Instalação de Quatro Implantes Dentários Utilizando Guia Cirúrgico para Suporte de Prótese Total Fixa com a Técnica All-on-Four: Um Relato de Caso de Clínico

Abstract

Implant dentistry has evolved rapidly, offering increasingly advanced and personalized solutions for the oral rehabilitation of patients who have lost teeth. Today, dental implants are a highly effective and predictable treatment option for restoring chewing function, aesthetics and oral health. Surgical guides are essential tools for ensuring the precision and predictability of implant procedures. The aim of this clinical case study is to briefly report on the installation of implants (all-on-four) with the aid of a surgical guide for the use of fixed full dentures. Case report: A 57-year-old male patient was referred to the implant dentistry service at the COESP Faculty with complaints about his chewing function and wanted to have a fixed prosthesis on an implant. We identified the presence of root remnants, namely the dental elements: 13, 14, 15, 17 and 24. A cone beam tomography and intraoral scan were requested in order to assess the possibility of installing implants with the aid of a surgical guide, and subsequently the provisional prosthesis was planned to be captured immediately after the implants were installed. The clinical results were favorable and consistent with the technique used. The bone and gingival height was preserved, resulting in favorable aesthetics of the definitive fixed prosthesis. Thus, it can be considered that interdisciplinary planning was essential for achieving this result.