A 10-Step Digital Workflow for Immediate Implant Placement and Loading in Terminal Dentition Patients.

Area of Science:

• Dentistry
• Prosthodontics
• Implantology

Background:

• Rehabilitation of terminal dentition presents challenges in achieving predictable functional and esthetic outcomes.
• Immediate implant placement and loading offer potential benefits but require meticulous planning.

Purpose of the Study:

• To present a systematic 10-step digital workflow for prosthetic design and rehabilitation of terminal dentition patients.
• To detail a singular design approach for full-arch implant-supported prostheses with immediate implant placement and loading.

Main Methods:

• Acquisition and registration of digital data to create a virtual patient model.
• Conversion of 2D smile design to 3D, integrating cone-beam computed tomography and intraoral scan data.
• Planning implants, selecting components, designing provisional prosthesis, and creating a stackable guide system.

Main Results:

• A systematic digital workflow for singular full-arch prosthesis design was established.
• The workflow integrates technological advancements and a remodeling prediction algorithm.
• Immediate implant placement and loading were guided by prosthetic design and implant planning.

Conclusions:

• The 10-step digital workflow provides a systematic framework for full-arch implant-supported prostheses in terminal dentition.
• The approach facilitates predictable soft tissue healing and satisfactory functional and esthetic results.
• Implementation ensures a comprehensive treatment plan based on digital data analysis and established principles.