With the advancement of dental implantology techniques, implant treatment has become more affordable and thus easier for patients to accept, even though implant surgery is quite an invasive procedure. In addition, an increasing number of dentists are becoming specialists in the field of dental implantology.
All these factors contribute to the flourishing of implantology and implant treatment. In the case presented in this article, the treatment was carefully planned with the aim of restoring function and correct occlusion to regions #13 and 15 with a bridge supported on two implants.
Implant insertion
Two implants (Nobel Biocare) were inserted in place of teeth #13 and 15 (Fig. 1). The next stage of the treatment was performed a few months later to ensure proper osseointegration. This increases the possibility of long-term success of the treatment.
Intra-oral scan
After ensuring that the emergence profiles were correct and the soft tissue around the implants healthy, the intra-oral scanning was performed with Aoralscan 3 (SHINING 3D) to capture the digital impression. The first step was to obtain full-arch data without scan bodies (Fig. 2), then to choose and delete gingival data around the implant, and then insert the scan bodies for intra-oral scanning (Fig. 3). The last scan recorded the occlusion data (Fig. 4). Although there was a metal crown on tooth #47, Aoralscan 3, employing the function of active scanning of metal surfaces, captured its morphology very well without additional powder spray (Fig. 5).
Figs. 2 & 3: Scan without the scan bodies attached.
Fig. 3
Fig. 4: Scan with the teeth in occlusion.
Fig. 5: Scan of the metal crown.
CAD of the restoration
The restoration was designed in exocad software (Figs. 6–8). There are many factors to consider when designing a prosthetic restoration, such as location, stress distribution of the implants, the occlusal relationship and the number of artificial teeth the implants can support—generally, two implants can support three to four artificial teeth.
Figs. 6–8: Design of the final restoration.
Fig. 7
Fig. 8
Try-in provisional restoration
DM12 resin (SHINING 3D) was used to print the model (Figs. 9 & 10) with the AccuFab-D1s printer (SHINING 3D). The printed model was used for quality inspection of the provisional restoration, which was placed in the patient’s mouth until the final restoration was ready.
Fig. 9: 3D-printed models.
Fig. 10: Scooping the models off the printing platform.
Final restoration
The final restoration was produced with monolayer zirconia. After try-in on the model (Figs. 11 & 12), the restoration was placed into the patient’s mouth. The morphology, occlusion and colour of the final restoration were satisfying, and the patient was very pleased with the final outcome of the treatment (Figs. 13–15).
Fig. 11: Final restoration on the model, buccal view.
Fig. 12: Final restoration on the model, occlusal view.
Fig. 13a-c: Implants with healing abutments (a). Emergence profiles, a few months after implantation (b). Final restoration in situ (c).
Fig. 14: Final restoration in the patient’s mouth, left lateral view.
Fig. 15: Final restoration in the patient’s mouth, frontal view.
Dental implants are a fantastic addition to the repertoire of any restorative dentist and allow us to provide a tooth replacement in a way that minimises ...
Full-arch implant-supported reconstruction continues to provide viable solutions to restore and improve function, enhance aesthetics and change quality of ...
Single-unit and short-span restorations present clinicians with an excellent opportunity to utilise digital workflows. These high-accuracy appliances ...
The combination of advanced materials and manufacturing techniques makes the industrial production of prosthetic components possible for every clinical ...
Dental erosion caused by direct acid exposure without bacterial involvement has become increasingly clinically relevant in recent years.1 The extent of ...
SEOUL, South Korea: Osstem Implant is offering the 2024 OneGuide System: Fundamentals of Digital Guided Implant Surgery textbook to prominent dental schools...
COLOGNE, Germany: Dentium is a leading manufacturer of dental implant systems and solutions, used by clinicians in more than 70 countries worldwide. As an ...
The evolution of digital dentistry has revolutionised the way dental procedures are planned and executed. This case highlights the integration of various ...
Planmeca is known for high-tech innovations and continuous product development. The company’s powerful Planmeca Romexis software platform allows all ...
