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Immediate Loading of Zygomatic Implants Using a Dual Scan Technique.

Mustafa Gseibat1, Valerio Sorrentino1, Pablo Sevilla1

  • 1Department of Conservative Dentistry and Prostheses, Faculty of Odontology, University Complutense of Madrid, 28040 Madrid, Spain.

Journal of Clinical Medicine
|December 9, 2023
PubMed
Summary

This study introduces a digital workflow for immediate fixed complete dentures using a dual scan technique. This method enhances precision and reduces treatment time for patients needing zygomatic and standard implants.

Keywords:
digital impressionsimmediate loadingprosthodonticsstereophotogrammetryzygomatic implants

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Area of Science:

  • Dentistry
  • Prosthodontics
  • Digital Dentistry

Background:

  • Immediate loading protocols are gaining popularity to shorten treatment durations.
  • Digital workflows offer advantages in speed, accuracy, and aesthetics for dental restorations.

Purpose of the Study:

  • To describe a fully digital workflow for fabricating immediate fixed complete dentures (FCDs) using a dual scan impression technique.
  • To evaluate this workflow for both zygomatic and standard implants in a patient with a severely atrophic maxilla.

Main Methods:

  • A dual scan impression technique involving stereophotogrammetry and intraoral scanning (IOS) was employed.
  • Surgical placement of zygomatic and standard implants, followed by digital scanning to create standard tessellation (STL) files.
  • Virtual model alignment and milling of provisional and definitive FCDs.

Main Results:

  • The dual scan technique resulted in a precise fit for both provisional and definitive FCDs.
  • The digital workflow significantly reduced scanning and fabrication times.
  • Improved satisfaction was reported by both the clinician and the patient.

Conclusions:

  • The described fully digital workflow using a dual scan technique is an effective and reliable method for fabricating immediate and definitive screw-retained FCDs.
  • This approach offers a viable alternative for managing complex cases requiring zygomatic and standard implants.
  • The digital workflow enhances efficiency and patient outcomes in implant dentistry.