Digitally milled multifunctional guide for immediate anterior implant placement and provisionalization

Mendoza-Azpur G.; Valenzuela M.V.; Agurto J.R.A.; Castaneda A.; Padilla-Avalos C.-A. · Journal of Indian Prosthodontic Society (2026) · DOI: 10.4103/jips.jips_598_25

Resumen

This case report describes a digital workflow for immediate implant placement and provisionalization in the maxillary aesthetic zone using a digitally milled multifunctional surgical-prosthodontic guide with an integrated precontoured veneer-type restoration. Intraoral scanning, cone-beam computed tomography, and computer-aided design were combined to fabricate a guide incorporating a polymethyl methacrylate restoration for immediate provisionalization. Simultaneous hard- and soft-tissue management was performed to preserve the facial contour and enhance gingival thickness. The digital plan was reproduced clinically with high fidelity, achieving primary stability and favorable peri-implant soft-tissue architecture. Harmonious aesthetic integration was observed. This digitally milled multifunctional guide provides a precise, efficient, and biologically aligned workflow for anterior implant rehabilitation by unifying guided surgery and immediate provisionalization in a single preplanned procedure.

Instituciones: Universidad Científica del Sur; Universidad Privada San Juan Bautista; Universidad Privada Norbert Wiener