Guided implant surgery. Start with the tooth you need.
Guided implant surgery uses a custom guide to help place an implant in its planned position. At your assessment in Barcelona, we consider your bone, gums and planned replacement tooth before deciding whether an implant and a guide are suitable for you.
Private care with Dr. Sahand Shirzadi Maryan and/or Dr. Sergi Rivas Frau, according to your treatment plan.
A planning model brings the proposed teeth and surrounding anatomy into view. It illustrates planning, not a treatment result.
From examination to a surgical guide
See the plan. Understand the decisions.
01
Assess the whole mouth
Discuss the missing tooth, your health and previous treatment. Examine the gums, remaining teeth, bite and available bone before considering implants or alternatives.
02
Plan the future tooth
For guided planning, a 3D X-ray scan (CBCT) and surface scans or models bring the bone and proposed restoration into one plan. Your clinician explains which records are needed.
03
Check the guide and access
A custom guide helps transfer the planned position to surgery. Its fit, support and the space available for instruments need checking; the surgeon may adapt the approach if needed.
Watch the planning model · 30 seconds
The 3D demonstration shows jaw anatomy, proposed teeth and the guide design from different views. These digital layers help explain their relationship before surgery. This is a planning illustration, not footage of surgery or a promised outcome.
An approach chosen for your case
What does the guide change?
Placement with a guide
A custom template directs the drills and, in a fully guided procedure, implant insertion towards the planned position. It assists the surgeon in transferring the digital plan to your mouth.
Placement without a guide
The surgeon places the implant using the treatment plan and direct clinical assessment. This may be appropriate when access, guide support or the need to manage bone and gums makes a different approach preferable.
A guide does not guarantee an exact position, remove surgical risks or determine when the final tooth can be fitted. Both approaches need an individual diagnosis and a plan for the restoration.
Before deciding, discuss the alternatives, treating clinician, proposed surgery, fees and review visits. Private surgery is provided by Sahand and/or Sergi according to your plan.
Follow-up is normally with our periodontist team. The plan should also identify who provides your temporary and final teeth, and how we coordinate with your restorative dentist.
Soreness and swelling can follow implant surgery. Your team explains cleaning, eating, activity and review arrangements for your procedure. Healing and the timing of the final restoration vary, particularly when grafting is needed.
Implants need ongoing cleaning and professional maintenance. Gum health, smoking and the condition of the surrounding bone can influence the outcome.
Risks and limitations
Implants may fail to integrate or develop problems later. Risks include infection, bleeding and injury to nearby structures; nerve or sinus risks depend on the site. Your clinician discusses the risks relevant to you.
Scan quality, planning and guide fit affect how accurately the plan is transferred. The surgeon may need to change the approach or defer placement if the clinical findings require it.
No. The decision depends on the examination, bone and gum conditions, surgical access and the proposed restoration. Digital planning may still be useful when placement is performed without a guide.
Does guided surgery mean no incision or stitches?
No. A guide can be used with different surgical approaches. Access to the bone or additional grafting may require an incision and stitches. Your surgeon will explain the proposed technique.
Will I leave with a tooth on the same day?
A surgical guide does not determine when a tooth can be fitted. Immediate implant placement after extraction and immediate fitting of a temporary tooth are separate decisions, each requiring individual assessment. Ask how the gap will be managed during healing.
Can I use scans I already have?
Tell us which records you have and when they were taken. The team can explain how to share them and whether they are suitable for planning. Please do not arrange a new scan without clinical advice.
What should my treatment quotation include?
Ask which assessments, scans, guide, implant surgery, grafting, temporary teeth, final restoration and review visits are included or separately charged. The treatment plan should identify who provides each stage. Fees are discussed after assessment.
How many visits will I need if I live abroad?
The number and spacing of visits depend on the agreed treatment and healing. Clarify the surgical, restorative and follow-up arrangements with the team before booking travel; an initial enquiry cannot confirm a travel schedule.
Is reduced-fee supervised treatment available?
The separate supervised patient programme is still in preparation and is not available to book. It is intended for treatment by qualified dentists undertaking further clinical training with OsteoPerio, with both Sahand and Sergi present during surgery.
Tell us briefly what you would like help with and whether you already have a treating dentist. The team can explain the next assessment step and which records may be useful.
