Digital Workflow from Planning to Rehabilitation of a Dental Implant: A Clinical Case Report
DOI:
https://doi.org/10.59334/ROV.v2i43.648Keywords:
Dental implant, Bone Regeneration, Inmediate Loading, Digital WorkflowAbstract
Introduction Dental implants represent a valid option in modern dentistry, and their long-term success depends on precise planning. A digital workflow combines the analysis of 3D models and images, and cone-beam computed tomography is a prerequisite for planning. Objective To demonstrate the effectiveness of the digital workflow in treatment planning and execution to obtain predictable and high-quality results in the rehabilitation of simple cases of single tooth loss, proposing a protocol for its incorporation as standard practice for undergraduate students in the University's dental clinic. Method The treatment was performed on a 24-year-old systemically healthy patient with a fixed prosthesis in the 4-5 to 4-7 area, localized gingivitis and marginal misfit, and a Seibert class I residual ridge with the possibility of rehabilitation using a guided dental implant. The prosthesis was emoved, indicating individual abutment crowns. omography indicated the need to use connective tissue on the buccal side to improve the prosthetic profile of the ridge, for which the modified roll technique was applied. Bone densification was chosen to ensure primary stability, thus enabling immediate loading with a provisional crown on the same day as the surgery. Results The fully digital workflow facilitated the execution of the surgical procedure safely and accurately, allowing recognition of the operator's position with respect to the patient's anatomical structures at all times, thus obtaining predictable results. Conclusions Confidence in planning is essential, and the fully digital workflow is especially beneficial when the treatment is performed by undergraduate students. This translates into benefits for both the future professional and the patient.
Downloads
References
Atieh, M. A.; Tawse‐Smith, A.; Alsabeeha, N. H.; Ma, S. y Duncan, W. J. (2017). The One Abutment-One Time Protocol: A Systematic Review and Meta‐Analysis. Journal of Periodontology, 88(11), 1173-1185. https://doi.org/10.1902/jop.2017.170238
Bloomden Bioceramics Co. Ltd. (s. f.). Bloomden PEEK: la alternativa sin metales en tecnología dental. https://spanish.bloomden.com/Conocimiento/Bloomden-echa-un-vistazo-a-la-alternativa-sin-metales-en-tecnolog%C3%ADa-dental.
Bover-Ramos, F.; Viña-Almunia, J.; Cervera-Ballester, J.; Peñarrocha‐Diago, M. y García-Mira, B. (2018). Accuracy of implant placement with computer-guided surgery: A systematic review and meta-analysis comparing cadaver, clinical, and in vitro studies. International Journal of Oral & Maxillofacial Implants, 33(1), 101-115. https://doi.org/10.11607/jomi.5556
Burkhardt, F., Strietzel, F. P., Bitter, K., & Spies, B. C. (2020). Guided implant surgery for one-piece ceramic implants: a digital workflow. International journal of computerized dentistry, 23(1), 73–82.
Daly, A., McCracken, G. y Abdulmohsen, B. (2020). Differences in treatment outcomes of definitive fixed implant-supported restorations with or without an interim restoration: a systematic review. Journal of Prosthetic Dentistry, 124(6), 675-683. https://doi.org/10.1016/j.prosdent.2020.10.002
Dhir, S. (2014). Papilla preserving modified roll technique for stage 2 soft tissue augmentation. Journal of Indian Society of Periodontology, 18(4), 512. https://doi.org/10.4103/0972-124x.138744
Flügge, T.; Kramer, J.; Nelson, K.; Nahles, S. y Kernen, F. (2022). Digital Implantology—A review of virtual planning software for guided implant surgery. Part II: Prosthetic set-up and virtual implant planning. BMC Oral Health, 22(1). https://doi.org/10.1186/s12903-022-02057-w
Fu, Y.; Yin, C.; Li, S.; Li, D. y Mo, A. (2022). A full digital workflow to prefabricate an implant-supported interim restoration: case report and a novel technique. International Journal of Implant Dentistry, 8(1). https://doi.org/10.1186/s40729-022-00455-x
Gianfreda, F.; Pesce, P.; Marcano, E.; Pistilli, V.; Bollero, P. y Canullo, L. (2022). Clinical outcome of fully digital workflow for Single-Implant-Supported crowns: A retrospective clinical study. Dentistry Journal, 10(8), 139. https://doi.org/10.3390/dj10080139
Gómez, D. (2022). Paso a paso de uso de un pilar Ti-Base para una restauración individual. Mis Dominicana Implantes Dentales. https://www.misdominicana.com/pilar-ti-base-como-usarlo-en-una-restauracion-individual/
González‐Martín, O.; Lee, E.; Weisgold, A. S.; Veltri, M. y Su, H. (2020). Contour management of implant restorations for optimal emergence profiles: Guidelines for immediate and delayed provisional restorations. International Journal of Periodontics & Restorative Dentistry, 40(1), 61-70. https://doi.org/10.11607/prd.4422
