Guided Implant Surgery
Precision matters when replacing a missing tooth
Guided implant surgery uses advanced planning and digital technology to place dental implants with greater accuracy and control. When precision is critical to both function and long-term success, this approach helps create a more predictable treatment process.
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What we do
A more accurate approach to implant placement
Guided implant surgery is a digitally planned method of placing dental implants with greater precision. By using detailed imaging and guided surgical mapping, treatment can be planned in advance to determine the ideal angle, depth, and position of the implant before the procedure begins.
This approach is especially valuable when implant placement needs to be carefully coordinated with surrounding bone, adjacent teeth, bite alignment, and the final restoration. Rather than relying only on visual judgment during surgery, guided implant placement allows treatment to follow a more exact plan from the start.
This approach is especially valuable when implant placement needs to be carefully coordinated with surrounding bone, adjacent teeth, bite alignment, and the final restoration. Rather than relying only on visual judgment during surgery, guided implant placement allows treatment to follow a more exact plan from the start.
Why it matters
Better planning leads to better implant placement
Dental implants do more than fill a space. They need to be placed in a way that supports function, stability, and the final restoration for years to come. Guided implant surgery helps create that level of precision before treatment even begins.
01
Improves placement accuracy
Guided planning helps determine the ideal position of the implant in relation to surrounding teeth, bone, and the future restoration. This can lead to a more precise and predictable outcome.
02
Supports long-term function
Implant placement affects more than appearance. When the implant is positioned correctly, it can better support chewing function, bite balance, and the success of the final tooth replacement.
03
Helps protect surrounding structures
Digital planning allows treatment to take nearby anatomy into account, including adjacent teeth, bone availability, and important anatomical boundaries.
04
Control complex treatment
In cases where precision is especially important, guided implant surgery can provide a clearer roadmap for treatment and reduce guesswork during placement.
05
Improves surgery and restoration coordination
Implant success is not only about placing the implant — it is also about how well the final crown, bridge, or restoration functions. Guided planning helps align those phases more intentionally.

Bone Grafting
Building the foundation an implant requires
When bone has been lost to a missing tooth, gum disease, or prior extraction, a graft restores the volume an implant needs to anchor securely. Dr. Kim performs bone grafting in-house, planned as an integrated step, not a referral.
Socket preservation grafts - Placed immediately after extraction to maintain bone volume and prepare the site for a future implant, preventing the bone loss that commonly follows tooth removal.
Ridge augmentation - When the jawbone has narrowed or flattened following tooth loss, ridge augmentation restores width and height so the implant can be placed in the ideal position.
Sinus lift (maxillary sinus augmentation) - For implants in the upper back jaw, a sinus lift creates additional bone height by gently lifting the sinus membrane and adding grafting material below.
Integrated treatment planning - Grafting and implant placement are sequenced together, with healing timelines and digital imaging guiding each phase, so nothing is left to chance between procedures.

Gum Grafting
Healthy gum tissue is part of a lasting result
Without adequate gum tissue, implants are vulnerable to recession and long-term instability. Dr. Kim addresses tissue deficiencies directly, before or alongside placement — so the implant has the support it needs from day one.
Connective tissue grafts - The most common graft type. Tissue is taken from the palate and used to thicken thin gum tissue or cover exposed root surfaces around implant sites.
Free gingival grafts - Used when there is insufficient attached gum tissue to stabilize an implant long-term. Creates a durable band of keratinized tissue around the implant neck.
Pedicle grafts - Tissue is repositioned from adjacent areas when local gum tissue is available, minimizing donor sites while improving coverage and aesthetic outcomes.
Aesthetic tissue management - For visible smile-zone implants, careful gum contouring ensures the gum line around the final crown looks natural and harmonious with adjacent teeth.
What's Included
A process built around digital planning and surgical precision
Guided implant surgery combines imaging, digital planning, and carefully executed treatment to place the implant where it can best support long-term success.
Treatment Process
A clear process from planning to placement
Guided implant surgery begins well before the day of the procedure. The planning phase plays a major role in making treatment more precise, controlled, and predictable.
Schedule Your Visit

