Simplifying Full-Arch Treatment With In-House 3D-Printed Surgical Guides and Immediate Fixed Provisional Prostheses...

For full-arch rehabilitation, implants that are placed based on the planned prosthetic position should coincide with the triangle of bone to achieve predictable long-term function. The use of computed tomographic data has been combined with prosthetically driven scan appliances to allow for clinical efficiencies. Recent developments have involved 3-dimensional (3D) planning using cone-beam computed tomography scan data. Implant placement has benefitted from guided surgery utilizing 3D-printed surgical guides. Advances in digital technology and 3D printing allow clinicians to be involved in the design and fabrication process of full-arch cases in house, giving practitioners a close connection to both the prosthetic and surgical use of 3D-printed appliances. This article describes the workflow involved in the designing and 3D printing of surgical guides, dentures, and other dental appliances in house with relatively short turnaround times for full-arch surgery and restoration.