Dr Sobczak Dental Clinic, 04-881 Warsaw, Poland.
Implant Dentistry Department, Dental Institute Collegium Medicum, Jagiellonian University, 31-155 Cracow, Poland.
Int J Environ Res Public Health. 2022 Mar 31;19(7):4126. doi: 10.3390/ijerph19074126.
Digital prosthetic workflows may significantly increase the efficiency and predictability of the immediate rehabilitation of implant-supported fixed complete dentures. Advanced digital prosthetic workflows require exact and detailed virtual planning models. The direct generation of these models via direct digital impressions remains technique sensitive and demanding. This report illustrates an advanced digital workflow for accurate and efficient immediate full-arch restoration, with an aesthetically and anatomically adapted natural tooth-like prosthesis. The workflow application to fully edentulous arches, and arches with residual failing dentition, is presented. A key characteristic was efficiently integrating and interlinking the prosthetic and surgical workflows via denture replica surgical guides as landmarks for scan registration. This approach allowed for accurate implant placement and efficient and detailed anatomy-based chairside prosthetic planning, and for the manufacturing of the provisional and final restorations under detailed consideration of implant restoration, and the patient's macro-aesthetic and soft tissue anatomy.
数字化义齿制作流程可显著提高种植体支持的固定全口义齿即刻修复的效率和可预测性。先进的数字化义齿制作流程需要精确和详细的虚拟规划模型。通过直接数字化印模直接生成这些模型仍然具有技术敏感性和苛刻性。本报告通过具有美学和解剖学适应性的天然牙状假体，展示了一种用于精确和高效即刻全口修复的先进数字化工作流程。本工作流程应用于全口无牙颌和剩余失败天然牙的颌骨。其一个关键特点是通过义齿复制手术导板作为扫描配准的标志，高效地整合和链接修复和手术流程。这种方法允许精确地植入物放置，以及基于详细的种植体修复和患者宏观美学和软组织解剖的高效和详细的椅旁修复规划，用于制造临时和最终修复体。
