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Advanced 3D imaging and digital dentistry enable same-day implant placement and restoration. This case demonstrates efficient, single-visit implant surgery using chairside CAD/CAM technology for predictable outcomes.

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Area of Science:

  • Dental Implantology
  • Digital Dentistry
  • Restorative Dentistry

Background:

  • Advancements in 3D diagnostic technology and digital optical imaging enhance predictability, safety, and efficiency in implant dentistry.
  • Chairside computer-aided design/computer-aided manufacturing (CAD/CAM) technology allows for single-visit surgical procedures.
  • This case illustrates the application of a two-stage implant protocol facilitated by digital workflow.

Observation:

  • The CEREC GALILEOS integration workflow system was employed for prosthetic planning and implant placement at the mandibular first molar site (No. 30).
  • Preoperative planning incorporated cone-beam computed tomography (CBCT) data, anatomical landmarks, tissue status, and restorative requirements.
  • A stable, tooth-supported surgical guide (CEREC Guide 2.0) was designed and milled using the integrated system.

Findings:

  • Implant placement was successfully performed in a previously grafted site following tooth extraction.
  • After osseointegration, the implant was restored chairside using the Sirona TiBase system and a VITA ENAMIC IS block.
  • The final restoration was a screw-retained implant crown, noted for its esthetic appeal and clinical excellence.

Implications:

  • Digital workflow and chairside CAD/CAM technology streamline implant dentistry procedures, potentially reducing treatment time.
  • The integration of 3D imaging and digital planning enhances surgical accuracy and restorative outcomes.
  • This approach demonstrates the feasibility of efficient, single-visit implant placement and restoration, even in complex cases requiring grafting.