Selective implant scan body modification to restore severely tilted adjacent implants: A completely digital workflow

Area of Science:

• Dental Technology
• Restorative Dentistry
• Implantology

Background:

• Clinical challenges in restorative dentistry can be managed with advancements in computer-aided design and computer-aided manufacturing (CAD-CAM).
• Severely tilted implants present unique difficulties in fabricating implant-supported restorations.
• Digital workflows offer potential solutions for complex restorative cases.

Purpose of the Study:

• To describe the fabrication of implant-supported restorations using a completely digital workflow.
• To demonstrate the management of clinical challenges associated with severely tilted implants.
• To highlight the application of CAD-CAM technology in complex restorative dentistry.

Main Methods:

• Utilized a completely digital workflow for the fabrication process.
• Employed computer-aided design (CAD) for treatment planning and restoration design.
• Leveraged computer-aided manufacturing (CAM) for precise fabrication of the restorations.
• Managed a patient case involving severely tilted implants.

Main Results:

• Successfully fabricated implant-supported restorations for a patient with severely tilted implants.
• Demonstrated the efficacy of a digital workflow in overcoming complex clinical challenges.
• Achieved predictable outcomes in restorative dentistry using CAD-CAM technology.

Conclusions:

• CAD-CAM technology and digital workflows are effective tools for managing complex restorative dentistry cases.
• The described digital workflow facilitates the fabrication of implant-supported restorations, even with severely tilted implants.
• Advancements in CAD-CAM significantly improve the management of clinical challenges in implant dentistry.