Guided implant surgery with PRAMA implants is a clinically effective approach for achieving accurate, prosthetically driven implant placement while respecting peri-implant soft tissues. This presentation is structured around real clinical cases to illustrate how guided surgery adds value in daily practice.

Starting from single-tooth replacements in healed sites, guided planning allows precise control of implant depth and emergence profile, which is critical for the PRAMA transmucosal design. Clinical cases demonstrate how flapless or minimally invasive guided placement supports soft tissue preservation and simplifies the restorative phase.

In immediate post-extraction cases, guided surgery is used to position the PRAMA implant in an ideal palatal/lingual position, minimizing buccal bone trauma and facilitating soft tissue stability. Case examples show how guided placement assists in managing implant angulation, depth control, and provisionalization.

For esthetic zone and limited-bone situations, guided surgery helps avoid anatomical structures while maintaining prosthetic alignment. Clinical cases highlight the role of guide stability, implant selection, and soft tissue handling to optimize outcomes with PRAMA implants.

Each case is presented step-by-step, covering digital planning, surgical execution, and final prosthetic delivery. Clinical tips, common pitfalls, and decision-making criteria are discussed to help clinicians integrate guided surgery with PRAMA implants into routine practice with predictable functional and esthetic results.