Virtual Facial Simulation of Prosthetic Outcome for Static Computer-Aided Implant Surgery and CAD-CAM Prostheses

(a) Pretreatment panoramic radiograph. (b) Occlusal splint was used to assess desired centric occlusion (CO) and occlusal vertical dimension (OVD) increase.

Digital diagnostic data collection at pretreatment condition. (a) Intraoral scans at increased occlusal vertical dimension (OVD). (b) Extraoral digital photographs demonstrating patient's exaggerated smile and facial profile.

(a) Static 3-dimensional (3D) virtual patient with realistic facial soft tissue at exaggerated smile. (b) Virtual diagnostic tooth arrangement.

Lateral views of virtual patient demonstrating facial profiles. (a) Pretreatment facial profile. (b) Virtual simulation of prosthetic outcome based on the diagnostic tooth arrangement.

(a) Prosthetically driven plan for static computer-aided implant surgery (s-CAIS). (b) Computer-aided design and computer-aided manufacturing (CAD-CAM) surgical templates. (c) CAD-CAM maxillary interim removable complete denture (RCD) and mandibular interim implant-supported fixed complete denture (IFCD).

(a) Surgical template fitted over alveolar ridge to complete planned osseous recontouring. (b) Implants placed under the guidance of surgical template. (c) Maxillary and mandibular interim prostheses. Distal implant at left side was excluded from interim prosthesis due to insufficient primary stability. (d) Extraoral digital photographs demonstrating facial prosthetic outcome from interim prostheses.

Two-years posttreatment outcomes. (a) Frontal view of definitive prostheses. (b) Posttreatment panoramic radiograph. (c) Extraoral digital photographs demonstrating facial prosthetic outcome from definitive prostheses.