Digital Precision In Full-Mouth Implant Rehabilitation: From Extraction To Prosthetic Loading
DOI:
https://doi.org/10.69980/c63qt404Keywords:
Computer-guided surgery, digital dentistry, full-mouth rehabilitation, implant-supported prosthesis, periodontitisAbstract
Background: Rehabilitation of patients with advanced periodontitis and terminal dentition presents significant functional and esthetic challenges. Digital implant planning and computer-guided surgery facilitate prosthetically driven implant placement and full-arch rehabilitation.
Case Presentation: A 45-year-old male with type 2 diabetes mellitus (HbA1c 6.5%) presented with generalized tooth mobility and masticatory discomfort. Clinical and radiographic assessments revealed generalized Stage IV, Grade C periodontitis. Following treatment planning and informed consent, full-mouth extractions and guided placement of ten Straumann implants—six in the maxilla and four in the mandible—were performed using a CBCT-based digital workflow. Insertion torque values ranged from 45 to 55 N·cm, indicating high primary stability. A fixed full-arch provisional prosthesis was delivered according to the planned loading protocol, with careful occlusal adjustment. Early postoperative evaluation demonstrated satisfactory soft-tissue healing and reported improvements in esthetics, phonetics, and masticatory function.
Conclusion: Integration of CBCT-based planning, computer-guided implant placement, and controlled prosthetic rehabilitation provides a systematic approach to full-mouth implant treatment in patients with advanced periodontal destruction. Long-term follow-up is necessary to establish implant success and prosthetic stability.
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