Horizontal Ridge Augmentation Under a Removable Partial Denture and Implant Placement.

Area of Science:

• Dental Implantology
• Oral Surgery
• Prosthodontics

Background:

• Current virtual implant planning relies on CBCT scans but often lacks crucial prosthetic positioning data.
• Insufficient ridge width presents a challenge for ideal implant placement, frequently requiring augmentation.

Purpose of the Study:

• To demonstrate how an in-office fabricated diagnostic guide can enhance virtual implant planning.
• To improve the accuracy of surgical guide fabrication by incorporating ideal prosthetic positioning.
• To address challenges in cases with insufficient ridge width requiring augmentation for implant placement.

Main Methods:

• Utilized a diagnostic guide fabricated in-office to capture ideal prosthetic positioning.
• Integrated this prosthetic information to refine virtual planning and create a corrected surgical guide.
• Performed ridge augmentation to address insufficient horizontal ridge dimensions.

Main Results:

• The diagnostic guide facilitated the incorporation of ideal prosthetic positions into the virtual planning.
• Ridge augmentation was successfully performed to accommodate implants in the predetermined ideal positions.
• Subsequent implant placement and restoration were completed based on the corrected plan.

Conclusions:

• An in-office diagnostic guide is a valuable tool for improving virtual implant planning accuracy.
• This method is particularly beneficial for complex cases involving ridge augmentation and precise implant positioning.
• Integrating prosthetic data early ensures optimal functional and esthetic outcomes in implant restorations.