Journal of Prosthetic Dentistry
Clinical Report| Volume 114, ISSUE 3, P315-322, September 2015

Maxillary and mandibular immediately loaded implant-supported interim complete fixed dental prostheses on immediately placed dental implants with a digital approach: A clinical report


      This clinical report describes the treatment of maxillary and mandibular immediate implant placement and immediately loaded implant-supported interim complete fixed dental prostheses with a contemporary digital approach. The virtual diagnostic tooth arrangement eliminated the need for a customized radiographic template, and the diagnostic data collection required for computer-guided surgery (digital diagnostic impressions, digital photographs, and a cone beam-computed tomography [CBCT] scan) was completed in a single visit with improved workflow efficiency. Computer-aided design and computer-aided manufacturing (CAD/CAM)-fabricated surgical templates and interim prosthesis templates were made in a dental laboratory to facilitate computer-guided surgery and the immediate loading process.
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        • Gallucci G.O.
        • Benic G.I.
        • Eckert S.E.
        • Papaspyridakos P.
        • Schimmel M.
        • Schrott A.
        • et al.
        Consensus statements and clinical recommendations for implant loading protocols.
        Int J Oral Maxillofac Implants. 2014; 29 Suppl: 287-290
        • Paniz G.
        • Chierico A.
        • Tomasi P.
        • Cuel S.
        A technique for immediate occlusal implant loading of a completely edentulous mandible: a clinical report.
        J Prosthet Dent. 2012; 107: 221-226
        • Papaspyridakos P.
        • Chen C.J.
        • Chuang S.K.
        • Weber H.P.
        Implant loading protocols for edentulous patients with fixed prostheses: a systematic review and meta-analysis.
        Int J Oral Maxillofac Implants. 2014; 29 Suppl: 256-270
        • Gallucci G.O.
        • Bernard J.P.
        • Bertosa M.
        • Belser U.C.
        Immediate loading with fixed screw-retained provisional restorations in edentulous jaws: the pickup technique.
        Int J Oral Maxillofac Implants. 2004; 19: 524-533
        • Gallucci G.O.
        • Bernard J.P.
        • Belser U.C.
        Treatment of completely edentulous patients with fixed implant-supported restorations: three consecutive cases of simultaneous immediate loading in both maxilla and mandible.
        Int J Periodontics Restorative Dent. 2005; 25: 27-37
        • Balshi T.J.
        • Wolfinger G.J.
        Conversion prosthesis: a transitional fixed implant-supported prosthesis for an edentulous arch—a technical note.
        Int J Oral Maxillofac Implants. 1996; 11: 106-111
        • Yamada K.
        • Hoshina H.
        • Arashiyama T.
        • Arasawa M.
        • Arai Y.
        • Uoshima K.
        • et al.
        Immediate implant loading following computer-guided surgery.
        J Prosthodont Res. 2011; 55: 262-265
        • van Steenberghe D.
        • Glauser R.
        • Blombäck U.
        • Andersson M.
        • Schutyser F.
        • Pettersson A.
        • et al.
        A computed tomographic scan-derived customized surgical template and fixed prosthesis for flapless surgery and immediate loading of implants in fully edentulous maxillae: a prospective multicenter study.
        Clin Implant Dent Relat Res. 2005; : S111-S120
        • Bedrossian E.
        Laboratory and prosthetic considerations in computer-guided surgery and immediate loading.
        J Oral Maxillofac Surg. 2007; 65: 47-52
        • Lopes A.
        • Maló P.
        • de Araújo Nobre M.
        • Sanchez-Fernández E.
        The NobelGuide All-on-4 treatment concept for rehabilitation of edentulous jaws: a prospective report on medium- and long-term outcomes.
        Clin Implant Dent Relat Res. 5 September. 2014; ( [Epub ahead of print.])
        • Jensen O.T.
        Complete arch site classification for All-on-4 immediate function.
        J Prosthet Dent. 2014; 112: 741-751
        • Patzelt S.B.
        • Bahat O.
        • Reynolds M.A.
        • Strub J.R.
        The All-on-4 treatment concept: a systematic review.
        Clin Implant Dent Relat Res. 2014; 16: 836-855
        • Oyama K.
        • Kan J.Y.
        • Kleinman A.S.
        • Runcharassaeng K.
        • Lozada J.L.
        • Goodacre C.J.
        Misfit of implant fixed complete denture following computer-guided surgery.
        Int J Oral Maxillofac Implants. 2009; 24: 124-130
        • Komiyama A.
        • Klinge B.
        • Hultin M.
        Treatment outcome of immediately loaded implants installed in edentulous jaws following computer-assisted virtual treatment planning and flapless surgery.
        Clin Oral Implants Res. 2008; 19: 677-685
        • Schneider D.
