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Full-Arch Implant Surgical and Restorative Considerations: Innovative Digital Workflow Using a Verification Jig With Teeth

Dentistry Today | January 1, 2020

If a patient presents with a failing dentition, there are several different treatment options available when a fixed-prosthetic result supported by dental implants is contemplated. This could include extraction and bone grafting, allowing the ridge to heal before implants are placed, or extractions and immediate implant placement with concurrent bone grafting to fill any voids in the remaining bony architecture. These 2 examples would usually leave the patient with a removable, complete denture during the healing phase prior to loading of the implants for either a fixed or removable restoration. A treatment alternative presented by Ganz and Tawil in Dentistry Today (September 2019) described the necessary steps to achieve restoratively driven surgical planning for full-arch implant reconstruction when implants were loaded the day of surgery with a prefabricated fixed, provisional restoration.

The immediate loading of dental implants offers many advantages over delayed treatment alternatives, including (1) the surgical phase generally being completed in one visit, (2) the ability to plan the pre-established occlusion in advance to achieve an immediate functional and aesthetic result, (3) reducing overall treatment time for the definitive restoration, and (4) a reduction in the number of patient visits. As technology continues to evolve, so do the variations in protocols that have been developed to enhance the process of delivering both preoperative and postoperative treatment. This article presents innovations that can improve the workflow in ways that are essential to improve efficiencies and achieve success with single and dual full-arch implant reconstructions.

Innovative Digital Workflow Using a Verification Jig With Teeth
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