Guided implant surgery in Schiedam and Rotterdam: precisely as planned

What is guided implant surgery?

In a standard implant treatment the dentist decides the position of the implant during the procedure, based on the examination and X-rays. With guided implant surgery (in Dutch: geleide implantologie) the position, angle and depth of the implant are determined on the computer beforehand. A surgical guide is made from that plan. The guide fits on your teeth or gums and directs the drill to the planned position.

How does it work, step by step?

1. Intake and examination: we discuss your wishes and examine your teeth, gums and jawbone.
2. Scans: with a CBCT scan (3D X-ray) and an intraoral scan of your teeth we record the situation digitally. This shows how much bone there is and where nerves, the sinus and the roots of neighbouring teeth are.
3. Digital planning: in dedicated software we plan the implant in relation to the desired crown. This is called prosthetically driven implantology: first the tooth, then the implant.
4. Surgical guide: based on the plan, a custom guide is made and 3D-printed.
5. Placing the implant: during treatment the guide directs the drill to the planned position, under local anaesthetic.
6. Healing and crown: after a healing period the final crown, bridge or overdenture is placed on the implant.

What can guided implant surgery mean for you?

Guided implant surgery offers no guarantee, but it can help in a number of ways:

• Accuracy: the planned position is transferred to the mouth with a guide during the procedure.
• Insight in advance: you and the dentist can see beforehand how the implant will sit in relation to bone, nerves and neighbouring teeth.
• Less invasive, where possible: when the situation allows, an implant can be placed through a small opening without opening the gum (flapless). This can come with less swelling and discomfort. Whether this is possible for you depends on the amount of bone and gum.
• Crown-driven: because the crown is the starting point of the planning, we aim for a natural result that is easy to keep clean.

Is guided implant surgery suitable for everyone?

Not always. A surgical guide is a tool and does not replace the dentist’s judgement. In some situations another approach is better, for example when there is too little bone (sometimes bone augmentation is needed first), when mouth opening is limited in the back of the mouth, or when adjustments are needed during the procedure. If the situation during treatment differs from the plan, the dentist may deviate from it. We discuss in advance which approach suits your situation and why.

Guided surgery or “freehand”?

Experienced dentists can also place implants safely without a guide, based on 3D planning. A guide is an additional tool to follow the planned position, especially with several implants, with fixed teeth on implants (All-on-X) or when space is limited. At 3D Tandarts we decide per situation whether a surgical guide makes sense.

What does guided implant surgery cost?

The cost depends on the number of implants, the type of restoration and any additional treatments. For one implant with a crown our € 1,900 offer applies until 21 December 2026; the 3D scan and surgical guide are included where used. You can find an overview of the costs in our article on the cost of an implant in Rotterdam. You always receive a personal treatment plan with a cost estimate in advance.

Implants at Schiedam Centrum station, close to Rotterdam

3D Tandarts is right inside Schiedam Centrum railway station: 7 minutes by train from Rotterdam Centraal, 7 minutes from Vlaardingen and 13 minutes from Delft Campus. Read more about our dental implants, the CBCT scan, the intraoral scan, virtual planning, the implant-retained denture and All-on-X, or meet our team.