Kernen, F.; Kramer, J.; Wanner, L.; Wismeijer, D.; Nelson, K. y Flügge, T. (2020). A review of virtual planning software for guided implant surgery - data import and visualization, drill guide design and manufacturing. BMC Oral Health, 20(1). https://doi.org/10.1186/s12903-020-01208-1
Kold, S. (s. f.). On1 concept: replacement of an upper left premolar using the intraoral scanning workflow. [Video]. Nobel Biocare. https://www.nobelbiocare.com/es-mx/concepto-onLiqcreate
LiqCreate. (s. f.). ¿Cuál es la diferencia entre SLA, DLP y las impresoras 3D LCD? https://www.liqcreate.com/es/art%C3%ADculos-de-apoyo/%C2%BFCu%C3%A1l-es-la-diferencia-entre-una-impresora-3d-sla-dlp-y-lcd%3F/
Liu, Z.; Liu, C.; Liu, Y.; Zeng, J.; Chu, H.; Chen, P.; Zhou, T.; Yin, W. y Rong, M. (2023). The clinical significance and application of the peri-implant phenotype in dental implant surgery: a narrative review. Annals of Translational Medicine, 11(10), 351. https://doi.org/10.21037/atm-23-1752
Michelinakis, G.; Apostolakis, D.; Kamposiora, P.; Papavasiliou, G. y Özcan, M. (2021). The Direct Digital Workflow in Fixed Implant Prosthodontics: A Narrative review. BMC Oral Health, 21(1). https://doi.org/10.1186/s12903-021-01398-2
Narayan, S. J.; Singh, P. K.; Shammas, M. y Patel, R. K. (2015). Enhancing the zone of keratinized tissue around implants. The Journal of Indian Prosthodontic Society, 15(2), 183. https://doi.org/10.4103/0972-4052.158083
Naziri, E.; Schramm, A. y Wilde, F. (2016). Accuracy of computer-assisted implant placement with insertion templates. PubMed, 5, Doc15. https://doi.org/10.3205/iprs000094
Pandolfi, A. (2018). A modified approach to horizontal augmention of soft tissue around the implant: Omega Roll envelope Flap. Description of surgical technique. PubMed, 169(4), e165-e169. https://doi.org/10.7417/t.2018.2073
Polara, G.; Pistone, F. y Spedicato, G. A. (2022). Digital immediate tooth restoration: Fabricating acrylic resin interim crowns from CBCT scans for immediate implant-supported prostheses: a case series. Journal of Prosthetic Dentistry, 127(4), 578-584. https://doi.org/10.1016/j.prosdent.2020.09.042
Sakkas, A.; Westendorf, S.; Thiele, O. C.; Schramm, A.; Wilde, F. y Pietzka, S. (2023). Prosthetically guided oral implant surgery. A retrospective cohort study evaluating the 5-year surgical outcome. PubMed, 12, Doc06. https://doi.org/10.3205/iprs000176
Sakkas, A.; Wilde, F.; Heufelder, M.; Winter, K. y Schramm, A. (2017). Autogenous bone grafts in oral implantology—is it still a gold standard? A consecutive review of 279 patients with 456 clinical procedures. International Journal of Implant Dentistry, 3(1). https://doi.org/10.1186/s40729-017-0084-4
Saquib, S. A.; Bhat, M. Y. S.; Javali, M. A.; Shamsuddin, S. V. y Kader, M. A. (2019). Modified roll technique for soft tissue augmentation in prosthetic rehabilitation: a case report. Clinics and practice, 9(1), 1110. https://doi.org/10.4081/cp.2019.1110
Shakibaie, B.; Sabri, H.; Blatz, M. B. y Barootchi, S. (2023). Comparison of the minimally‐invasive roll‐in envelope flap technique to the holding suture technique in implant surgery: a prospective case series. Journal of Esthetic and Restorative Dentistry, 35(4), 625-631. https://doi.org/10.1111/jerd.13027
Strietzel, F. P.; Neumann, K. y Hertel, M. (2014). Impact of platform switching on marginal peri‐implant bone‐level changes. A systematic review and meta‐analysis. Clinical Oral Implants Research, 26(3), 342-358. https://doi.org/10.1111/clr.12339
Tatakis, D. N.; Chien, H. y Parashis, A. O. (2019). Guided implant surgery risks and their prevention. Periodontology 2000, 81(1), 194-208. https://doi.org/10.1111/prd.12292
Themes, U. (2018). A palatal roll envelope technique for peri-implant mucosa reconstruction: A Prospective Case Series study. Pocket Dentistry, 1(1), 1-10. https://pocketdentistry.com/a-palatal-roll-envelope-technique-for-peri-implant-mucosa-reconstruction-a-prospective-case-series-study
Van Der Meeren, B. (2024). ¿Cuál es la diferencia entre SLA, DLP y las impresoras 3D LCD? LiqCreate. https://www.liqcreate.com/es/art%C3%ADculos-de-apoyo/%C2%BFCu%C3%A1l-es-la-diferencia-entre-una-impresora-3d-sla-dlp-y-lcd%3F
Yafi, F. A.; Camenisch, B. y Al‐Sabbagh, M. (2019). Is digital guided implant surgery accurate and reliable? Dental Clinics of North America, 63(3), 381-397. https://doi.org/10.1016
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2024 Kryscia Bell, Dr. José Mario Chon Him
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Odontología Vital agree to the following terms:
- Authors retain the copyright and grant Universidad Latina de Costa Rica the right of first publication, with the work simultaneously licensed under a Creative Commons Attribution 4.0 International license (CC BY 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the Odontología Vital's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
