The case study presented
Prof. Pozzi maintains a private practice in Rome, Italy, where he had a patient with terminal dentition requiring extensive treatment. Understandably, the patient wanted minimal invasiveness, short treatment time, and fast healing.
In the case presented, he quickly began the treatment planning with DTX Studio™ Implant. Several of the patient’s teeth in the upper jaw were able to be saved, and with these strategic teeth, it was possible to plan TempShell provisional restorations for immediate loading on the day of surgery. The strategic teeth also made the use of template-assisted guided surgery possible.
The dentition specifically designed by DTX Studio Implant for the lower jaw, however, was not in line with the patient’s existing tooth anatomy, making it impractical to keep any of the existing teeth.
According to Prof. Pozzi, when using a template, the implants cannot be positioned between two alveolar sockets, as the drill is likely to slide out of position. However, he makes clear that he does not want to be forced to change his decision making to meet the needs of digital technology: he wants digital technology to meet his demands and the patient’s needs. And, for this reason, he chose to use X-Guide to perform dynamic navigated surgery in the lower jaw, not a static template.
Conducting navigated surgery without a template allows for this kind of positioning, provided the trajectory outlined by X-Guide is closely followed. Doing so in this patient’s case allowed for an optimal biological environment to be established for the restoration that encourages soft tissue growth and healing.
A NobelProcera zirconia framework was created for the final restoration and as Prof. Pozzi showcases, the outcome for the dynamic navigated surgery achieved the same level of success as the static guided template.