Digital Workflow for Fixed Implant Rehabilitation of an Extremely Atrophic Edentulous Mandible in Three Appointments

Abstract

This article describes an expedited protocol illustrating a digital workflow for full arch implant rehabilitation of the extremely atrophic mandible. Flapless implant placement with a surgical template generated from virtual planning was followed by immediate loading with a fixed prosthesis. Digital impression/digitization of the working cast and CAD/CAM technology were used to mill the definitive prosthesis. From guided surgery to the definitive rehabilitation only three appointments were necessary. This digital workflow can enhance patient acceptance and comfort and serve as an alternative treatment in the indicated clinical scenario. (J Esthet Restor Dent 29:178-188, 2017).

Accuracy of printed casts generated from digital implant impressions versus stone casts from conventional implant impressions: A comparative in vitro study

“…During a complete digital workflow, the cast is not necessary as the prosthesis and the titanium insert or the abutment can be cemented without a cast or even intraorally (Chun et al, ). For the full arch fixed implant rehabilitation, a complete digital workflow is currently not feasible and instead a combination of digital and conventional workflow is the current status (Papaspyridakos et al, , ).…”

Implant survival rates and biologic complications with implant‐supported fixed complete dental prostheses: A retrospective study with up to 12‐year follow‐up

“…It is generally accepted that meaningful interpretation of the clinical outcomes of implant treatment requires a time span of 5 years (Eckert, Choi, Sanchez, & Koka, ; Jemt et al, ). However, data specifically related to the complications encountered with IFCDPs for edentulous patients after an observation period of 5 years are limited (Jemt et al, ; Malo et al, ; Papaspyridakos, Chen, Chuang, et al, ; Papaspyridakos, Chen, Chuang, et al, ; Papaspyridakos, Rajput, Kudara, & Weber, ). To the authors’ knowledge, this is the first study documenting the long‐term outcomes of moderately rough surface implants and full arch rehabilitation with IFCDPs performed by residents in a postgraduate prosthodontic clinic under supervision of experienced prosthodontic faculty.…”

Digital workflow in full‐arch implant rehabilitation with segmented minimally veneered monolithic zirconia fixed dental prostheses: 2‐year clinical follow‐up

“…The conclusion of this clinical study was that full‐arch digital impressions improve efficiency and provides benefit to the dentist, technician, and to the patient . A clinical report illustrated a digital workflow for full arch implant rehabilitation of the extremely atrophic mandible . Flapless implant placement with a surgical template generated from virtual planning was followed by immediate loading with an interim fixed prosthesis.…”

“…Flapless implant placement with a surgical template generated from virtual planning was followed by immediate loading with an interim fixed prosthesis. Digital impression/digitization of the working cast and CAD/CAM technology were used to mill the definitive prosthesis . The digital workflow enhanced patient acceptance and comfort.…”