J Korean Acad Prosthodont.  2018 Apr;56(2):126-133. 10.4047/jkap.2018.56.2.126.

Full mouth rehabilitation with Implant-Guided Surgery and Fixed prosthesis

  • 1Department of Dental Prosthodontics, Anam Hospital, Korea University, Seoul, Republic of Korea.
  • 2Department of Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University, Seoul, Republic of Korea. wddc@korea.ac.kr


The development of cone beam computerized tomography (CBCT) allows three-dimensional analysis of the patient's anatomy. The surgical guide is a combination of CBCT, computer-aided design/computer-aided manufacturing (CAD/CAM) and implant diagnostics software, which allows well planned prostheses design and ideal implant placement. Guided surgery minimizes possible anatomical damage and allows for more reproducible treatment planning. In this case, the operation time was shortened by using a surgical guide for multiple implants placement in a fully edentulous patient. Immediate loading were performed more easily using preliminary preparation of provisional prosthesis. The patient was satisfied with improved esthetics and chewing function.


Surgical stent; Guided surgery; Immediate loading; Implant supported fixed denture; Computer-aided design/computer-aided manufacturing (CAD/CAM)

MeSH Terms

Cone-Beam Computed Tomography
Mouth Rehabilitation*
Prostheses and Implants*


  • Fig. 1 Preoperative view (A) upper, (B) lower intraoral photo, (C) panoramic view.

  • Fig. 2 Fabrication of surgical stent. (A) Treatment planning of upper jaw, (B) Upper surgical stent, (C) Treatment planning of lower jaw, (D) Lower surgical stent.

  • Fig. 3 Implant placement. (A) Sitting of upper stent, (B) Upper jaw after initial drilling, (C) Upper jaw after surgery, (D) Sitting of lower stent, (E) Lower jaw after initial drilling, (F) Lower jaw after surgery.

  • Fig. 4 Delivery of provisional restoration. (A) Connection of ready-made abutment on upper jaw, (B) Upper jaw occlusal view after delivery of provisional restoration, (C) Panoramic view, (D) Connection of ready-made abutment on lower jaw, (E) Lower jaw occlusal view after delivery of provisional restoration, (F) Follow up check after 2 month.

  • Fig. 5 Fabrication of second provisional prosthesis. (A) Master cast of upper jaw, (B) Master cast of lower jaw, (C) Jaw relation, (D) Face-bow trasfer, (E) Design of prosthesis, (F) Provisional restoration.

  • Fig. 6 Delivery of final prosthesis. (A) Upper jaw occlusal view after abutment connection, (B) Frontal view after connection of abutment, (C) Lower jaw occlusal view after abutment connection, (D) Upper jaw occlusal view after delivery of final prosthesis, (E) Frontal view after delivery of final prosthesis, (F) Lower jaw occlusal view after delivery of final prosthesis.

  • Fig. 7 Analysis of smile line.


1. Misch CE. Contemporary implant dentistry. 3rd ed. St. Louis: Mosby;2008. p. 17–21. p. 814–818.
2. BouSerhal C, Jacobs R, Quirynen M, van Steenberghe D. Imaging technique selection for the preoperative planning of oral implants: a review of the literature. Clin Implant Dent Relat Res. 2002; 4:156–172.
3. Widmann G, Bale RJ. Accuracy in computer-aided implant surgery-a review. Int J Oral Maxillofac Implants. 2006; 21:305–313.
4. Abboud M, Wahl G, Guirado JL, Orentlicher G. Application and success of two stereolithographic surgical guide systems for implant placement with immediate loading. Int J Oral Maxillofac Implants. 2012; 27:634–643.
5. Hultin M, Svensson KG, Trulsson M. Clinical advantages of computer-guided implant placement: a systematic review. Clin Oral Implants Res. 2012; 23:124–135.
6. Raico Gallardo YN, da Silva-Olivio IRT, Mukai E, Morimoto S, Sesma N, Cordaro L. Accuracy comparison of guided surgery for dental implants according to the tissue of support: a systematic review and meta-analysis. Clin Oral Implants Res. 2017; 28:602–612.
7. Arisan V, Karabuda CZ, Ozdemir T. Implant surgery using bone- and mucosa-supported stereolithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques. Clin Oral Implants Res. 2010; 21:980–988.
8. Yong LT, Moy PK. Complications of computer-aided-design/computer-aided-machining-guided (NobelGuide) surgical implant placement: an evaluation of early clinical results. Clin Implant Dent Relat Res. 2008; 10:123–127.
9. Di Giacomo GA, da Silva JV, da Silva AM, Paschoal GH, Cury PR, Szarf G. Accuracy and complications of computer-designed selective laser sintering surgical guides for flapless dental implant placement and immediate definitive prosthesis installation. J Periodontol. 2012; 83:410–419.
10. Schneider D, Marquardt P, Zwahlen M, Jung RE. A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry. Clin Oral Implants Res. 2009; 20:73–86.
11. D'haese J, Van De Velde T, Komiyama A, Hultin M, De Bruyn H. Accuracy and complications using computer-designed stereolithographic surgical guides for oral rehabilitation by means of dental implants: a review of the literature. Clin Implant Dent Relat Res. 2012; 14:321–335.
12. Misir AF, Sumer M, Yenisey M, Ergioglu E. Effect of surgical drill guide on heat generated from implant drilling. J Oral Maxillofac Surg. 2009; 67:2663–2668.
13. Aparicio C, Rangert B, Sennerby L. Immediate/early loading of dental implants: a report from the Sociedad Española de Implantes World Congress consensus meeting in Barcelona, Spain, 2002. Clin Implant Dent Relat Res. 2003; 5:57–60.
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