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

• Kim SM
• Park JH
• Ryu JJ
• Shin SW
• Lee JY

• KMID: 2410116
• DOI: http://doi.org/10.4047/jkap.2018.56.2.126

Abstract

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.

Keyword

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

MeSH Terms

Cone-Beam Computed Tomography
Esthetics
Humans
Mastication
Mouth Rehabilitation*
Mouth*
Prostheses and Implants*

Figure

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

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  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.

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  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.

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  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.

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  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.

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  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.

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  Fig. 7 Analysis of smile line.

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