Back to Bone Reduction Guides
PROTOCOL SELECTION
Guided vs FreehandComparison
Compare guided bone reduction with freehand alveoloplasty. Understand when each approach is appropriate based on case complexity and risk factors.
HEAD-TO-HEAD
Protocol Comparison
| Aspect | Guided | Freehand |
|---|---|---|
| Depth Accuracy | ±0.5mm from plan | ±2-4mm variable |
| Planning Time | 30-60 minutes digital | None (intraoperative) |
| Surgery Time | Faster (pre-planned) | Longer (measuring) |
| Vital Structure Safety | Pre-verified margins | Real-time estimation |
| Prosthetic Space | Calculated to plan | Estimated visually |
| Reproducibility | High consistency | Operator dependent |
| Learning Curve | Software + surgical | Surgical only |
| Cost | Guide fee + planning | Extended surgery time |
CASE SELECTION
When to Use Each Approach
| Scenario | Guided | Freehand |
|---|---|---|
| Full-arch All-on-4/6 | Strongly recommended | High risk |
| Single implant site | Optional | Acceptable |
| Near inferior alveolar nerve | Strongly recommended | High risk |
| Aesthetic zone leveling | Recommended | Possible |
| Knife-edge ridge | Recommended | Challenging |
| Immediate load protocol | Strongly recommended | High risk |