Innovation in assisted implant surgery is constantly increasing. This success is due to the fact that guided surgery provides a reliable therapeutic solution. The use of these techniques is also interesting in the implant-supported rehabilitation by immediate loading. If we had to define all the characteristics of the ideal guide, first of all we would ask for precision: A perfect fit in the mouth, high stability and optimal drill guide for a perfect reproducibility of the drill planning. It is also necessary that the guide can be sterilized without any distortion or degradation and this is now possible with the 3D printed Ti devices. In addition, it is necessary that the guide design neither interfere with the visual inspection by the surgeon nor with the drill’s irrigation. Also the guide will not give friction on the drills. The last important thing is the possibility to use the fixed guide together with all kind of grafting procedures
Having had the opportunity to use the Twin Guide system, which differs significantly from the usual previous guides designs available in the market, this lecture will share the first successful cases done with this novel technique and some of the conclusions gathered from opinion leaders involved in a large multi-centric clinical evaluation study.