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Updated: Nov 7, 2025

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Digital Workflow for Full-Arch Immediate Implant Placement Using a Stackable Surgical Guide Fabricated Using SLM

Jing-Wen Yang1,2,3, Qi Liu4, Zhao-Guo Yue5

  • 1Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, PR China.

Journal of Prosthodontics : Official Journal of the American College of Prosthodontists
|May 3, 2021
PubMed
Summary

This study presents a novel method using failing teeth as a reference for stackable surgical guides in full-arch immediate implant placement. This digital workflow enhances predictability for bone reduction, implant placement, and immediate provisional prosthesis loading.

Keywords:
Bone reductioncomputer-guided implant surgerydigital workflowsfull-arch fixed implant-supported prosthesesfull-arch immediate loadingimmediate interim fixed complete arch prostheses

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Prosthodontics

Background:

  • Failing dentition in partially edentulous patients presents challenges for full-arch immediate implant placement.
  • Predictability in bone reduction, implant positioning, and immediate loading is crucial for successful outcomes.

Purpose of the Study:

  • To introduce a practical approach for designing and fabricating a metal framework with occlusal rests.
  • To facilitate the use of tooth-supported surgical guides for full-arch immediate implant placement in patients with failing dentition.

Main Methods:

  • Utilizing the failing dentition as an initial reference point for digital workflow.
  • Designing and producing a stackable, tooth-supported surgical guide with a metal framework and occlusal rests.
  • Implementing the guide for bone reduction, immediate implant placement, and immediate provisional prosthesis loading.

Main Results:

  • The stackable guide system, derived from a digital workflow, demonstrated increased predictability.
  • Successful application of the tooth-supported guide for immediate implant procedures in failing dentition.
  • Facilitation of precise bone reduction, implant placement, and immediate provisionalization.

Conclusions:

  • A practical and predictable method for full-arch immediate implant placement using failing dentition as a reference.
  • The digital workflow and stackable surgical guide design improve surgical outcomes.
  • This approach offers a viable solution for patients requiring full-arch rehabilitation with immediate function.