Prosthetically Driven Computer-Guided Implant Placement and Restoration Using CEREC: A Case Report.

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.