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Safegide® Common Clinical Questions

Safegide® offers the safest way to get started doing implants

Safegide knows that implants should be done using CT scans, but not necessarily all of the time. If you want to start doing less complicated implants now without the risk and expense of unnecessary CT scans, Safegide offers an excellent alternative.  Safegide's Implant Guide Kit lets you easily and accurately place implants without a CT scan when they are no vital anatomical structures in very close proximity to the implant site.  Safegide offers a system for dentists to "get their fingers wet" doing implants. We know that once you have safely place a few implants using our system you may start doing more complicated implants using a CT scan. The Safegide kit also works well with a CT scan to make instant guides when you do not have the time to wait for a lab fabricated guide.

Our goal is to simplify and make the practice of dentistry safer. Contact us now to find out more at This email address is being protected from spambots. You need JavaScript enabled to view it. . The safest time to place an implant without a CT scan is in a root socket at the time of extraction. The Kit lets the dentist record the site, angle and height of the available bone in the open socket without a CT scan. The socket is used as a "scaffold or form" to fabricate a surgical guide using the recordings. 

The Safegide Kit comes with an easy to understand instructional video. Contact Safegide to buy your kits at This email address is being protected from spambots. You need JavaScript enabled to view it. .

Can General Dentists use the Safegide® Dental Implant Guide Kits?

Absolutely, yes! Safegide's goal is break down all barriers preventing general dentists from starting to do implants.

It’s a system that makes implant placement safe, accurate, fast and easy. It has been specifically designed for the general practitioner who wants to do uncomplicated implants, and refer out only the complicated implant cases to an implant specialist.

Safegide believes you should keep the straightforward implant cases but not the ones that are more problematic and risky - just like the difficult cases you avoid in endo, ortho or surgery. General Dentists CAN accurately place uncomplicated implants using Safegide®. The system is designed specifically for GP's who have limited placement experience, as well as those that also have vast experience.

Many general dentists are scared of dental implants procedures because of the risks and the costs of getting started. The Safegide system is the complete solution to treat the less complicated implant patients, and provide an essential service that your patients really need at an affordable price. Click here to see how the kit works.

 

How accurate is it to make a guide at the time of extraction vs the time of placement (which may months or years later)?

The safest time and manner to place place an implant without a CT scan is when you can see directly into the root socket at the time of extraction. Safegide allows dentists to make a guide while they can see into the socket, then place an implant into the precise location of the original socket even after the socket has healed.

There are multiple factors that ensure accuracy of Safegide surgical guides.

  1. we always recommend filling the socket with bone and retaining the adjacent teeth in position
  2. The Safegide jigs (the part that houses our stainless steel drill sleeves) are made from stable, distortion free composite. The jigs do not warp or shrink.
  3. Safegide's accuracy can be verified using the Verification points that come with the kit. These points indicate the intended path of the implant drills before the procedure is started.

The largest barriers to short term placement are usually cost, inconvenience , inadequate bone. The low cost and rapid fabrication using the Safegide Kit®  will eliminate these barriers for most patients.  In fact some dentists choose to offer Safegide® guides at minimal or zero cost for their patients to encourage them to return to the same office for their implant and crown. After all the time saved more than compensates for the low cost of an individual guide.

Its a great sales tool to tell your patients that you have a guide waiting for them.  Patients are motivated by knowing you care enough to save them time and money while reducing radiation exposure.

How can an implant be safely positioned using a guide made in only a few minutes by a dental assistant?

 Most guides are completed in 5 minutes or less.  The two primary reasons for these short treatment times are:

  1. The assistant takes full arch impressions, then casts the models used to make a  composite jig that will  house the drill guides. This is usually done at the appointment BEFORE extractions.
  2. The splint is checked before extractions. Once the tooth is out, it takes a few seconds to position the insert and bond the metal sleeve on the insert to the splint.

The insert selection and the completed guides should be checked by the dentist.

 

How do I know which implants I should avoid?

Time and risk!

We believe that general dentists should refer out the grafting part of implant procedures only (if they are not comfortable doing these grafting procedures). Implants are easier if you have adequate tissue and you have an accurate guide.We also believe that you should not do any procedure that you are not comfortable doing.

