The use of Digital Technologies in Implant Prosthetics (Extract from the Case History)

Abstract

Background: Implant prosthetics proved in clinical practice as a reliable way to restore the masticatory and speech apparatus. An extract from a dental history case is a good example where complex rehabilitation of a patient with a complicated clinical case in which modern methods are pragmatically used. Case Presentation: Patient details, Gender: male; 74 years old; complained of deformed appearance, chewing and biting food. His old wearing out dentures also proved the patient’s sensitive experiences. Digital diagnostic methods were used as prosthetic preparations: computed tomography and automated implant planning. The last one allowed to choose the implant’s model, type and size. Also the data of computed tomography, three-dimensional models of dentition, wax modeling of dentition and the place selection of implant insertion were compared in the program. It was decided to remove the remaining teeth due to the decompensated possibilities of their periodonts. It was planned to replace the missing teeth with implant prostheses. The first stage was the removal of the teeth on the upper jaw with simultaneous implantation. After that, the day of surgery, the impression was carried out to create the preliminary denture expendable. The final prosthesis was performed 6 months after the surgery with fixed all-ceramic structures on screw fixation. Long-term results are stable; the patient notes a high level of life quality. Conclusions: The use of digital technologies as well as navigational surgical template increases the efficiency, accuracy and quality of implant prosthetics providing the successful use of aesthetically high-quality fixed replacement structures in complete loss of teeth. Such implant prostheses are a new type of replacement structures-”full fixed prostheses”.