        • Marquardt P.
        • Zwahlen M.
        • Jung R.E.
        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
        • Chrcanovic B.R.
        • Albrektsson T.
        • Wennerberg A.
        Dental implants inserted in fresh extraction sockets versus healed sites: A systematic review and meta-analysis.
        J Dent. 2015; 43: 16-41
        • Pieri F.
        • Aldini N.N.
        • Fini M.
        • Corinaldesi G.
        Immediate occlusal loading of immediately placed implants supporting fixed restorations in completely edentulous arches: a 1-year prospective pilot study.
        J Periodontol. 2009; 80: 411-421
        • Mozzati M.
        • Arata V.
        • Gallesio G.
        • Mussano F.
        • Carossa S.
        Immediate postextraction implant placement with immediate loading for maxillary full-arch rehabilitation: a two-year retrospective analysis.
        J Am Dent Assoc. 2012; 143: 124-133
        • Covani U.
        • Orlando B.
        • D’Ambrosio A.
        • Sabattini V.B.
        • Barone A.
        Immediate rehabilitation of completely edentulous jaws with fixed prostheses supported by implants placed into fresh extraction sockets and in healed sites: a 4-year clinical evaluation.
        Implant Dent. 2012; 21: 272-279
        • Mozzati M.
        • Arata V.
        • Gallesio G.
        • Mussano F.
        • Carossa S.
        Immediate postextractive dental implant placement with immediate loading on four implants for mandibular-full-arch rehabilitation: a retrospective analysis.
        Clin Implant Dent Relat Res. 2013; 15: 332-340
        • Peñarrocha-Oltra D.
        • Covani U.
        • Aparicio A.
        • Ata-Ali J.
        • Peñarrocha-Diago M.
        • Peñarrocha-Diago M.
        Immediate versus conventional loading for the maxilla with implants placed into fresh and healed extraction sites to support a full-arch fixed prosthesis: nonrandomized controlled clinical study.
        Int J Oral Maxillofac Implants. 2013; 28: 1116-1124
        • Polizzi G.
        • Cantoni T.
        Five-year follow-up of immediate fixed restorations of maxillary implants inserted in both fresh extraction and healed sites using the NobelGuide system.
        Clin Implant Dent Relat Res June. 2015; 17: 221-233
        • Meloni S.M.
        • De Riu G.
        • Pisano M.
        • Dell'aversana Orabona G.
        • Piombino P.
        • Salzano G.
        • et al.
        Computer-assisted implant surgery and immediate loading in edentulous ridges with dental fresh extraction sockets. Two year results of a prospective case series study.
        Eur Rev Med Pharmacol Sci. 2013; 17: 2968-2973
        • Bornstein M.M.
        • Al Nawas B.
        • Kuchler U.
        • Tahmaseb A.
        Consensus statements and recommended clinical procedures regarding contemporary surgical and radiographic techniques in implant dentistry.
        Int J Oral Maxillofac Implants. 2014; 29: 78-83
        • Tahmaseb A.
        • Wismeijer D.
        • Coucke W.
        • Derksen W.
        Computer technology applications in surgical implant dentistry: a systematic review.
        Int J Oral Maxillofac Implants. 2014; 29 Suppl: 25-42
        • Ting-Shu S.
        • Jian S.
        Intraoral digital impression technique: a review.
        J Prosthodont. 2014 Sep 14; ([Epub ahead of print.])
        • Mora M.A.
        • Chenin D.L.
        • Arce R.M.
        Software tools and surgical guides in dental-implant-guided surgery.
        Dent Clin North Am. 2014; 58: 597-626
        • Scherer M.D.
        Presurgical implant-site assessment and restoratively driven digital planning.
        Dent Clin North Am. 2014; 58: 561-595
        • Patel N.
        Integrating three-dimensional digital technologies for comprehensive implant dentistry.
        J Am Dent Assoc. 2010; 141: 20S-24S
        • Stapleton B.M.
        • Lin W.S.
        • Ntounis A.
        • Harris B.T.
        • Morton D.
        Application of digital diagnostic impression, virtual planning, and computer-guided implant surgery for a CAD/CAM-fabricated, implant-supported fixed dental prosthesis: a clinical report.
        J Prosthet Dent. 2014; 112: 402-408
        • Sadowsky S.J.
        • Hansen P.W.
        Evidence-based criteria for differential treatment planning of implant restorations for the mandibular edentulous patient.
        J Prosthodont. 2014; 23: 104-111
        • Sadowsky S.J.
        • Fitzpatrick B.
        • Curtis D.A.
        Evidence-based criteria for differential treatment planning of implant restorations for the maxillary edentulous Patient.
        J Prosthodont. 2014 Oct 13; ([Epub ahead of print])