Yong-Jun Kim; Seung-Mi Jeong; Kyeong-Hee Kim; Jeong-Whan Fang; Dae-Hwan Kim; Byung-Ho Choi

doi:10.4047/jkap.2018.56.1.88

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Kim, Jeong, Kim, Fang, Kim, and Choi: Application of digital implant system on implant treatment with “all-on-4” concept

Case Report

The Journal of Korean Academy of Prosthodontics 2018; 56(1): 88-94.

Published online: 29 January 2018

DOI: https://doi.org/10.4047/jkap.2018.56.1.88

Application of digital implant system on implant treatment with “all-on-4” concept

Yong-Jun Kim¹, Seung-Mi Jeong¹

, Kyeong-Hee Kim¹, Jeong-Whan Fang¹, Dae-Hwan Kim¹, Byung-Ho Choi²

¹Department of Prosthodontics, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea.

²Department of Oral and Maxillofacial Surgery, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea.

Corresponding Author: Seung-Mi Jeong. Department of Prosthodontics, Wonju College of Medicine, Yonsei University 20 Iisan-ro, Wonju 220-701, Republic of Korea. +82 (0)33 741 2114: smj3@yonsei.ac.kr

Received 10 July 2017 Revised 26 September 2017 Accepted 28 December 2017

The Korean Academy of Prosthodontics

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Recently, digital implant systems are expanding its influence in dental area. Due to technical improvement, they jumped over their limits nowadays. We can use these newest systems to treat edentulous patient, from implant surgery to fabrication of prosthesis. In this case, The patient was a fifty years old female. She had a full edentulous ridge on mandible and wanted to reconstruct occlusion with using implants. We planned to use digital implant system with “all-on-4” concept on mandible and produced surgical guide for flapless implant surgery. After the surgery, we tried to fabricate full arch prosthesis just using a digital devices and confirmed satisfying result.

Keywords: All-on-4 implant, All-on-4 prosthesis, Mandibular edentulous patient, Flapless implant, Tilted implant, Digital prosthesis

Figures and Tables

Fig. 1

Pre-operative panoramic radiograph.

Fig. 2

Scan of existing denture. (A) Radiolucent resin marker on the old denture, (B) 3D scan image.

Fig. 3

3D Image of mandible. (A) Denture biting image, (B) Deletion of denture image, (C) Final mandibular Image.

Fig. 4

Positioning of implants. (A) Merged image, (B) Deletion of bone image.

Fig. 5

Pre-operative preparations. (A) Surgical guide, (B) Temporary abutments and temporary restoration.

Fig. 6

Flapless implant surgery. (A) Surgical guide, (B) Positioning of the implant, (C) Connection of the abutments, (D) Cementation of the temporary restoration.

Fig. 7

3D image for final prosthesis. (A) Resin marker on gingiva, (B) Scan body, (C) Final image.

Fig. 8

Fabrication of framework. (A) 3D image, (B) Milled metal framework.

Fig. 9

Final prosthesis. (A) Zirconia shell image, (B) Resin model, (C) Frontal view, (D) Occlusal view.

Fig. 10

After treatment. (A) Intraoral photo, (B) Panoramic radiograph.

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ORCID iDs: Seung-Mi Jeong
https://orcid.org/0000-0002-1543-7227
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