Guided Approach to Implant Placement, Immediate Provisionalization, and Definitive Restoration: A Case Letter
Replacement of missing teeth is becoming more prevalent, currently with more than 700,000 dental implants being placed every year. Patients seek out dental treatment with the expectations of having procedures performed in the least number of time/visits, for as inexpensive as possible, and at the highest quality. As this continues, clinicians can adapt with changing times and adopt the newer advancements in digital dentistry. This case letter aims to provide readers with insight to integration of digital workflows to optimize patient and clinician outcomes with single tooth implant therapy.

Initial lateral photograph.

Initial occlusal photograph.

Design: wax-up, surgical guide, prosthetic guide.

Printed surgical guide and prosthetic guide.

Implant placed through surgical guide.

Prosthetic guide seated.

Prosthetic guide picked-up.

Immediate postoperative lateral photograph.

2-Week postoperative lateral photograph.

Conventional PVS impression with custom impression coping.

Custom impression coping and anodized custom abutment cemented to element Z crown.

Postinsertion occlusal photograph.

Postinsertion lateral photograph.

Final periapical radiograph.

Postinsertion smile photograph.
Contributor Notes