A guided implant case is only as accurate as its first osteotomy. Once the pilot hole is off-axis, every later drill tends to follow that error. That is why guided pilot holes play such a central role in implant placement. They are the first physical transfer of the digital plan into bone, and they set the direction for depth, angulation, and restorative emergence. A surgical guide does not make implant surgery automatic. It gives the clinician a controlled path. The drill sleeve is the...