Model-free digital workflow and immediate functional loading of implant-supported monolithic glass-ceramic crowns: A case series

Pletkus, Justinas; Rutkūnas, Vygandas; Gendvilienė, Ieva; Borusevicius, Rokas; Gedrimienė, Agnė; Auskalnis, Adomas; Kubilius, Marius; Kaktys, Jotautas

doi:10.1016/j.jdent.2022.104270

Cited by 4 publications

(5 citation statements)

References 50 publications

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“…The present study revealed favorable clinical outcomes with no implant failure, biological or technical complications during the follow-up period. These findings are in line with recent case series that have explored the possibility of delivering the definitive implant-supported restoration within 24 h. 5,31 It should be noted, however, that previous case series placed a single crown, whereas the present study delivered two adjacent nonsplinted monolithic zirconia crowns. The material (glass-ceramic 5 of polymer-infiltrated ceramic network) and the number of crowns accounts for the variations in crown delivery between our study and the aforementioned ones.…”

Section: Difficulty Of the Treatmentsupporting

confidence: 91%

“…3,4 Moreover, the integration of optical impressions with computer-aided design and manufacturing (CAD-CAM) technology allows for a fully digital workflow. 5,6 This integration results in a significant reduction of the production time and costs compared to conventional workflows, predominantly for single implants in the posterior region. 7,8 Throughout the years, many different implant placement and loading protocols have been proposed.…”

Section: Introductionmentioning

confidence: 99%

“…12,[20][21][22] However, little evidence exists on the outcomes of immediate loading with single definitive restorations in the posterior region, and on patients' perception following this treatment protocol. 5,23 The principles of evidence-based medicine emphasize the importance of considering patients' preferences in the decision-making process. 24 Therefore, patient reported outcomes (PROs) in implant dentistry are becoming increasingly important when selecting appropriate therapeutic approaches.…”

Section: Introductionmentioning

confidence: 99%

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Immediate loading on two adjacent single dental implants with definitive nonsplinted restorations: A proof of concept in the posterior zone

Park,

Strauss,

Schiavon

et al. 2024

J Esthet Restor Dent

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ObjectivesTo evaluate clinical, clinician‐ and patient‐reported outcomes (PROs) of two adjacent single posterior implants immediately loaded with definitive single crowns up to 1 year. Ten patients in need of two adjacent posterior single implants were included. All implants were placed applying a fully digital workflow. Definitive screw‐retained single zirconia crowns were delivered within 72 h after implant placement. Clinical parameters, patient‐ and clinician‐reported outcomes were assessed up to 1 year of follow‐up.Clinical ConsiderationsClinical outcomes remained stable, with no implant failures or technical and biological complications throughout the observation period. Patient satisfaction was very high at baseline (crown delivery) and remained consistently high at 6 and 12 months of follow‐up. Crown insertion 3 days after implant placement was rated as an easy procedure by clinicians.ConclusionsTwo adjacent single implants with immediate definitive restorations (<72 h) in the posterior region appear to be a viable and easy treatment option to shorten the overall treatment time and potentially enhancing patient satisfaction. However, randomized controlled trials are needed to confirm the advantages of this treatment protocol over a delayed loading approach.Clinical SignificanceIn selected cases, immediate implant loading with definitive restorations in the posterior region appears a valuable and straightforward option to shorten the overall treatment time.

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Section: Difficulty Of the Treatmentsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Immediate loading on two adjacent single dental implants with definitive nonsplinted restorations: A proof of concept in the posterior zone

Park,

Strauss,

Schiavon

et al. 2024

J Esthet Restor Dent

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“…Graf et al measured the IC with a 8 μm Shimstock foil, finding that a digital cast-free workflow was superior to a conventional one, regarding the time spent and the amount of clinical adjustment [ 15 ]. In a similar case series [ 16 ], after a fully digital workflow, 3 crowns out of 22 failed interproximal contact, indicating that this type of workflow could be considered reliable.…”

Section: Discussionmentioning

confidence: 99%

“…The accuracy of the digital workflow regarding the OC entity is still under debate. Some authors found no differences between the two workflows [ 9 , 16 , 18 ]. In contrast, several authors [ 19 , 20 ] reported that digital workflows presented better occlusal contact than conventional ones at crown delivery, resulting in a saving of time occurring in occlusal adjustment.…”

Section: Discussionmentioning

confidence: 99%

Comparison between Conventional and Digital Workflow in Implant Prosthetic Rehabilitation: A Randomized Controlled Trial

Corsalini,

Barile,

Ranieri

et al. 2024

JFB

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The progress of digital technologies in dental prosthodontics is fast and increasingly accurate, allowing practitioners to simplify their daily work. These technologies aim to substitute conventional techniques progressively, but their real efficiency and predictability are still under debate. Many systematic reviews emphasize the lack of clinical RCTs that compare digital and traditional workflow. To address this evidence, we conducted a three-arm designed clinical RCT, which compares fully digital, combined digital, and analogic and fully analog workflows. We aimed to compare the clinical properties of each workflow regarding interproximal (IC) and occlusal contact (OC), marginal fit, impression time (IT), and patient satisfaction through a VAS scale. In total, 72 patients were included in the study. The IC and OC of the digital workflow were better than the others (p < 0.001), which obtained similar results. No difference between implant–abutment fit was observed (p = 0.5966). The IT was shorter in the digital workflow than the others (p < 0.001), which were similar. Patient satisfaction was higher in the digital workflow than in the conventional one. Despite the limitations, this study’s results support better accuracy and patient tolerance of digital workflow than of conventional techniques, suggesting it as a viable alternative to the latter when performed by clinicians experienced in digital dentistry.

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Intraoral scanners in implant prosthodontics. A narrative review

Rutkūnas,

Auškalnis,

Pletkus

2024

Journal of Dentistry

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Model-free digital workflow and immediate functional loading of implant-supported monolithic glass-ceramic crowns: A case series

Cited by 4 publications

References 50 publications

Immediate loading on two adjacent single dental implants with definitive nonsplinted restorations: A proof of concept in the posterior zone

Immediate loading on two adjacent single dental implants with definitive nonsplinted restorations: A proof of concept in the posterior zone

Comparison between Conventional and Digital Workflow in Implant Prosthetic Rehabilitation: A Randomized Controlled Trial

Intraoral scanners in implant prosthodontics. A narrative review

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