Many elderly patients that are missing teeth are also high risk. Obviously we should not treat high risk patients without medical clearance. Satisfactory guide fabrication cannot be made with inadequate bone, anatomical idiosyncrasies or with a lack of access. If you can make a satisfactory guide with Safegide® (taking vital structures into consideration), do the implant. If you cannot make a guide for an ideally sized implant with the Safegide® then don’t place the implant.

Remember that dentists sell time. If it is going to take too long or it is too risky then refer out the case!

How do the Safegide® Dental Implant Guide Kits work

The best time to safely place an implant is at the time of tooth extraction because you can place the implant directly into the open socket. Safegide surgical guides make placing implants really easy by recording the socket dimensions at the time of extraction. The socket then becomes a scaffold to fabricate the surgical guide. By recording this socket information the dentist can place an implant in exactly the same location as the original socket even after it has healed.

Learn how to do this easily by clicking here or watching the Instructions or VIDEO links at the bottom of the Home page.

  1. The first step is to take records on the patient (including impression and x-rays).
  2. Models are made from the impressions of a patient's teeth. (These models may also be used to make a clear matrix for guide approximation on healed sites, space maintainers and temporary crown fabrication).
  3. A composite jig (it looks like a bite-splint with a slot above the tooth to be extracted) is then made on the pre-extraction model. A space is made above the tooth to be removed. The jig may be stored until the patient returns for the tooth extraction. 
  4. Immediately after extraction the jig is positioned in the mouth and the selected composite Safegide®socket insert is placed through the jig into the socket.The selection of this insert is determined by the anatomical structures at the intended site. The socket inserts are easily adapted to the lengths of the sockets.
  5. The stainless steel guide-sleeve on the insert in the socket is bonded to the pre-fabricated jig.
  6. Verify accuracy on X-ray using the verifier points before drilling the osteotomy.The information provided by the assembly will be used to determine the safest osteotomy position, angulation and length of the implants to replace the missing tooth, as well as the ideal abutment position. The process cannot be easier or more accurate.

The guide can be used to stabilize the drills during the exodontia visit or after the bone has healed.  The drill guide will focus and aim the pilot drill preventing unwanted movement, slipping or skipping. Drilling into a specific target in the socket like the septal bone, or, at an angle into the lingual bony wall is predictable and easy.

All Safegide components are easily visible on X-ray so drill stop and implant length calculations are easy. 

The guide should also be retained for accurate exposure of any healing caps that have been covered with soft tissue.

The universal reduction sleeve tool allows the same sized guide-sleeves to be used for multiple drill diameters ranging from 2-6mm. The instrument assists in holding the tongue and cheek out of the way during the pilot drilling procedure. This nifty instrument is found only in the Safegide® kit.

How is Safegide® different to traditional guides?

Safegide® provides a guide that is more accurate because it is formed in the patients mouth. It is checked for accuracy as well as intended occlusion during fabrication, but at a fraction of the cost and taking a fraction of the time of any other similar product. This will allow more dentists to place implants safely, and, more patients to afford implants.

Traditional implant placement, as most often performed by an oral surgeon or general dentist seeks to achieve perfect positioning using indirect vision. This is typically done using a CT scan of the patients healed socket, and sending the CT scan to a specialist lab where a CAD guide is fabricated. This usually involves time, inconvenience and great expense. These place barriers in front of implant affordability.

Other less expensive guides rely on guesswork and using clear matrix vacuum templates. These are too soft and inaccurate.

 

How is the Safegide® system unique?

Optimal, predictable resultsosteotomy guides are made easily, quickly and inexpensively.

Safegide®Socket inserts

These radio-opaque implant shaped inserts allow easy verification of accuracy during the fabrication process. Dentists love the simplicity!

Safegide® Verifiers or pointers

Safegide® verifiers (Parts 0007 and 0007A) provide advance information of the drills intended direction.They fit through the stainless steel drill guides sleeves in the completed guide. The pointed ends verify accuracy  before commencement of the pilot drilling process. The points are usually sharp enough to penetrate (anesthetized) healed gingiva with light force. 

Is a Safegide® Dental Implant Guide Kit for everybody? What if I only restore implants.Should I still use the Safegide® Dental Implant Guide Kits?

