Since 2005, she has implemented Guided Surgery in her clinical practice, which allowed virtual implant surgery adapted to the anatomy of each patient using innovative software, which enables placement of the implant through a prosthetically guided stent. Teeth and implants in one session for patient comfort. From the very start, Dr. Pomares was part of the international group for testing and development of the current technique.

In 2018, the Navigated Surgery technique was launched and Dr. Pomares once again was part of the first European group to acquire the technology and training. This is a virtual design of the implants to be placed during the operation while looking through a monitor at real time at 360º during the implementation of the implants in the jaw bone. This technique has worked very well for patients with unitary or partial edentulism but not for total tooth loss. Therefore, the author decided to develop her own technique that would provide a solution to real clinical needs.

With the aim of using the best of each of these techniques in a single procedure, the idea of ​​merging both techniques arose. Dr. Pomares created the Double Factor Technique for Implantology, which uses virtual surgery, software and Guided Surgery stents with a necessary adaptation to make it compatible with the Navigated tools with double verification and security mechanism and hence the name.
This took an arduous effort and many engineering and clinical hours to achieve great result.

This combined procedure allowed the author to operate a complete maxila without opening the tissues in less than an hour through a stent, while making it possible to navigate at 360º in the patient´s jaw bone, enabling placement of the dentition in a single session in a fast, comfortable, safe and painless way.

This technique, registered and patented in 2019, was presented in 2020 on a digital dentistry platform and the first scientific article was published in The Journal of the Prosthetic Dentistry. Since then, Dr. Pomares has presented herself in specialized forums, recently participating with a clinical case in the Congress of the Spanish Society of Oral Surgery in 2021. In September 2022, she performed Live Surgery for the SECIB Congress with the Double Factor Technique; with a second article pending publication with successful clinical results.

At the end of September 2022, where the largest and most recognised International Osseointegration Congress EAO was held in Geneve, Dr Carmen Pomares received the award for the best European surgical clinical video of implantology in this contest, establishing this protocol and its international diffusion called “ Double Factor Technique by Dr. Carmen Pomares”.

With the aid of the Double Factor Technique, it is possible to reduce the clinical time to approximately one hour between design, calibration and execution which in turn increases predictability, as well as providing better postoperative, functionality and aesthetic improvement.

The deep knowledge about these techniques and their limitations led Dr. Pomares to the idea of ​​merging them into the Double Factor Technique, to take advantage of both Guided and Navigated systems, for patients who have lost all their teeth.

Since 2005, Computer Guided Surgery developed the concept of minimally invasive surgery to place implants by protocol with 3D clinical and radiological diagnosis, to prepare a future implant-supported prosthesis for a patient.

In this manner, based on 3D scan of the patient´s jaw and a digital model of their future teeth, by converging the data in the designed software, the virtual surgery can be performed producing a stent that allows operating on the jaw bone without opening the tissue, with maximum accuracy and comfort.

This is a much less traumatic process than “Traditional Surgery”, which involved opening of the jaw tissues by the surgeon, without precisely knowing where the implants are inserted, in relation to the bone condition and its prosthetic functionality. The Tradicional Surgery takes double or triple the duration of the Guided, causing both discomfort and increased risks.

With the Navigated Surgery since 2018 inspired by Neurosurgery, it is now possible to carry out the operation with the aid of the monitor, precisely inserting the implants in their desired location. With the aid of radiological scanner and a direct virtual designed software, it is possible to browse and calibrate the instrument using QR codes, operated by GPS, allowing movement inside the jaw bone in real time at 360º.

Finally, to execute the Double Factor Technique we require a system of two Stents: A Radiological Stent that incorporates the future teeth and converges the radiologically scanned images in the Guided design software, where virtual surgery is performed. The STL delivery for manufacturing the
Surgical Stent will have steps for guided implantation, incorporating the virtual design of implants together with the prosthetic emergen of the future personalized teeth for the patient.