Advancements and Implications of Digital Workflow Integration in Implant Dentistry

A special issue of Dentistry Journal (ISSN 2304-6767). This special issue belongs to the section "Digital Technologies".

Deadline for manuscript submissions: 31 August 2025 | Viewed by 7809

Special Issue Editor

Special Issue Information

Dear Colleagues,

In the rapidly evolving landscape of dental medicine, the integration of digital technologies into implant dentistry represents a transformative leap forward. This Special Issue aims to explore the comprehensive spectrum of digital workflows in implant dentistry, encompassing planning, insertion, restoration, and long-term monitoring. Our focus is on showcasing cutting-edge advancements that enhance predictability, personalization, and patient acceptance while addressing the challenges and opportunities presented by digitalization. We invite contributions that delve into the utilization of digital imaging, computer-aided design/computer-aided manufacturing (CAD/CAM) systems, digital impressions, and virtual reality simulations. Special emphasis will be placed on the role of artificial intelligence in optimizing treatment outcomes, streamlining procedures, and facilitating personalized treatment plans that cater to individual patient needs and budgets. Submissions exploring the incorporation of digital workflows in implant surgery and prosthetics, with comparisons to hybrid and traditional methods while analyzing the results, are encouraged. Through this Special Issue, we aim to illuminate the ways in which digital workflows can not only improve the efficiency and effectiveness of implant dentistry but also significantly enhance patient experience and satisfaction. Contributions may include original research, reviews, case studies, and perspectives that highlight innovation, address technical challenges, and propose future directions for digital workflows in implant dentistry.

Dr. Corina Marilena Cristache
Guest Editor

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Keywords

  • digital dentistry
  • implant dentistry
  • CAD/CAM
  • digital workflows
  • implant surgery
  • intraoral scanning
  • CBCT
  • artificial intelligence
  • virtual reality simulation
  • guided implant surgery

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Published Papers (4 papers)

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Research

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19 pages, 16272 KiB  
Article
Predictable Full Digital Workflow Using Stackable Surgical Templates for Complete Dental Arch Rehabilitation with Implant-Supported Fixed Restorations—Case Series and Proof of Concept
by Corina Marilena Cristache, Oana Elena Burlacu Vatamanu, Cristian Corneliu Butnarasu, Tamara Mihut and Eliza Denisa Sgiea
Dent. J. 2024, 12(11), 347; https://doi.org/10.3390/dj12110347 - 30 Oct 2024
Cited by 2 | Viewed by 1735
Abstract
Background: In recent years, advancements in digital dentistry have provided new opportunities for more predictable and efficient treatment options, particularly in patients with failing dentition. This study aimed to evaluate the effectiveness and accuracy of a fully digital workflow using stackable surgical templates [...] Read more.
Background: In recent years, advancements in digital dentistry have provided new opportunities for more predictable and efficient treatment options, particularly in patients with failing dentition. This study aimed to evaluate the effectiveness and accuracy of a fully digital workflow using stackable surgical templates for complete dental arch rehabilitation with implant-supported fixed restorations. Methods: Four patients, comprising two males and two females with a mean age of 66 years, were included in this case series. Each patient underwent meticulous digital planning, including CBCT and intraoral scanning, to create a virtual patient for preoperative assessment and virtual treatment planning. The assessment of the trueness of implant positioning was conducted in Geomagic Control X software (version 2017.0.3) by referencing anatomical landmarks from both the preoperative and one-year postoperative CBCT scans. Results: A total of 25 dental implants were placed in the maxilla, followed by the installation of long-term provisional restorations. The results showed minimal deviation between the planned and actual implant positions, with mean 3D coronal, apical, and angular discrepancies of 0.87 mm, 2.04 mm, and 2.67°, respectively. All implants achieved successful osseointegration, and no failures were recorded, resulting in a 100% survival rate at the one-year follow-up. Patients reported high satisfaction with both the esthetic and functional outcomes based on their subjective feedback. Conclusions: The findings suggest that the use of a fully digital workflow with stackable surgical templates is a reliable and effective approach for immediate implant placement and prosthetic rehabilitation, enhancing treatment precision and patient comfort. Full article
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Review