01
Step
Consultation and implant evaluation
We begin by examining the missing tooth area, reviewing your oral health, and discussing whether an implant is the right solution.
02
Step
Imaging and digital planning
Detailed imaging is used to assess the area and map the ideal implant position before surgery is performed.
03
Step
Surgical preparation
Once the plan is finalized, the treatment area is prepared carefully for placement.
04
Step
Guided implant placement
The implant is placed according to the surgical plan, with guidance that helps support accuracy and control.
05
Step
Healing and restoration planning
After placement, the implant is given time to heal and integrate with the bone before the final restoration is completed.
Benefits
Why many patients value a more planned approach
Guided implant surgery is often chosen because it brings more clarity and precision to a treatment that depends heavily on exact placement. For the right case, that planning can improve both the surgical process and the final result.
More precise implant positioning
The implant can be placed according to a detailed plan rather than relying only on real-time surgical judgment.
Better support for the final tooth replacement
Because the implant is positioned with the restoration in mind, the final crown or replacement tooth can often function and look better.
More advanced level of treatment coordination
Guided surgery helps connect the surgical and restorative sides of implant treatment more intentionally.
Healing well is part of the overall success
After guided implant surgery, the healing process is just as important as the placement itself. You may experience some temporary soreness, swelling, or sensitivity in the area, but recovery instructions are designed to help protect the site while the implant begins integrating with the bone.
You’ll be guided on how to care for the area, what to avoid during early healing, and what the timeline looks like before the final restoration is placed. The goal is not only precise placement, but long-term stability after treatment.
You’ll be guided on how to care for the area, what to avoid during early healing, and what the timeline looks like before the final restoration is placed. The goal is not only precise placement, but long-term stability after treatment.

What is guided implant surgery?
Guided implant surgery is a digitally planned method of placing dental implants with greater precision using advanced imaging and a pre-mapped surgical plan.
How is guided implant surgery different from traditional implant placement?
Traditional placement relies more heavily on surgical judgment during the procedure, while guided surgery uses detailed pre-planning to direct implant positioning more precisely.
Do I need a bone graft before getting an implant?
Not always, but many patients do. Bone loss is common after a tooth is removed, and if the jawbone lacks sufficient volume, a graft is needed to create a stable foundation. Dr. Kim evaluates bone availability through 3D imaging and will discuss whether grafting is recommended as part of your treatment plan.
What is a bone graft and how does it work?
A bone graft adds material, either from your own body, a donor source, or a synthetic material, to an area where bone volume is insufficient. Over time, the graft integrates with existing bone, rebuilding the structure needed to support a dental implant. Dr. Kim performs several types of grafting in-house, including socket preservation, ridge augmentation, and sinus lifts.
Is guided implant surgery safer?
It can improve control and precision by helping the dentist plan carefully around surrounding structures and the final restorative outcome.
Does guided implant surgery hurt?
Treatment is planned to be as comfortable as possible, and the area is numbed during the procedure. Some soreness afterward is normal, as with most implant surgery.
Who is a good candidate for guided implant surgery?
It may be especially beneficial for patients with limited space, visible smile-zone replacement needs, multiple implants, or cases where precise restorative planning matters
How long does healing take after a bone or gum graft?
Healing timelines vary depending on the type and extent of the graft. Bone grafts typically require several months to fully integrate before implant placement can proceed. Gum grafts generally have a shorter recovery period. Dr. Kim will walk you through your specific timeline during the planning phase so there are no surprises.
Will I still need a crown after the implant is placed?
Yes. The implant acts as the replacement root, and the final crown or restoration is completed after healing.
How much does guided implant surgery cost?
In Orange County, guided implant surgery typically ranges from $4,000–$6,000 per implant, reflecting the precision planning, surgical guide fabrication, and placement involved. The guided approach adds upfront planning costs but improves accuracy and long-term outcomes.
Where can I get guided implant surgery in San Juan Capistrano?
Ortega Cottage Dentistry provides guided implant surgery for patients in San Juan Capistrano, Dana Point, Rancho Mission Viejo, Laguna Niguel, San Clemente, Ladera Ranch, Laguna Hills and surrounding South Orange County communities.
Request an Appointment
Please contact us to request a future appointment with Dr. Michael Kim at Ortega Cottage Dentistry in San Juan Capistrano. Thank you!
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