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Computer-aided flapless implant surgery and immediate loading. A technical note.

Alfonso Baruffaldi¹, Pier Paolo Poli², Andrea Baruffaldi³

¹Implant Center for Edentulism and Jawbone Atrophies, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCSS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.

Oral and Maxillofacial Surgery

|April 6, 2016

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This study presents a new prosthetic technique for immediate implant loading, achieving 100% success in dental implant procedures. The computer-aided, flapless approach enhances predictability for fixed prostheses.

Area of Science:

Dental Implantology
Prosthodontics
Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM)

Background:

Immediate loading of dental implants offers functional and aesthetic benefits.
Flapless implant placement and computer-guided surgery aim to improve precision and reduce invasiveness.
Predictability in prosthetic rehabilitation following immediate implant placement remains a critical factor.

Purpose of the Study:

To describe a novel prosthetic technique designed to enhance the predictability of immediately loaded implants.
To integrate computer-aided template-guided flapless implant placement with a specific prosthetic workflow.
To facilitate accurate provisional prosthesis repositioning based on digital planning.

Main Methods:

A 2-year period involved eight patients with partial edentulism undergoing computer-aided template-guided flapless implant placement.

Keywords:

Computer-aided surgery Dental implants Fixed prosthesis Immediate loading Surgical template Virtual planning

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A described prosthetic technique transferred facebow data to the surgical environment for precise temporary prosthesis repositioning.

Digital software was used for pre-operative planning of implant and prosthesis placement.

Main Results:

Seventy-eight dental implants were immediately loaded with fixed prostheses.
A 100% survival and success rate was observed after a 1-year mean follow-up.
No major complications, dropouts, or signs of peri-implant pathology (inflammation, infection, bone resorption) were noted.

Conclusions:

The described technique, combined with computer-aided implant placement and immediate loading, demonstrates high implant and prosthetic survival and success rates.
The technique shows predictability and reliability in the short term, with no reported complications.
This approach offers a reliable solution for immediate functional and aesthetic rehabilitation in partially edentulous patients.