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16 pages, 3547 KiB  
Review
Fixed Full-Arch Implant-Supported Restorations: Techniques Review and Proposal for Improvement
by Florin-Octavian Froimovici, Cristian Corneliu Butnărașu, Marco Montanari and Mihai Săndulescu
Dent. J. 2024, 12(12), 408; https://doi.org/10.3390/dj12120408 - 13 Dec 2024
Viewed by 3259
Abstract
Full-arch zirconia restorations on implants have gained popularity due to zirconia’s strength and aesthetics, yet they are still associated with challenges like structural fractures, peri-implant complications, and design misfits. Advances in CAD/CAM and digital workflows offer potential improvements, but a technique that consistently [...] Read more.
Full-arch zirconia restorations on implants have gained popularity due to zirconia’s strength and aesthetics, yet they are still associated with challenges like structural fractures, peri-implant complications, and design misfits. Advances in CAD/CAM and digital workflows offer potential improvements, but a technique that consistently addresses these issues in fixed, full-arch, implant-supported prostheses is needed. This novel technique integrates a facially and prosthetically driven treatment approach, which is divided into three phases: data acquisition, restoration design, and manufacturing/delivery. Digital tools, including intraoral scanning and photogrammetry, facilitate accurate implant positioning, while 3D design software enables functional and aesthetic validation before final milling. A dual software approach is used to reverse engineer a titanium bar from the final restoration design, ensuring a superior outcome to other protocols. The restoration incorporates a zirconia–titanium hybrid structure, optimizing strength, flexibility, and weight. The proposed workflow enhances restoration precision and predictability through a prosthetically driven treatment plan, by ensuring passivity and aligning with biological and mechanical principles to promote long-term stability. By starting with the proposed restoration design and reverse engineering the bar, while also allowing for flexibility in material and component choices, this technique accommodates both patient needs and financial considerations. This approach demonstrates potential for improving patient outcomes in full-arch implant restorations by minimizing complications associated with traditional methods. Further research is recommended to validate the technique’s efficacy and broaden its clinical applications. Full article
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Other

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20 pages, 12143 KiB  
Case Report
A Novel Intraoral Optical Scan-Transfer Device for Full-Arch Implant Reconstruction
by Cemal Ucer, Rabia Sannam Khan and Gwyn Jones
Dent. J. 2025, 13(3), 134; https://doi.org/10.3390/dj13030134 - 19 Mar 2025
Viewed by 597
Abstract
Background: Dental implantology has undergone significant advancements with the integration of digital workflows, transforming the processes of planning, designing, surgical delivery, and prosthetic rehabilitation. Among these innovations, intraoral optical scanning (IOS) has emerged as a preferred method over traditional analogue impressions. This [...] Read more.
Background: Dental implantology has undergone significant advancements with the integration of digital workflows, transforming the processes of planning, designing, surgical delivery, and prosthetic rehabilitation. Among these innovations, intraoral optical scanning (IOS) has emerged as a preferred method over traditional analogue impressions. This preference is due to its cost-effectiveness, efficiency, and streamlined patient-friendly use while producing clinically acceptable results in terms of trueness and precision, particularly for short-span implant prostheses. Methods: However, the clinical utility of intraoral scanning is significantly affected by the lack of reference points and difficulties in moisture and bleeding control at the time of immediate implant placement surgery in the fully edentulous arch. Current evidence supports the general consensus that the traditional analog impression technique still provides superior trueness and precision compared to IOS, specifically in full-arch implant cases. Results: The continuous quest for precision in dental implantology has led to the introduction of photogrammetry, which is now considered the most accurate technique for the digital scanning of dental implants. Photogrammetry has demonstrated superior results compared to those obtained using the analog technique. Conclusions: The aim of this case report is to provide an overview of analog techniques, digital intraoral optical scanning, and photogrammetry, setting the stage for the introduction of a novel technique involving a dedicated optical scan-transfer device (IPD®) that can be scanned with ease using IOS, either intra- or extra-orally, due to its unique design features and digital properties. Full article
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13 pages, 10433 KiB  
Case Report
Immediate Implant Therapy with Full-Digital Workflow to Replace a Central Incisor
by Francisco Garcia-Torres, Carlos A. Jurado, Silvia Rojas-Rueda, Clint Conner, Ali Abulkasim Mohamed and Francisco X. Azpiazu-Flores
Dent. J. 2025, 13(2), 73; https://doi.org/10.3390/dj13020073 - 8 Feb 2025
Viewed by 1487
Abstract
Background: Replacing a maxillary central incisor and immediately placing an implant represents a clinical challenge. Methods: This case report demonstrates a full digital workflow to achieve a predictable implant placement and esthetically pleasing restoration for a 35-year-old male patient who suffered a horizontal [...] Read more.
Background: Replacing a maxillary central incisor and immediately placing an implant represents a clinical challenge. Methods: This case report demonstrates a full digital workflow to achieve a predictable implant placement and esthetically pleasing restoration for a 35-year-old male patient who suffered a horizontal root fracture after a sports accident. The patient’s treatment included digital implant planning, minimally traumatic tooth extraction, computer-guided implant placement, soft tissue augmentation, and a provisional restoration to contour the augmented gingival tissues. The process began with cone beam computed tomography (CBCT) evaluation and patient consultation on treatment options, with the patient opting for implant therapy. Using a 3D-printed surgical guide, the implant was placed precisely, and a soft tissue graft was used to enhance the gingival architecture and volume. A provisional restoration was designed to support the emergence profile and condition the peri implant soft tissues. A final digital impression was made, and a screw-retained all-ceramic crown was fabricated uneventfully after healing. Results: This digital approach allowed accurate planning and allowed the efficient execution of a technique-sensitive procedure such as immediate implant placement, thus providing an esthetic and functional solution while minimizing treatment time. Conclusions: The case highlights that immediate implant therapy in the esthetic zone requires meticulous planning and execution, and that incorporating advanced digital tools and techniques is required to achieve favorable clinical outcomes. Full article
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