Page 60 - DP Vol 22 No 1

IMPLANTOLOGY

DIGITALLY GUIDED, MINIMALLY INVASIVE

FULL-ARCH REHABILITATION IN THREE

DAYS: A CASE REPORT

Gaurav Gupta, D. K. Gupta, Neelja Gupta

INTRODUCTION
The evolution of digital technology has transformed the landscape
of implant dentistry, enabling clinicians to perform highly precise,
minimally invasive procedures with enhanced efficiency and
predictability. Traditional full-arch rehabilitation often involves
multiple visits, surgical flaps, and analogue workflows that can increase
patient discomfort and risk of complications.
In contrast, digital tools such as CBCT, intraoral scanners, real-
time surgical navigation, and CAD/CAM manufacturing have made
it possible to complete complex treatments in significantly reduced
timeframes.
Regarding the use of digital tools, implant dentistry has advanced
significantly. With 94.5% to 100% cumulative implant survival rates, Fig 1a
digital techniques like guided surgery and lately navigated surgery
provide a potential major improvement in procedural predictability
and patient safety, enabling positive treatment results in short- and
mid-term follow-ups. [1,2]
The use of fully digital workflows, including computer-guided
implant insertion, digital impressions using intraoral scanners, CAD-
CAM prostheses, and three-dimensional imaging, is a development in
implant dentistry. [3]
The use of ZimVie TSX implants with multi-unit abutments
facilitated efficient chairside provisionalization, while digital
verification of fit and occlusion reduced the potential for prosthetic
misfit. Fully digital fabrication workflows eliminate the inaccuracies
inherent to impression materials, casting, and model duplication
steps, thereby enhancing the passive fit and long-term success. [4] Figs 1a-b: Failed upper dentition.
Digital tools are essential for diagnosis, implant planning,
visualizing mock-ups, and fabricating the finished prosthesis. This
case illustrates how modern implant dentistry can handle complex
full-arch rehabilitations and restore function and aesthetics in patients
by combining the latest advances with a stepwise treatment approach.
This case report highlights a fully digital, flapless, three-day full-arch
rehabilitation protocol using Navident EVO for real-time navigated
implant placement, Primescan for digital impressions and jaw
relation, and a screw-retained definitive prosthesis delivered on Day
3, demonstrating the clinical benefits of a no-analogue, fully digital
workflow.

CASE PRESENTATION
A 67-year-old male patient came to the clinic with a chief complaint Fig 1c: Pre-treatment radiograph
of pain in the upper arch with missing teeth and a mobile bridge.
(Figures 1a, 1b and 1c)

60 Dental Practice I January-February 2026 I Vol 22 No 1