Prefabricated 3D-printed full-arch implant for functional and esthetic rehabilitation: A prosthesis-integrated drill guide solution

Purpose : This study presents a detailed digital workflow for a prefabricated, 3D-printed full-arch fixed implant system, integrating an interim prosthesis with a full or pilot hole drill implant guide. The aim is to offer a precise and efficient protocol for immediate full-arch implant loading, improving both functional and esthetic outcomes. Methods : A systematic, step-by-step protocol was developed using digital simulation and virtual design to fabricate prefabricated prostheses. These prostheses, in conjunction with surgical drill templates, enable immediate functional and esthetic loading. The integration of the provisional restoration with the drill guide reduces discrepancies in prosthesis repositioning during resin injection to secure the pre-cut temporary cylinders. Conclusions : This digital approach provides an accurate and cost-effective solution for immediate full-arch implant loading. By minimizing repositioning errors and streamlining digital workflows, it enhances precision and clinical outcomes for full-arch rehabilitation.