Digital Workflow of Patient with Edentulous Jaw Considering Patient Centered Solutions: A Case Report

Digital procedure in dentistry has outstriped traditional methods. Digital technology above all is today used for procedures in field of implantology. By using them clinicians and technicians have easier way to choose the right solution for the patient. Full-arch implant restoration are still a big challenge in implant dentistry, but digitally produced frameworks showed higher accuracy, precision and a fewer production failures.
Materials and methods: 55 year old women patient, came in our office with inserted four dental implants in maxilla in region 12 to 25, with remain tooth number 13 and edentulous maxilla in the right posterior region. Patient has provisional dental prosthesis. With intraoral scanning of existing denture which was treated on the specific way for scanning procedure we made a prescan of the upper jaw. With the scan of lower jaw and bite we registered maxillarymandibular relationship. Then we take the scan of the position of inserted dental implants and combining the digital softwer with CBCT we defined the position of future implants which are inserted with surgical guide in edentolous part of the maxilla. Tooth number 13 was extracted. Based on digital planning we decide what is the best prosthetic solution for our patient. We choose between: all-ceramic fixed implant reconstruction, titanium bar supported dental prostheses and implant-supported complete fixed dental prostheses. Our decision was based on the implants position, inter-arch restorative space, the white and pink esthetics.
Results and conclusion: New technological progress in computer based dental-fabrication processes can give new opportunities in clinical practice. Digitalisation in planinig, surgical procedures and manufacturing provide advanced possibilities of functional rehabilitation and change patients attitude and satisfaction, which is at the end the final goal of each dentist.