This system is perfect for the dentists who do not place implants because of the financial and malpractice risks associated with inadequate education, equipment and poor placement. These dentists may also be referring out simple extractions because they do not want to interfere with the implant placement sequence. They also hope (keep dreaming) that whoever places the implants will refer the patients back so that they can earn some income from placing the crown on their patient’s implant. This may not happen as more and more implant clinics hire their own dentists. You can kiss your patients goodbye when you make this referral.

The Safegide® system changes everything. You can still elect not to do the implant but participate in the other most lucrative steps (the extraction, bone graft, guide fabrication, implant restoration).

The specialists verifies the Safegide® drill-guides are accurate with a CT scan. The case can be done immediately because the guide is ready!

Is inaccurate implant placement a concern with Safegide®?

Inaccurate implant placement is not of more concern with the Safegide® than with any other type of implant osteotomy drill guide including those made with a CBCT scan. In fact, there is less chance for inaccurate placement using the Safegide® because the guide aims the drill into the healed socket site of the missing teeth.

Safegide® allows pre-op verification at the time of extraction, and, any time in the future prior to using the pilot drill. The intuitive selection guide ensures that the dentist correctly chooses the ideal implant position as well as the best abutment angle and locationfor optimal occlusal function. Lab fabricated guides and implant placement prescribed by the oral surgeon often fail to take ideal occlusion into consideration. The Safegide® allows selection of implant location as well as abutment positions.

Is this similar to other chair-side or lab fabricated guides? Why is it faster?

There are many important differences between the Safegide® and those inherent with other chair side or lab fabricated guides.

  1. Treatment Time – Other guides are usually made in days or weeks by a commercial lab. With the rapid fabrication system, most of the work is done in your office before the extraction appointment. The guide is completed in minutes at the time of extraction while the patient is numb.
  2. The Safegide® is also verified as being spatially accurate in three dimensions. Most clear matrix lab positioned guides may position the entry point of the exploratory drill in the ideal position but fail to provide accurate angulations and depth.
  3. Safegide® will accommodate and center all drill diameters from 2mm to 5.5mm. Most lab guides are restricted to smaller drill sizes.
  4. Osteotomy guides made with Safegide® Dental Implant Guide Kits can be completed in minutes saving the patient time, inconvenience, money and post-op problems.
  5. Predictable accuracy – Lab fabricated guides can be limited in achieving desired implant positions. With the Safegide®, there is better accuracy in a wider range of potential placement sites, as well as more options to avoid unexpected vital structures. In other words, the Safegide® provider has greater control over the outcome of treatment and the desired implant and tooth positioning are more predictable.
  6. Lower Case Fees – The dentist’s cost of treating a patient with the Safegide® guides (and implants) can be a fraction of the cost of using alternative guidance systems. This means greater affordability and profit.

Should dentists still need to buy a CBCT scan device for implant placement?

Depends. If you can justify the expense of a CT scanner and you have the space in your office.  However if the CT scanner is going to stress your finances because it will not improve your profit or productivity then you should think it through carefully. Safegide kits are low cost disposables that will allow dentists to get started on safe implant placement without any financial risk.

Fortunately Safegide® Dental Implant Guide Kits allow most implant osteotomies to be done using accurate guides made without CT scans. The Safegide® kit is effective for almost every osteotomy. The system works best at the time of extraction. 

The main reasons for taking the CT scans are to show you what you cannot see with the naked eye after the exodontia site has healed. This includes osteotomy information on where to place an implant. The Safegide® system makes it easy for you to record all this information when you can see into the socket at the time of extraction.

We recommend that you always make a guide at the time of extraction.When you are ready to do the procedure you may verify the accuracy of your Safegide guides with a CBCT scanner. This is especially useful when the case does not allow additional time to wait for a laboratory fabricated guide.   

Safegide implant drill guides should not be used if the dentist is unsure of there being sufficient bone or the proximity of sensitive anatomical structures, like the mental nerve or the lining of the nasal sinuses. 

Safegide allow you to safely You may elect to keep the uncomplicated cases and to refer out those few cases that are absolutely dependent on data from a CT scan fabricated guide.

By the way...Don't make the referral to anyone that does not refer the restoration procedure back to your office.