Dr. Philippe Tardieu is a DDS from Paris VII University, Post graduate in Implantology from Nice Sophia Antipolis University, Adjunct Associate Professor New York University College of Dentistry, Inventor of the SAFE System® and inventor of the Immediate Smile® protocol and components, President of UniGuide Dental, private practice in Dubai, UAE, limited to implantology and aesthetic reconstructions. International speaker, authors or many publications and co-author witn Alan Rosenfeld of a fundamental book: "The Art of Computer-guided Impantology".

Since 1993, he is involved in computer-guided implantology techniques.

"The world of images in coming into dental practices but very often, dentists can hardly understand what kind of tools should be the best for them to integrate this world. Most of the systems are closed and protected by strong monopoles. Dentists are perplexed about the use of these tools and some other just beieve it's magic!!"

Dr. Philippe Tardieu has been the one to set up the specifications of the AxisGuide®. This program is an open program, it is a new and innovative suite of modules in the field of computer guided implantology and diagnosis (impacted teeth, tumors, nerve path…). It brings a very sophisticated technology at the fingertips of dentists.

Date of surgery:   February 2014
City and country:   Dubai, UAE
E-mail address   pt@frenchdentistdubai.com
Case description:                                              This patient had 2 missing upper lateral incisors. The patient was equipped with 2 Maryland bridges which were often falling down. The patient wanted to get 2 fixed teeth on 2 implants. In this case the issue is the limited amount of volume in between the adjacent teeth. This case was done using AccuGuide for accuracy reason. We have been using a mixed guiding system: a UniDrill guide plus the sleeves guiding system of Easy System implants.
    Buccal view of the 2 missing lateral incisors and the last Maryland bridge.
     
  Palatal view showing the limited space in between the adjacent teeth.
     
  Planning 2 Easy Implants 3.5mm by 10mm on AxisGuide.
     
  3D views on AxisGuide.
     
  STL files of the UniDrill guide.
     
  Guidelines for the surgery delivered with the guide.
     
  Palatal view after removing the Maryland bridge to allow trying the guide.
     
  Perfect setting of the UniDrill guide.
     
  This first drilling gives us the impact on the bone, the direction and the depth
     
  Then a Easy Implant sleeve is used in the same hole with a stopper to be sure to control the depth.
     
  Implant is placed manually with a visual control.
     
  Placing the cover screw allows us controlling the exact direction of emergence of the implant on #22.
     
  Same control is done on #12.
     
  Sutures
     
  Periapical x-ray just after placement.
     
  Image of the prosthesis the day of placement, one week after activation.
What benefit I got from AxisGuide system in this case ?   Computer-guided implantology benefit is not only dedicated to full cases but to all cases where accuracy is required. In case of agenesis the amount of bone is often very limited. Spaces is between the adjacent is if often very short too. A UniDrill guide is enough to get the most important information I need in this case: the impact on the bone, the length and the angle of the osteotomy. Then I just need to increase the diameter of the hole to manually place my implants. Today, based on my clinical experience I do more and more UniDrill guides for limited implants (1 to 3) and I do use more MultiDrill guides for cases with more implants.