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

Barbara Sobczak and Piotr Majewski
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Barbara Sobczak: Dr Sobczak Dental Clinic, 04-881 Warsaw, Poland
Piotr Majewski: Implant Dentistry Department, Dental Institute Collegium Medicum, Jagiellonian University, 31-155 Cracow, Poland

IJERPH, 2022, vol. 19, issue 7, 1-11

Abstract: 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.

Keywords: immediate placement; immediate loading; full-arch restoration; CAD CAM technology; digital implant dentistry (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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