the surgery. That being said, others do not wish to treat like this at this time, but with medical/legal concerns, I would say in the future this is the way things will go. good luck
    Dr. Edward Kusek

  2. A surgical stent gives the surgeon the information about the planned treatment, things like the size, shape and position of the teeth that are going to be placed on the implant(s).
    There are a lot of surgeons that do not use a surgical stent and still do a good job, but by fabricating a stent, the prosthodontist is making sure that he has given the surgeon all the information that he can to help him place the implant in the ideal position.
    Sometimes the adjacent teeth can serve as a guide when only one implant is being placed, but the greater the number of implants planned, the greater the surgical stent is recommended.
    A CT scan is an excellent way to obtain as much information about the anatomy and the volume and morphology of the bone before the surgery is planned.
    I hope this helps and good luck with the surgery.
    Carlos A. Boudet, DDS, DICOI

Leave a Comment:

Comment Guidelines: Be Yourself. Be Respectful. Add Value. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *