A fully digital approach for implant fixed complete dentures: A case report.

INTRODUCTIONS Intraoral scanner has been widely used for implant impression in partially edentulous cases; however, its accuracy in the impression of full-arch implant is still questionable. CLINICAL REPORT This clinical report presents a technique to check the accuracy of intraoral scanning for complete-arch implant restorations using an implant index cast (The Glossary of Prosthodontic Terms 9th Edition) and a three-dimensional printed cast. A clinical case of immediate loading on a maxillary edentulous patient illustrates the application of an implant index cast in implant fixed complete dentures (IFCDs). DISCUSSION The implant index cast was fabricated based on the immediate interim prosthesis and provides effective control of the fit of scanned files and printed models. Therefore, this approach allows a more predictable and accurate fit of the final prosthesis. CLINICAL SIGNIFICANCE In this article, we present a technique to check the accuracy of the final prosthesis without the need for a conventional impression and final cast in a digital workflow. This proposed approach is demonstrated through a case report of a maxillary edentulous patient restored with immediate loaded IFCDs.