Full-arch cases for terminal dentition have increased dramatically in recent years thanks to the innovative All-on-4® treatment concept (Nobel Biocare, nobelbiocare.com). This technique affords patients effective and functional chewing capabilities as well as esthetic confidence. In the past, this process was labor-intensive from both a surgical and restorative perspective; dentists would use multiple implants in conjunction with a fixed hybrid prosthesis to achieve both function and esthetics and to ensure the patient had a fixed set of teeth on the day of surgery. Today, the incorporation of digital workflows in everyday practice has changed how these cases are planned and executed for ideal outcomes. Tools such as photogrammetry coupled with CBCT, intraoral scanning, digital photography, and 3D printing allow for greater precision, predictability, and patient satisfaction. Additionally, the execution is streamlined, saving valuable chairtime. The case report presented showcases in step-by-step fashion how any dental practice can effectively incorporate a digital workflow to aid clinicians in confidently delivering the best possible results in the surgical and restorative domain. By embracing digital dentistry and utilizing the Nobel Biocare N1™ system, clinicians can provide patients optimal treatment with superior performance and results.
KEY TAKEAWAYS
A full arch of replacement teeth can be executed in a minimally invasive manner and provided in 1 day. The implant restoration provided in this case is natural looking and enhances a patient's ability to eat, speak, and smile.
Digital planning software allows clinicians to envision their goals for the patient's final prosthesis, helping predict incisal edges, arch form, smile design, implant placement, transition line, and the connection between the implants and multi-unit abutments to the temporary transitional fixed prosthesis.
Based on the protocol of the Nobel Biocare N1™ system used in this case the patient was ready for his final prosthesis 6 to 8 weeks after implant placement.
Navneet Arora, DDS, MPH
Private Practice, Roseville, California; Diplomate,
American Academy of Periodontology and Implant Dentistry
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