Computer-Guided Osteotomy with Simultaneous Implant Placement and Immediately Loaded Full-Arch Fixed Restoration: A Case Report

Aim: This case report aims to illustrate a clinical protocol that allows for the rehabilitation of patients requiring extensive osteotomy, simultaneous implant placement, and full-arch, screwed-in prosthetics in one session. improvement aesthetics functionality fixed implant-supported prosthesis through preoperative planning all surgical procedures, including application 3D-printing technology creation templates prostheses. Methods: concerns 72-year-old patient, ASA1, who, following diagnosis, establishment treatment plan, provision informed consent, opted an immediate, full-arch lower arch. The digital stage started with correct positioning fixtures. proper bone levels were found used guide provisional prothesis. Two same supports (landmarks/pins) then 3D-printed: template, slit assist surgeon during surgery template implants’ positioning. A encased resin C&B MFH (NEXTDENT®, Soesterberg, Netherlands) was delivered. Minimal occlusal adjustments performed. Results: In single session, careful pre-operative 3D printing prosthesis, temporary prosthetic possible required extended osteotomy. Clinically, correspondence between virtual design phase final realization consistent. At functional level, minimal DVO values obtained immediate post-operative period be comparable those design. By position implants advance, it deliver prothesis emergence, vertical dimensions, relationship. Conclusion: fully clinician preview plan osteotomy as well delivery temporary, immediately loaded, complete, who are candidates post-extraction need severe