Education
Live webinar Tue. 14 October 2025 7:00 pm EST (New York)
SÃO PAULO, Brazil: Plant-derived therapies are attracting growing interest in dentistry. A recent study evaluated morin, a naturally occurring flavonoid ...
DUNDEE, Scotland: As the global health community marks World Mental Health Day today, the dental profession is being urged to confront a pressing concern ...
Brazil / Brasil
Canada / Canada
Latin America / Latinoamérica
USA / USA
Austria / Österreich
Bosnia and Herzegovina / Босна и Херцеговина
Bulgaria / България
Croatia / Hrvatska
Czech Republic & Slovakia / Česká republika & Slovensko
France / France
Germany / Deutschland
Greece / ΕΛΛΑΔΑ
Hungary / Hungary
Italy / Italia
Netherlands / Nederland
Nordic / Nordic
Poland / Polska
Portugal / Portugal
Romania & Moldova / România & Moldova
Slovenia / Slovenija
Serbia & Montenegro / Србија и Црна Гора
Spain / España
Switzerland / Schweiz
Turkey / Türkiye
UK & Ireland / UK & Ireland
China / 中国
India / भारत गणराज्य
Pakistan / Pākistān
Vietnam / Việt Nam
ASEAN / ASEAN
Israel / מְדִינַת יִשְׂרָאֵל
Algeria, Morocco & Tunisia / الجزائر والمغرب وتونس
Middle East / Middle East
Prof. Dr. Wael Att, Dr. Robert A. Levine DDS, FCPP, FISPPS, AODLive webinar
Dr. Julie Driscoll DMD, FAGDRegister now1CELive webinar
Prof. Moritz KebschullLive webinar
Dr. Monil Mehta DMDRegister now1CE:sharpen(level=0):output(format=jpeg)/up/dt/2010/02/logo-3DISC-et-baseline-fond-blanc.jpg "3DISC")
:sharpen(level=0):output(format=webp)/up/dt/2025/10/2025-10-13_DentalForum-EMEA-2025-returns-to-Marbella-with-leading-DSOs-and-suppliers.jpg "DentalForum EMEA 2025 returns to Marbella with leading DSOs and suppliers")
:sharpen(level=0):output(format=webp)/up/dt/2025/10/Plant-derived-morin-may-offer-non-antibiotic-adjunct-for-periodontal-treatment.jpg "Plant-derived compound may offer non-antibiotic adjunct for periodontal treatment")
:sharpen(level=0):output(format=webp)/up/dt/2025/10/2025-10-10_Suicide-awareness-in-dental-education-A-call-to-action-for-World-Mental-Health-Day.jpg "Suicide awareness in dental education: A call to action for World Mental Health Day")
:sharpen(level=0):output(format=webp)/up/dt/2025/10/Patent-receives-dental-implant-award.jpg "Patent receives dental implant award")
:sharpen(level=0):output(format=webp)/up/dt/2025/10/2025-10-09_Aldo-Denti-joins-Dentsply-Sirona-as-chief-commercial-officer.jpg "Aldo Denti joins Dentsply Sirona as chief commercial officer")
:sharpen(level=0):output(format=webp)/up/dt/2025/07/3dprinting.jpg "3D printing")
:sharpen(level=0):output(format=webp)/up/dt/2025/07/aligners.jpg "aligners")
:sharpen(level=0):output(format=webp)/up/dt/2010/02/logo-3DISC-et-baseline-fond-blanc.jpg "3DISC"){kind=logo}
:sharpen(level=0):output(format=webp)/up/dt/2022/01/Sprintray_Logo_2506x700.png "SprintRay"){kind=logo}
:sharpen(level=0):output(format=webp)/up/dt/2011/11/ITI-LOGO.png "ITI International Team for Implantology"){kind=logo}
:sharpen(level=0):output(format=webp)/up/dt/2014/02/Du%CC%88rr_Dental.png "Dürr Dental")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/ACTEON_NEW-logo_03-2024.png "ACTEON"){kind=logo}
:sharpen(level=0):output(format=webp)/up/dt/2014/02/EMS.png "EMS")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations.jpg "Digital implant restorations")
:sharpen(level=0):output(format=webp)/up/dt/2025/10/2025-10-13_DentalForum-EMEA-2025-returns-to-Marbella-with-leading-DSOs-and-suppliers.jpg "DentalForum EMEA 2025 returns to Marbella with leading DSOs and suppliers")
:sharpen(level=0):output(format=webp)/wp-content/themes/dt/images/no-user.gif "Drs Abdelrahman Khalaf & Kirollos Hany")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-02.png "Figs. 2 & 3: Scan without the scan bodies attached.")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-03.png "Fig. 3")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-04.png "Fig. 4: Scan with the teeth in occlusion.")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-05.png "Fig. 5: Scan of the metal crown.")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-06.png "Figs. 6–8: Design of the final restoration.")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-07.png "Fig. 7")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-08.png "Fig. 8")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-09.png "Fig. 9: 3D-printed models.")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-10.png "Fig. 10: Scooping the models off the printing platform.")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-11.png "Fig. 11: Final restoration on the model, buccal view.")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-12.png "Fig. 12: Final restoration on the model, occlusal view.")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-13.png "Fig. 13a-c: Implants with healing abutments (a). Emergence profiles, a few months after implantation (b). Final restoration in situ (c).")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-14.png "Fig. 14: Final restoration in the patient’s mouth, left lateral view.")
