Flapless surgery and immediate loading of implants in fully edentulous patients using computer-aided implant surgery.

Aim of the work. The aim of this report is to elucidate how is possible to obtain , in complete edentulism treatment, a truly immediate loading using dedicated SimPlant software , that offer all information for the guided implant placement and the creation of a temporary prosthesis beforehand. Materials and methods. A CT scan was taken with a complete radiopaque scan prosthesis; the CT data were prepared for using by the SimPlant Pro 8.3 software to plan the exact position of the implants. Following these guidelines a mucosa-supported SurgiGuide is produced. A flapless implant site preparation was performed . In total 22 implants were placed in complete edentulous patient. The abutments were positioned and the impression for the final restoration was taken. Immediately the patient received the temporary bridge that was prepared prior to the surgery in the dental laboratory. Results and conclusions. Due to the flapless surgery, postoperative swelling and pain are limited. The computer-aided planning and SurgiGuide templates allow us to place a temporary fixed prosthesis within hours and an aesthetic and functional final restoration within some days.