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Published on: August 5, 2021
A fully digital approach for implant fixed complete dentures: A case report
Priscila Meneghetti1,2, Guilherme Faria Moura3, Lorenzo Tavelli4
1Department of Biologic and Materials Sciences & Prosthodontics, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.
Introductions:
Intraoral scanner has been widely used for implant impression in partially edentulous cases; however, its accuracy in the impression of full-arch implant is still questionable.
Clinical Report:
This clinical report presents a technique to check the accuracy of intraoral scanning for complete-arch implant restorations using an implant index cast (The Glossary of Prosthodontic Terms 9th Edition) and a three-dimensional printed cast. A clinical case of immediate loading on a maxillary edentulous patient illustrates the application of an implant index cast in implant fixed complete dentures (IFCDs).
Discussion:
The implant index cast was fabricated based on the immediate interim prosthesis and provides effective control of the fit of scanned files and printed models. Therefore, this approach allows a more predictable and accurate fit of the final prosthesis.
Clinical Significance:
In this article, we present a technique to check the accuracy of the final prosthesis without the need for a conventional impression and final cast in a digital workflow. This proposed approach is demonstrated through a case report of a maxillary edentulous patient restored with immediate loaded IFCDs.

