Page 64 - DP Vol 22 No 1

IMPLANTOLOGY

Fig 6: Patient for given PMMA prosthesis for temporization Fig 7a

Fig 7b Fig 8: Absolute passive fit achieved in try-in
Figs 7a-b: Metal framework, Multiunit level digital impression

recalls scheduled at 1 week, and subsequently at 3, 6, 12, and 24 accuracy, reducing surgical trauma and thereby enhancing patient
months following prosthesis insertion. comfort. Digital planning and intraoral scanning with Primescan
Thereafter, the patient was reviewed every 6 months for routine facilitated accurate implant positioning, passive prosthetic fit, and
maintenance and ongoing evaluation. elimination of conventional analogue steps. The immediate loading
protocol, supported by excellent primary stability and high ISQ values,
SUMMARY: enabled screw-retained provisionalization on Day 1 and delivery of the
1. Case selection, treatment planning, and obtaining patient consent. definitive prosthesis by Day 3. Such a workflow not only minimizes
2. Digital mock-up, scanning, virtual extraction, and making milled chairside time and postoperative complications but also improves
PMMA as backup prosthesis. patient satisfaction and streamlines clinical efficiency. The resultant
3. Simultaneous extraction of remaining teeth and placement of success of this case highlights the importance of integrated digital
implants. technologies and multidisciplinary coordination in modern implant
4. Insertion of immediate temporization using milled PMMA. dentistry.
5. Submission of all initial and final digital scans to the laboratory. Precise planning, interdisciplinary coordination, and ongoing care
6. Patient recall the next day for jig trial and also metal framework are critical to the successful rehabilitation of patients who are partially
try-in. edentulous with dental implants . Predictable and patient-centered
[5]
7. Delivery of the final prosthesis using a complete digital workflow results were achieved by the utilization of a digitally integrated
by Day 3. workflow made possible by CBCT imaging, intraoral scanning, and
8. Implementation of follow-up schedule and long-term maintenance CAD/CAM technology.
protocol. Implant prosthodontics has changed dramatically with the
development of intraoral scanners and digital planning tools [6].
DISCUSSION Intraoral scanning improved the precision and effectiveness of
This case demonstrates how a fully digital, minimally invasive approach impression techniques, while Exocad-based digital mock-ups made it
can attain precise, efficient, and predictable full-arch rehabilitation in possible to pre-visualize aesthetic results. A fully digital workflow was
a significantly shortened time frame. The use of real-time navigation used in a fully edentulous patient to achieve highly accurate full-arch
with Navident EVO allowed for flapless implant placement with high implant rehabilitation in three patients, as reported by Papaspyridakos

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