Case 52: ALL ON X- COMPLETE DIGITAL WORKFLOW(One Smile At A Time)

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 Here is a case where the entire rehabilitation was carried out digitally. Its a case of terminal dentition of maxillary arch with no loss of vertical dimension. It all starts with diagnostic photographs and video to assess the lip dynamics and expected esthetic outcome. 2-d Photoshop smile design is carried out and communicated to the lab for a digitally guided stackable guide that involves guides for bone reduction, osteotomy and immediate provisionalisation which is seen in sequence here. When ready for final prosthesis, a prototype is milled to verify the digital impression thats carried out using truabutment scanbodies. the final zirconia prostheis was made hybrid with a titanium frame with direct screws over MUAs.

IOS upper

IOS lower

frontal view - pre op

Photoshop smile design


 Digital plan

Printed stackable temporaries

Osteotomy guide

Index guide

Base/Foundation guide

Place the index guide first

Anchor the base guide


Osteotomy guide in place


Implants placed

Provisionals in Place

After 6 months we proceeded with final prosthesis which involves digital impression using truabutment scan bodies.





After 6 months the final prosthesis was carried out with sequential placement of a printed PMMA prototype before finalising zirconia prosthesis

Printed prototype to verify everything prosthodontically.




Happy Smile!







Location: Barrie, ON, Canada

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