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69 This can happen when a clinician prefers certain procedures or is capable of performing some procedures better than others. Although this is not a recommended attitude, it is the clinician who is, at the end, responsible for the treatment choice and its results. Therefore, the clinician is urged to select a reasonable treatment option that both suits the patient's best interest and is compatible with the clinician's skills. This PRESURGICAL CONSIDERATIONS 19 means catering to each patient's needs on an individual basis.

They applied this technique in situations where the residual space was not sufficient for placing a dental implant. In some cases selecting the venue of implants as a treatment of choice must be disregarded. This is especially the case when a space may not be created orthodontically, either because orthodontic treatment is not indicated or because the patient refuses to go through with it. 107'108 This method entails forced eruption of unsalvageable residual roots that will be replaced by dental implants (Fig.

The three-dimensional coordinates of the simulated implant position will be transferred to a five-axis computer-controlled milling machine that creates an appliance with the SIM/Plant plan. Drill guide components are then installed in the milled surgical template to direct the drilling procedure. The Novel guide template is one of the most recently introduced surgical templates that eliminates the problem of template slippage on the flap. With no slippage, the risk of plastic or metal debris from the template entering into the wound is eliminated because the template itself does not have an active role in the drilling procedure.