# The Fabrication of a Customized Surgical Template for a Miniscrew Placement Using a Fully Digitized Process

## TL;DR

A customized digital guide improves the accuracy and safety of placing mini-implants in orthodontic treatment.

## Contribution

A fully digitized CAD-CAM process is used to fabricate a surgical template for precise miniscrew placement.

## Key findings

- Using a guide improves mini-implant positioning accuracy in the infrazygomatic crest zone.
- The guide reduces the risk of damaging tooth roots during implant placement.
- Mini-implant stability is enhanced with the use of a customized surgical template.

## Abstract

This report presents a clinical case involving the application of a computer-aided design and manufacturing (CAD-CAM) guide to insert miniscrew anchorage at the zygomatic alveolar ridge. A 24-year-old male adult came in with overcrowded teeth and a protruding facial profile, particularly severe overcrowding in the upper teeth and moderate overcrowding in the lower teeth. The orthodontic treatment plan involved extracting four first premolars and adding a mini-implant in the upper jaw to enhance anchorage. A miniscrew was placed in the patient's left zygomatic alveolar ridge using a guide and in the right zygomatic alveolar ridge based on experience. The use of a mini-implant guide improves the accuracy of mini-implant positioning and angulation in the infrazygomatic crest zone, reduces the risk of tooth root damage, and enhances mini-implant stability.