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ePaper created 2016-01-26, 09:24:16 | version 1.38.0
I case report _ digital workflow with guided surgery _Introduction Successful immediate implant placement as- sociated with immediate loading remains one of the biggest clinical challenges. In addition to the placement of an implant into a tooth socket concurrently with extraction, the creation of a screw-retained CAD/CAM provisional prosthetic restoration is critical for the aesthetic outcome. Currently, the procedure can be achieved using a conventional approach resulting in a high number of patient appointments with time-consuming steps for the dentist. For the patient, the day of the immediate loading treat- ment remains a long and tiring experience from thesurgerytotheprovisionalrestoration.Instead of exposing the patient to a ‘marathon’ day, the treatment could be shortened considerably by fully involving the patient, the surgeon and the dental technician and by having a predictable treatment protocol for the tooth extraction and the prosthetic restoration design (including the individual emergence profiles prior to the sur- gery). This would also lead to a better patient expe- rience and improved satisfaction. The goal of this clinical report is therefore to introduce an inno- vative one-step surgical approach for immediate screw-retained CAD/CAM provisionalisation by using the latest technological improvements in prosthetic and surgical planning software and seamlessly integrating the dental techni- cian into the development of the fully digital treatment planning and new pros- thetics options. _Initial situation The patient was 65 years old, female, non-smoking, with a fragile health condi- tion, and willing to get back an adequate chewing capability. The patient suffered from cachexia following a stomach abla- tion, resulting in an obvious compromised Immediate screw-retained CAD/CAM provisionalisation with an integrated digital approach Authors_ Dr Sepehr Zarrine & Jerome Vaysse, France 24 I CAD/CAM 1_2016 Fig. 1 Fig. 2 Fig. 3 CAD0116_24-28_Zarrine 21.01.16 10:50 Seite 1 CAD0116_24-28_Zarrine 21.01.1610:50 Seite 1