STACKABLE GUIDES FOR FULL ARCH REHABILITATION IN A DIGITAL WORKFLOW: CLINICAL CASE REPORT
DOI:
https://doi.org/10.47820/recima21.v4i4.2997Keywords:
digital dentistry, digital workflow, guided implant surgeryAbstract
The objective of this article is to describe a digital flow developed to test the use of software from the company Nemotec (Madrid, Spain) for the rehabilitation of a case of total maxillary and partial mandibular edentulism with a high degree of complexity, resulting in implant-supported prostheses milled in PMMA, installed at immediate load. The planning, guided installation of the implants and transsurgical adaptation of the prosthesis prototype were tested, using stackable guides. The previous prosthetic preparation consisted of the manufacture of a device made of dense silicone, based on condensation, which established the correct lip recomposition, the relationship of tooth length with the upper lip at rest and in the smile, the vertical dimension of occlusion and the recording of the position of the centric occlusion relationship. The previous design of the prostheses was used to check the design and thus the final CAD was obtained, allowing the milling of the temporary prostheses in polymethylmethacrylate, with immediate loading protocol. The analysis of the obtained result allowed us to observe that the technique is predictable, since the use of stackable guides facilitated the stages of treatment, considerably reducing the surgical time and also the time for installation of the prostheses. Based on the clinical case performed, it is possible to conclude that the digital workflow was effective for the double rehabilitation of the patient's total arches.
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