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Articles linked to this work by shared authors, journal, and citation graph.

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Wear resistance of 3D-printed and milled denture teeth materials for complete-arch implant-supported prostheses: An in vitro study.

Journal of prosthodontics : official journal of the American College of Prosthodontists·2026
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Bone quality assessment around dental implants in cone-beam CT images: effect of rotation mode and metal artefact reduction tool.

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Updated: Jun 24, 2025

3D Planning and Printing of Patient Specific Implants for Reconstruction of Bony Defects
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3D virtual patient-Magnetically retained printed stackable system for implant guided placement: Case report.

Camila Sales Jreige1, Rafael Gama2, Hian Parize1

  • 1Department of Prosthodontics, University of São Paulo School of Dentistry, São Paulo, Brazil.

Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [Et Al.]
|June 12, 2024
PubMed
Summary

This study introduces a 3D virtual patient workflow using 3D-printed stackable guides for dental implant surgery. This method enhances accuracy, reduces complications, and improves patient outcomes.

Keywords:
3D printingdental implantsdigital workflowguided surgerystackable guidesvirtual patient

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Area of Science:

  • Dental Implantology
  • Digital Dentistry
  • Surgical Planning

Background:

  • Traditional implant placement relies heavily on surgeon expertise, with limitations in bidimensional diagnosis.
  • Freehand implant placement can lead to variable outcomes and potential complications.
  • Facially driven virtual planning offers improved predictability and esthetic harmony.

Purpose of the Study:

  • To present a complete workflow for 3D virtual patient planning.
  • To demonstrate the use of magnetically retained, 3D-printed stackable guides for implant surgery.
  • To evaluate the accuracy and clinical outcomes of this digital workflow.

Main Methods:

  • A 3D virtual patient was created by merging cone beam computed tomography, intraoral scans, and photographs.
  • Magnetically retained, 3D-printed stackable surgical guides were designed and fabricated.
  • The workflow included guides for pin fixation, bone reduction, implant placement, and provisionalization.
  • Final implant positions were compared to planned values.

Main Results:

  • The mean angular deviation was 5.4°, and mean 3D discrepancies were 0.90 mm at the entry point and 1.68 mm at the apex.
  • Final implant positions were within clinically acceptable ranges.
  • The case follow-up showed stability, patient comfort, and no complications.

Conclusions:

  • Magnetically retained stackable guides improve treatment accuracy and reduce surgical/prosthetic complications.
  • The 3D virtual patient workflow enhances decision-making, communication, and reduces time/costs.
  • This reproducible digital workflow optimizes dental care, promoting function, esthetics, and patient satisfaction.