Full arch restorations are among the most complex procedures in dental implantology, requiring precision, careful planning, and efficient execution. Thanks to advances in digital technology, the process has become more streamlined and predictable, offering improved outcomes for patients and clinicians alike. iMetric’s Digital Full Arch Workflow is at the forefront of this transformation, providing a comprehensive digital protocol for full arch restorations.

This step-by-step guide walks you through the key stages of a successful digital full arch restoration, leveraging cutting-edge tools like ICam photogrammetry to enhance accuracy and efficiency.

Step 1: Patient Assessment and Treatment Planning

The foundation of any successful restoration begins with a thorough patient evaluation. This includes:

• Detailed medical and dental history

• Clinical examination and imaging (CBCT scans, X-rays)

• Assessment of bone quality and implant sites

• Discussion of patient expectations and treatment options

Using digital planning software, clinicians can simulate implant placement and design prosthetics virtually before any clinical intervention.

Step 2: Digital Data Acquisition with ICam Photogrammetry

Traditional physical impressions are replaced by the use of ICam photogrammetry—a non-invasive digital scanning method that precisely captures the spatial positions of implants. This technology offers:

• High accuracy without distortion

• Faster data capture

• Improved patient comfort

Multiple images are taken and processed to create a detailed 3D model of the patient’s implant positions, serving as the blueprint for the restoration.

Step 3: Digital Prosthetic Design and Verification

Once the digital model is obtained, CAD/CAM software is used to design the full arch prosthesis. Key considerations during this stage include:

• Ensuring proper fit and occlusion

• Aesthetic planning aligned with patient expectations

• Material selection based on durability and comfort

Virtual verification tools allow clinicians and dental technicians to assess the design and make adjustments before fabrication.

Step 4: Fabrication and Quality Control

With the design finalized, the prosthetic is fabricated using advanced manufacturing techniques such as 3D printing or milling. Quality control measures include:

• Checking fit on the digital model

• Verifying material integrity

• Ensuring color matching and aesthetics

This stage ensures that the final prosthesis meets the highest standards before clinical delivery.

Step 5: Clinical Delivery and Follow-Up

The final step involves the clinical placement of the full arch prosthesis. Benefits of the digital workflow here include:

• Reduced chair time due to precise fit

• Immediate or same-day delivery possibilities

• Enhanced patient satisfaction due to comfort and aesthetics

Follow-up visits are scheduled to monitor healing, function, and prosthetic performance, ensuring long-term success.

Conclusion

Digital full arch restorations represent a significant advancement in implant dentistry, combining precision, efficiency, and patient-centered care. By following this step-by-step workflow—highlighted by the use of ICam photogrammetry and advanced CAD/CAM technologies—clinicians can deliver predictable and successful outcomes.

Embracing this digital approach not only improves the clinical process but also elevates patient experience, making full arch implant restorations more accessible and satisfying than ever before.

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