Digital approach to planning computer-guided surgery and immediate provisionalization in a partially edentulous patient

Sirikarn P Arunyanak; Bryan T Harris; Gerald T Grant; Dean Morton; Wei-Shao Lin

doi:10.1016/j.prosdent.2015.11.023

Digital approach to planning computer-guided surgery and immediate provisionalization in a partially edentulous patient

J Prosthet Dent. 2016 Jul;116(1):8-14. doi: 10.1016/j.prosdent.2015.11.023. Epub 2016 Feb 9.

Authors

Sirikarn P Arunyanak¹, Bryan T Harris², Gerald T Grant³, Dean Morton⁴, Wei-Shao Lin⁵

Affiliations

¹ Lecturer, Department of Periodontology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; and Former ITI Scholar, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky.
² Associate Professor, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky.
³ Professor, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky.
⁴ Professor, Department of Prosthodontics, School of Dentistry, Indiana University, Indianapolis, In.
⁵ Associate Professor, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky. Electronic address: [email protected].

PMID: 26868961
DOI: 10.1016/j.prosdent.2015.11.023

Abstract

This report describes a digital approach for computer-guided surgery and immediate provisionalization in a partially edentulous patient. With diagnostic data obtained from cone-beam computed tomography and intraoral digital diagnostic scans, a digital pathway of virtual diagnostic waxing, a virtual prosthetically driven surgical plan, a computer-aided design and computer-aided manufacturing (CAD/CAM) surgical template, and implant-supported screw-retained interim restorations were realized with various open-architecture CAD/CAM systems. The optional CAD/CAM diagnostic casts with planned implant placement were also additively manufactured to facilitate preoperative inspection of the surgical template and customization of the CAD/CAM-fabricated interim restorations.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Computer-Aided Design*
Crowns
Dental Implantation, Endosseous / methods
Dental Prosthesis Design / methods*
Dental Prosthesis, Implant-Supported / methods
Female
Humans
Immediate Dental Implant Loading / methods
Jaw, Edentulous, Partially / surgery*
Surgery, Computer-Assisted / methods