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Full-Arch Implant Rehabilitation Integrating Mandibular Movement Records Using Complete Digital Workflows: A Case
Khanh Long Nguyen1, Quang Khanh Chu2, Duc Tien Doan2
1Vietnam Cuba Friendship Hospital, Hanoi, Vietnam.
None:
Full-arch implant rehabilitation is a demanding procedure where accuracy, occlusal stability, and function remain major challenges. Digital workflows have improved many steps of treatment, but the use of mandibular movement data in prosthetic design is rarely described. This report presents the rehabilitation of a 69-year-old male with terminal dentition using a complete digital approach. Six maxillary and five mandibular implants were placed with a stackable surgical guide. CBCT, intraoral and facial scans, Exocad planning, and the PIC system were combined to ensure precise implant positioning. Mandibular kinematic records from the Zebris JMA Optic system guided occlusal adjustment in both provisional and definitive prostheses. The zirconia-based restoration provided stable function, good esthetics, and high patient satisfaction, with no complications during follow-up. This case illustrates how incorporating mandibular movement records into a digital workflow can enhance the predictability and clinical outcomes of full-arch rehabilitation.
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