Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) · 2026
Bridging the Translation Gap in Full-Arch FP1 Rehabilitation: A Case Report.
СтатьяКлинический случайНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Karia Harshiv, Guo Selina, Blatz Markus B, Patel Nupur
Аннотация
BACKGROUND: Full-arch fixed prosthesis 1 (FP1) rehabilitation requires the transfer of facially generated planning through guided surgery, implant registration, and immediate prosthesis design. Errors can create a translation gap between the virtual plan and delivered prosthesis.
PURPOSE: This article describes a digital workflow for immediate FP1 rehabilitation using fully guided surgery, noncalibrated splinted registration with extraoral laboratory scanning per the manufacturer's recommended protocol, and a palatal fiducial marker to maintain coordinate continuity.
CASE DESCRIPTION: A 42-year-old female patient with a high smile line and failing maxillary dentition was treated with six immediately loaded implants. After guided implant placement, implant positions were registered using the OptiSplint® system with extraoral laboratory scanning. A palatal fiducial marker linked preoperative facially generated planning data with post-surgical implant data, allowing the diagnostic wax-up to be transferred to the interim prosthesis design.
RESULTS: The monolithic polymethyl methacrylate prosthesis with direct-to-multi-unit abutment connections showed clinically acceptable passive fit by modified Sheffield testing. Occlusal contacts required no adjustment, and the esthetic outcome was consistent with the planned tooth position.
CONCLUSION: This case demonstrates a digital workflow for preserving prosthetic design continuity in immediate FP1 rehabilitation. Further studies are needed to evaluate the accuracy and clinical significance of this approach.
PURPOSE: This article describes a digital workflow for immediate FP1 rehabilitation using fully guided surgery, noncalibrated splinted registration with extraoral laboratory scanning per the manufacturer's recommended protocol, and a palatal fiducial marker to maintain coordinate continuity.
CASE DESCRIPTION: A 42-year-old female patient with a high smile line and failing maxillary dentition was treated with six immediately loaded implants. After guided implant placement, implant positions were registered using the OptiSplint® system with extraoral laboratory scanning. A palatal fiducial marker linked preoperative facially generated planning data with post-surgical implant data, allowing the diagnostic wax-up to be transferred to the interim prosthesis design.
RESULTS: The monolithic polymethyl methacrylate prosthesis with direct-to-multi-unit abutment connections showed clinically acceptable passive fit by modified Sheffield testing. Occlusal contacts required no adjustment, and the esthetic outcome was consistent with the planned tooth position.
CONCLUSION: This case demonstrates a digital workflow for preserving prosthetic design continuity in immediate FP1 rehabilitation. Further studies are needed to evaluate the accuracy and clinical significance of this approach.