An Integrated Fully Digital Prosthetic Workflow for the Immediate Full-Arch Restoration of Edentulous Patients-A Case Report

Digital prosthetic workflows may significantly increase the efficiency and predictability of the immediate rehabilitation of implant-supported fixed complete dentures. Advanced digital prosthetic workflows require exact and detailed virtual planning models. The direct generation of these models via...

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Bibliographic Details
Published inInternational journal of environmental research and public health Vol. 19; no. 7; p. 4126
Main Authors Sobczak, Barbara, Majewski, Piotr
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 31.03.2022
MDPI
Subjects
Aesthetics
Anatomy
Case Report
Case reports
Dental implants
Dental materials
Dentition
Denture, Complete
Dentures
Edentulous
Humans
Immediate Dental Implant Loading - methods
Medical prognosis
Mouth, Edentulous - surgery
Planning
Prostheses
Registration
Rehabilitation
Soft tissues
Software
Surgical instruments
Teeth
Workflow
Workflow software
Denmark
Switzerland
Germany
immediate placement
immediate loading
full-arch restoration
digital implant dentistry
CAD CAM technology
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Summary:Digital prosthetic workflows may significantly increase the efficiency and predictability of the immediate rehabilitation of implant-supported fixed complete dentures. Advanced digital prosthetic workflows require exact and detailed virtual planning models. The direct generation of these models via direct digital impressions remains technique sensitive and demanding. This report illustrates an advanced digital workflow for accurate and efficient immediate full-arch restoration, with an aesthetically and anatomically adapted natural tooth-like prosthesis. The workflow application to fully edentulous arches, and arches with residual failing dentition, is presented. A key characteristic was efficiently integrating and interlinking the prosthetic and surgical workflows via denture replica surgical guides as landmarks for scan registration. This approach allowed for accurate implant placement and efficient and detailed anatomy-based chairside prosthetic planning, and for the manufacturing of the provisional and final restorations under detailed consideration of implant restoration, and the patient's macro-aesthetic and soft tissue anatomy.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19074126