Complete digital workflow using CAD/CAM smart guides for an immediate complete denture:Case report

Title: Complete digital workflow using CAD/CAM smart guides for an immediate complete denture:Case report

Abstract:

The primary objective of implant placement is to ensure optimal positioning for subsequent prosthetic restoration while also protecting delicate anatomical structures. In this context, navigated implants deliver significantly improved results compared to traditional implants that are inserted through manual methods. The integration of computer-assisted navigation with three-dimensional (3D) imaging via cone beam computed tomography (CBCT) constitutes an ideal strategy to augment the predictability of successful implant placements. Essentially, one can distinguish between static navigation, which employs templates, and direct dynamic navigation that depends on optical transmission systems. Both techniques demonstrate equally favorable results with regard to the precision of implant placement. At present, the standard involves the digital fabrication of the template. Direct navigation becomes the more attractive option if the acquisition expenses can be reduced by simplifying the systemThe third dimension, representing thickness, is now accessible to practitioners, resulting in a reduced chance of surgical errors. Additionally, the incorporation of implant planning software has rendered these procedures more attainable. After confirming the placement of the implant, abutment selection can proceed, allowing for customization of the prosthesis. Utilizing this data, multiple guides may be developed for implant positioning, bone harvesting, and immediate prosthesis placement. The latter can also be designed and 3D printed prior to the surgical intervention.  Digital breakthroughs are increasingly included into modern dentistry. Software-driven approaches, automation, and technology integration are replacing traditional processes. Establishing safe therapeutic procedures that produce exceptional and reliable clinical results is the goal. Using a clinical case, this presentation demonstrates the critical stages of implant therapy, such as digital impressions, treatment planning, 3D implant placement and 3D printed surgical guides, beginning with bone resection and guided implant to an  immediate denture placement.

Biography:

Nidal Elmoutawakkil graduated in June 2015 with a Doctorate in Dental Medicine from the Faculty of Dentistry in Casablanca, receiving the highest honors and the congratulations of the jury. In the same year, she also earned a Certificate in Implantology and Maxillofacial Surgery from Paul Sabatier University in Toulouse, France. A year later, Nidal Elmoutawakkil obtained a University Diploma in Implantology and Maxillofacial Surgery from Paul Sabatier University, graduating as valedictorian of her class. In June 2018, she earned a C.E.S.U. (Certificate of Advanced Studies in Dental Occlusodontics) from the University of Marseille. During the same period, she also completed a CAD/CAM Dental Certificate at Smile Academy. From 2013 to 2017, she worked full-time as a dentist in a multidisciplinary private dental center. Subsequently, from 2017 to 2021, she served as a full-time resident in the Department of Removable Prosthodontics at the Dental Consultation and Treatment Center of Ibn Rochd University Hospital. In June 2021, she obtained the National Diploma in Dental Prosthodontics (DNSO) from the Faculty of Dentistry in Casablanca. In October 2025, she joined the Department of Removable Prosthodontics and Maxillofacial Surgery as an Assistant Professor at the Faculty of Medicine, Pharmacy, and Dentistry of Sidi Mohammed Ben Abdellah University.