Abstract
Computer-guided surgery is a new technology in the field of implant dentistry. The surgical guide is produced using cone-beam computed tomography along with the patient's intraoral scanning, with both documents integrated into software to produce the guide. It is important to note that surgery guided by tomography aims to achieve better diagnosis, planning, surgical precision, and prognosis. Additionally, it provides the dentist with greater predictability in rehabilitation with dental prostheses. Furthermore, less invasive procedures have become a trend in implant dentistry, and flapless guided surgery is a valuable tool in less traumatic surgical approaches. Rehabilitation with dental implants, regardless of the technique used, is closely interconnected with the osseointegration process. For this process to occur, all cells responsible for the bone-remodeling mechanism must function properly. However, individuals using drugs such as bisphosphonates experience impaired bone remodeling, necessitating careful clinical management of these patients. Given this context, the objective of our work is to report a case of guided dental implant surgery for the installation of an upper full-arch rehabilitation over implants in a patient with a history of bisphosphonate use and an indication for flapless surgery.