:sharpen(level=0):output(format=webp)/up/dt/2023/03/Digital-implant-restorations-Fig-15.png "Fig. 15: Final restoration in the patient’s mouth, frontal view.")
:sharpen(level=0):output(format=webp)/up/dt/2018/05/Implant-restoration-with-CEREC.jpg "Implant restoration with CEREC")
:sharpen(level=0):output(format=webp)/up/dt/2024/07/Shutterstock_2021853455.jpg "Fully digital full arch? Continued advancements in full-arch implant restoration")
:sharpen(level=0):output(format=webp)/up/dt/2025/04/Clinical-digital-workflows-for-implant-crowns_Figure-1.jpg "Clinical digital workflows for implant crowns")
:sharpen(level=0):output(format=webp)/up/dt/2017/01/c73f95c82fbb498cf1a06e856061d509.png "Veneering options for fixed implant-retained restorations")
:sharpen(level=0):output(format=webp)/up/dt/2025/03/3D-printed-provisional-restorations-for-complex-prosthetic-rehabilitation_header.jpg "3D-printed provisional restorations for complex prosthetic rehabilitation: Full-mouth restoration of a severe case of erosion")
:sharpen(level=0):output(format=webp)/up/dt/2022/12/A-novel-workflow-for-indirect.jpg "A novel workflow for indirect restorations without digital design")
:sharpen(level=0):output(format=webp)/up/dt/2025/01/Osstem-Implant-donates-digital-dentistry-textbook-to-dental-schools.jpg "Osstem Implant donates digital dentistry textbook to dental schools")
:sharpen(level=0):output(format=webp)/up/dt/2025/03/Dentium-Booth-3.jpg "Dentium presents innovative implant solutions and digital imaging system")
:sharpen(level=0):output(format=webp)/up/dt/2024/06/Guided-implant-placement-and-restoration_Fig_1.jpg "Guided implant placement and restoration: A comprehensive approach")
:sharpen(level=0):output(format=webp)/up/dt/2019/05/The-complete-digital-implant.jpg "The complete digital implant workflow")
:sharpen(level=0):output(format=webp)/up/dt/2025/10/2025-10-13_DentalForum-EMEA-2025-returns-to-Marbella-with-leading-DSOs-and-suppliers.jpg "DentalForum EMEA 2025 returns to Marbella with leading DSOs and suppliers")
:sharpen(level=0):output(format=webp)/up/dt/2025/10/Plant-derived-morin-may-offer-non-antibiotic-adjunct-for-periodontal-treatment.jpg "Plant-derived compound may offer non-antibiotic adjunct for periodontal treatment")
:sharpen(level=0):output(format=webp)/up/dt/2025/10/2025-10-10_Suicide-awareness-in-dental-education-A-call-to-action-for-World-Mental-Health-Day.jpg "Suicide awareness in dental education: A call to action for World Mental Health Day")
To post a reply please login or register