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Abstract
The present study was designed to compare the effect of type of guidance in tissue supported computer aided surgical guides on primary implant stability. This study was conducted on sixteen patients recruited from the Outpatient Clinic of the Faculty of Oral and Dental Medicine Cairo University. This was a spilt mouth study i.e. for each patient implants were placed in one half of the arch using pilot guided computer aided surgical guides and in the other half using full sequence computer guided surgical guides according to allocation sequence. CBCT scanning with virtual implant planning were used to develop a computer based surgical guide which was used to place the implant according to the suggested protocols. Immediately after implant insertion, implant stability was measured using Osstell® ISQ device. ISQ measurements were recorded in buccal, lingual, mesial and distal for each implant. The average of the four readings was calculated. The results were tabulated and statistically analyze to reach a conclusion