J Korean Acad Prosthodont.  2021 Oct;59(4):497-507. 10.4047/jkap.2021.59.4.497.

All-on-6 implant fixed prosthesis restoration with fulldigital system on edentulous patient: A case report

• Lee S
• Jeong SM
• Chung CH
• Fang Y
• Choi BH

• KMID: 2521844
• DOI: http://doi.org/10.4047/jkap.2021.59.4.497

Abstract

All-on-six concept can be used as one of the treatment options to maximize the use of available residual alveolar bone for implant-supported fixed prosthesis on edentulous patients. But this process is complex and cumbersome. Digital system can be used at multiple steps, from implantation to prosthetic restoration, to overcome this shortcoming. In this case of a maxillary edentulous patient aged 76, digital system was used for restoration of 1-piece design, screw retained fixed prosthesis from diagnosis, implant surgery to fabrication of provisional and final prosthesis. For preoperative diagnosis and treatment planning stage, intra-oral information of a patient was digitalized by direct intra-oral scan. Surgical guide and immediate provisional prosthesis was designed based on this digitalized data. Patient’s inconvenience was minimized by applying immediate provisional prosthesis, which was delicately fabricated according to the location data of six implants on most suitable residual alveolar bone. Then, final prosthesis was designed and fabricated going through new interim prosthesis which was newly designed and fabricated, considering patient’s requests, stable vertical dimension and occlusion, and esthetic factors using digital system. We hereby report a case successfully applying digital system to multiple steps including implant surgery to fabricating prosthesis, to simplify existing complicated implant treatment procedure to an edentulous patient.

Keyword

3D printer; All-on-6 implant; Digital dentistry; Edentulous; Immediate provisional prosthesis