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Updated: Jun 3, 2025

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
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Stackable Guides: Digital Workflows for Full Arch Dental Implant Rehabilitation.

Justin Odette1, Marilyn Andersen1, Daniel Hammer2

  • 1Naval Hospital Camp Pendleton, Oceanside, CA, USA.

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|January 8, 2025
PubMed
Summary

Computer-guided full-arch dental rehabilitation utilizes 3D-printed guides and planning software. Careful patient selection, imaging, and guide type are crucial for successful outcomes and mitigating complications.

Keywords:
3-dimensional-printed guidesComputer-guided surgeryDental prosthesesFull-arch dental rehabilitationImplant planningPre-surgical planningStackable guidesSurgical guides

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Area of Science:

  • Dentistry
  • Digital Workflow
  • Surgical Planning

Background:

  • Computer-guided full-arch dental rehabilitation is technique-sensitive.
  • Advancements in 3D-printed guides and open-source software enhance predictability.

Purpose of the Study:

  • To outline the critical elements of computer-guided full-arch dental rehabilitation.
  • To discuss the role of surgical guides and digital workflows in optimizing outcomes.

Main Methods:

  • Pre-surgical planning: patient selection, health history, cone beam computed tomography (CBCT) imaging.
  • Surgical guide selection: freehand, static, dynamic, stackable, and interchangeable guides based on complexity.
  • Post-operative care: occlusion verification and patient instructions.

Main Results:

  • Stackable surgical guides improve workflow efficiency.
  • Thorough pre-surgical planning is key to mitigating complications.

Conclusions:

  • Computer-guided full-arch rehabilitation requires meticulous planning and appropriate guide selection.
  • Future digital workflows may integrate artificial intelligence for enhanced implant planning and guide design.