Full-Mouth Implant-supported Rehabilitation with a Flapless Surgical Technique: A Treatment Approach

Successful implant treatment includes osseointegration as well as prosthetically optimal positions of the implants for esthetics and function. Computer-assisted oral implant surgery offers several advantages over the traditional approach. The purpose of this report was to evaluate a complex case of a 28-year-old female patient who lost all her teeth as a result of a aggressive periodontal disease resulting in severe vertical and horizontal bone loss. The patient underwent a bilateral open sinus lift procedure and after 6 months dental implants were placed in both jaws with the help of computerized tomography (CT)-based software planning and computer-assisted manufacture of a laboratory-based acrylic surgical guide. A total of 13 dental implants were placed in both jaws using a flapless approach followed by immediate loading of the implants and implant-supported full arch fixed dentures. The CT-based software program and surgical stents contributed to the success of this case.