Case

From Minimally Invasive Tooth Extraction to Final Chairside Fabricated Restoration: A Microscopically and Digitally Driven Full Workflow for Single-Implant Treatment

16 April 2024 · 15 min read

Author Behnam Shakibaie, DMD, MSc Specialist in Oral Surgery, Periodontology, lmplantology and Microscopic Dentistry, Specialized Clinic in Microscopic and Digital Dentistry, Tehran, lran

Author Markus B. Blatz, DMD, PhD Restorative Sciences, and Assistant Dean, Digital Innovation and Professional Development, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, USA

Author Julian Conejo, DDS, MSc Assistant Professor, Clinical Restorative Dentistry and Director, Chairside CAD/ CAM Dentistry, Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, USA

Author Huthaifa Abdulqader, DDS General Dentist, Amman, Jordan

Abstract

Original title

From Minimally Invasive Tooth Extraction to Final Chairside Fabricated Restoration: A Microscopically and Digitally Driven Full Workflow for Single-Implant Treatment

Source

Behnam Shakibaie, DMD, MSc; Markus B. Blatz, DMD, PhD; Julian Conejo, DDS, MSc; and Huthaifa Abdulqader, DDS. Minimally Invasive Tooth Extraction to Final Chairside Fabricated Restoration: A Microscopically and Digitally Driven Full Workflow for Single-Implant Treatment. Compendium of Continuing Education in Dentistry, November/ December 2023, Volume 44, Number 10

Abstract

Technical advances in such fields as optical magnification (e.g., loupes, microscopes), microsurgical instruments, bone and soft-tissue grafting materials, and digital dentistry have paved the way for dentists to be able to provide all the necessary specialties for a state-of-art single-tooth replacement treatment under one roof in their clinics, without having to involve a technical laboratory. This case report demonstrates a routine complete chairside digital workflow using minimally invasive and microscopic techniques in every stage of treatment, from tooth extraction and socket preservation, to implant insertion and soft-tissue management, to delivery of the final chairside digital zirconia full-anatomic supraconstruction. In addition to describing the intent of minimally invasive tooth extraction and socket preservation, this article illustrates how to perform a vestibular split rolling flap procedure and discusses its benefits. The goal of this digitally driven single-implant treatment was to achieve restoration as close as possible to the original condition.