The First Biological Respect Protocol: A Biodigital Technique for Definitive Customized One-Time Abutments-A Case...

Area of Science:

• Dental Implantology
• Prosthodontics
• Biomaterials Engineering

Background:

• Conventional dental implant procedures involve multiple abutment disconnections, leading to peri-implant connective tissue displacement and marginal bone loss.
• Existing definitive customized abutments lack specific design tailored to individual tooth morphology and arch position, hindering digital planning and single-stage procedures.
• A novel approach is needed to integrate digital planning of implants and patient-specific abutments for improved surgical and prosthetic outcomes.

Observation:

• The First Biological Respect (FR) technique enables comprehensive digital planning of implants and patented, customized abutments and prosthetic components.
• This technique was applied in a case report involving an immediate post-extraction implant in position 12.
• The FR protocol facilitated a single-stage surgical and prosthetic approach without the need for repeated abutment disconnections.

Findings:

• Stable crestal bone levels were observed at the 1-year follow-up.
• Soft tissue volume was maintained at 6 months and increased by 1 year, indicating successful support and protection of peri-implant tissues.
• The customized prosthetic components accurately guided and protected the peri-implant soft tissues throughout the healing process.

Implications:

• The FR technique provides a viable alternative for dental implant treatment, enhancing long-term hard and soft tissue stability.
• This digital planning and single-stage approach significantly reduces overall treatment time for both clinicians and patients.
• Further clinical studies with larger cohorts are warranted to validate the efficacy of the FR protocol.