Digital Workflow in Implant Treatment Planning For Terminal Dentition Patients

Abstract

Treatment planning for the transition of patients from terminal dentition to full-arch implant rehabilitation poses challenges. Such challenges pertain to achieving the new orientation of the occlusal and esthetic plane as well as the change of vertical dimension of occlusion (VDO), while the fixed provisionalization using a digital workflow still tends to be considered complex and hard to perform. This article illustrates stepby-step the utilization of a digital workflow protocol in the treatment planning for rehabilitation of terminal dentition patients, simplifying the smile design and ensuring that fixed provisionalization serves both functional and esthetic requirements. This protocol includes facially driven, three-dimensional (3D) digital smile design and chairside mock-up restoration workflows that enable prosthetically driven assessment prior to implant treatment planning and 3D printing of surgical templates and prefabricated interim prostheses, which can predictably reduce chairside time and adjustments at the surgical and fixed provisionalization appointment.

Effect of implant shape and length on the accuracy of robot‐assisted immediate implant surgery: An in vitro study

“…Computer‐assisted immediate implant surgeries, such as those using a static guide and dynamic navigation, have become increasingly popular (Derksen et al., 2019; Hamilton et al., 2022; Papaspyridakos et al., 2022). The dental implant robotic system achieves stable guidance similar to that of a static guide via a preoperative design combined with a robotic arm and achieves real‐time alignment similar to that of dynamic navigation through multiple measurements in real time.…”

Full-Mouth Rehabilitation of a Patient with Sjogren’s Syndrome with Maxillary Titanium-Zirconia and Mandibular Monolithic Zirconia Implant Prostheses Fabricated with CAD/CAM Technology: A Clinical Report

“…Thanks to these advances, contemporary dental implant protocols permit the rapid rehabilitation of complex clinical situations with a reduced number of dental implants [8][9][10]. These noteworthy advancements have also fostered the development of prosthetic materials, imaging and planning methods [11], surgical protocols [12], manufacturing technologies [13,14], and retention mechanisms [15] specifically created to optimize the restorative process.…”

“…Additive manufacturing involves forming the object layer-by-layer [14], while in subtractive manufacturing techniques, the object is produced by cutting the material to the desired shape with a sharp cutting tool controlled by a computer [13]. Complex dental devices, such as surgical templates [25], dental models, custom trays, and dental prostheses, can be successfully manufactured with these manufacturing methods [12,14,26].…”

Maxillary and mandibular complete‐arch implant rehabilitation using a complete digital workflow: A case report

“…1 Digital workflow in implant prosthodontics is challenging; however, it reduces postoperative complications and increases patient satisfaction while maintaining the long-term predictability of treatment outcomes. 2 Multiple procedures such as three-dimensional (3D) imaging incorporating surface scans, 3D smile design, and virtual mock-up designing for fully guided implant placement can be performed via the digital workflow for complete-arch implant rehabilitation. Subsequently, immediate loading and provisionalization can be achieved with high accuracy by using a digitally designed and guided implant plan.…”

“…The current trend in implant prosthodontics is to develop techniques and protocols that reduce treatment time and simplify treatment procedures 1 . Digital workflow in implant prosthodontics is challenging; however, it reduces postoperative complications and increases patient satisfaction while maintaining the long‐term predictability of treatment outcomes 2 . Multiple procedures such as three‐dimensional (3D) imaging incorporating surface scans, 3D smile design, and virtual mock‐up designing for fully guided implant placement can be performed via the digital workflow for complete‐arch implant rehabilitation.…”