The evaluation of immediate full-process digital implant restoration in edentulous arches using a combination of three-dimensional scanning and CBCT registration technology

doi:10.12337/zgkqzzxzz.2023.08.005

Abstract

Abstract: The ultimate goal of digital treatment in full-arch implant restoration is to "start with the end in mind". The challenge lies in utilizing full-process digital technology to acquire the three-dimensional position of dental implants and to replicate the predetermined occlusal relationship. This article presents a case report on the application of 3D scanning combined with CBCT registration technology for immediate full-arch implant restoration, achieving a truly digital workflow. It provides patients with accurate, comfortable, and efficient implant restoration treatment, leading to favorable clinical outcomes.

Key words: Edentulism, Implant restoration, Digitization, Photogrammetry, Registration, Cone beam computed tomography

Ma Bowen, Lin Xiao, Geng Wei. The evaluation of immediate full-process digital implant restoration in edentulous arches using a combination of three-dimensional scanning and CBCT registration technology[J]. Chinese Journal of Oral Implantology, 2023, 28(4): 233-238.

References

[1] Peñarrocha-Diago M, Balaguer-Martí JC, Peñarrocha-Oltra D, et al.A combined digital and stereophotogrammetric technique for rehabilitation with immediate loading of complete-arch, implant-supported prostheses: a randomized controlled pilot clinical trial[J]. J Prosthet Dent, 2017,118(5):596-603. DOI: 10.1016/j.prosdent.2016.12.015.
[2] Andriessen FS, Rijkens DR, van der Meer WJ, et al. Applicability and accuracy of an intraoral scanner for scanning multiple implants in edentulous mandibles: a pilot study[J]. J Prosthet Dent, 2014,111(3):186-194. DOI: 10.1016/j.prosdent.2013.07.010.
[3] Marghalani A, Weber HP, Finkelman M, et al.Digital versus conventional implant impressions for partially edentulous arches: an evaluation of accuracy[J]. J Prosthet Dent, 2018,119(4):574-579. DOI: 10.1016/j.prosdent.2017.07.002.
[4] Manicone PF, De Angelis P, Rella E, et al.Patient preference and clinical working time between digital scanning and conventional impression making for implant-supported prostheses: a systematic review and meta-analysis[J]. J Prosthet Dent, 2022,128(4):589-596. DOI: 10.1016/j.prosdent.2020.11.042.
[5] Wismeijer D, Joda T, Flügge T, et al.Group 5 ITI consensus report: digital technologies[J]. Clin Oral Implants Res, 2018,29(Suppl 16):436-442. DOI: 10.1111/clr.13309.
[6] Kim KR, Seo KY, Kim S.Conventional open-tray impression versus intraoral digital scan for implant-level complete-arch impression[J]. J Prosthet Dent, 2019,122(6):543-549. DOI: 10.1016/j.prosdent.2018.10.018.
[7] Huang R, Liu Y, Huang B, et al.Improved scanning accuracy with newly designed scan bodies: an in vitro study comparing digital versus conventional impression techniques for complete-arch implant rehabilitation[J]. Clin Oral Implants Res, 2020,31(7):625-633. DOI: 10.1111/clr.13598.
[8] Peñarrocha-Oltra D, Agustín-Panadero R, Pradíes G, et al.Maxillary full-arch immediately loaded implant-supported fixed prosthesis designed and produced by photogrammetry and digital printing: a clinical report[J]. J Prosthodont, 2017,26(1):75-81. DOI: 10.1111/jopr.12364.
[9] Ma B, Yue X, Sun Y, et al.Accuracy of photogrammetry, intraoral scanning, and conventional impression techniques for complete-arch implant rehabilitation: an in vitro comparative study[J]. BMC Oral Health, 2021,21(1):636. DOI: 10.1186/s12903-021-02005-0.
[10] Yan Y, Lin X, Yue X, et al. Accuracy of 2 direct digital scanning techniques-intraoral scanning and stereophotogrammetry-for complete arch implant-supported fixed prostheses: a prospective study[J]. J Prosthet Dent, 2022 June3: 0022-3913(22)00216-5. DOI: 10.1016/j.prosdent.2022.03.033.
[11] 彭玲燕, 汪霞, 皮雪敏, 等. 全牙列种植即刻临时修复方案选择[J].中国口腔种植学杂志,2022,27(3):173-180. DOI: 10.12337/zgkqzzxzz.2022.06.009.
[12] Agliardi EL, Pozzi A, Stappert CF, et al.Immediate fixed rehabilitation of the edentulous maxilla: a prospective clinical and radiological study after 3 years of loading[J]. Clin Implant Dent Relat Res, 2014,16(2):292-302. DOI: 10.1111/j.1708-8208.2012.00482.x.
[13] Harris BT, Montero D, Grant GT, et al.Creation of a 3-dimensional virtual dental patient for computer-guided surgery and CAD-CAM interim complete removable and fixed dental prostheses: a clinical report[J]. J Prosthet Dent, 2017,117(2):197-204. DOI: 10.1016/j.prosdent.2016.06.012.
[14] 彭玲燕, 刘倩, 李如华, 等. 全牙列即刻种植即刻修复数字化序列组合导板的设计、制作与临床应用[J].中国口腔种植学杂志, 2021,26(3):185-191. DOI: 10.12337/zgkqzzxzz.2021.06.008.
[15] Yan Y, Yue X, Lin X, et al.A completely digital workflow aided by cone beam computed tomography scanning to maintain jaw relationships for implant-supported fixed complete dentures: a clinical study[J]. J Prosthet Dent, 2023,129(1):116-124. DOI: 10.1016/j.prosdent.2022.08.030.