Accurate digital implantology and prosthodontics (TF) workflows
What is TF workflows?
Many digital instruments, techniques and concepts can be used for smile design, implant planning and placement, as well as during the implementation of the restorative part. They are quite widely presented in media, published and recommended. However, only on rare occasions, they are validated through a proper laboratory and clinical research. Moreover, published research evaluates only a single aspect or small portion of the workflow. Also, it is quite often that once published, data about digital instruments is outdated already.
Accuracy of the digital workflow for teeth- and implant-supported restorations depends on a clinical situation, selected scanning and 3D printing devices, use of different strategies as well as selected implant and prosthetic components. Therefore, digital workflow for different clinical cases should be planned in advance and specific strategies have to be employed in order to maximize the treatment outcomes with selected devices.
Accurate Digital Implantology and Prosthodontics (ADIP) workflow for certain clinical scenarios is produced through the research of each clinical and lab step of the digital workflow with carefully selected dental implant systems and components. Main aspects being considered in TF workflows:
Main aspects being considered in TF workflows:
- Image acquisition, treatment simulation
- Digital smile and function design
- Static/dynamic implant navigation
- Clinical and in-vitro accuracy of digital impressions
- Image acquisition, treatment simulation
- Digital smile and function design
- Image acquisition, treatment simulation
- Image acquisition, treatment simulation
- Digital smile and function design
- Image acquisition, treatment simulation
- Image acquisition, treatment simulation
- Digital smile and function design
- Static/dynamic implant navigation
- Clinical and in-vitro accuracy of digital impressions

Step 1
Treatment planning. Digital patient model.

- Examination
- Image acquisition
- Reference objects
- Alignment
- Verification
- Restorative treatment plan
Step 2
Guides and immediate prosthetics

- Implant and abutment selection
- Guide design and manufacturing
- Immediate prosthetics design and manufacturing
Step 3
Guided surgery and loading strategy

- Guided impant positioning
- Confirmation
- Primary stability
- Healing abutments
- Immediate restoration or loading
Step 4
Digital impressions and registration

- Reference selection
- Occlusion registration
- Implant position registration
- Repositioning accuracy
Step 5
Labaratory procedures

- Verification of registrations
- Model fabrication
- Abutment selection
- CAD/CAM and 3D printing
- Finalisation
Step 6
Delivery of final restorations. Follow-up

- Try-in
- Fit evaluation
- Passive-fit
- Adjustments
- Delivery
- Follow-up
- Maintenance