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Predictable digital prosthodontics with Total Fit Workflows

Prof. Vygandas Rutkunas

DDS, PhD

Vilnius University

Predictability is key in prosthodontics. Discover how to enhance accuracy and efficiency in your practice by integrating technology like Prof. Vygandas Rutkunas did. He shares the six-step Total Fit Workflow for dental implantology, featuring 3Shape digital solutions.

Watch dr. Rutkunas’ 3Shape Discover talk, Predictable Digital Prosthodontics with Total Fit Workflows below

|The audio in this presentation has been translated with the help of AI.

As a dental professional deeply entrenched in the digital revolution of our field, I’ve witnessed firsthand the transformative impact of digital tools on dental practices. Over the past decade, the evolution of digital dentistry has not only refined how we approach traditional procedures but also significantly enhanced patient outcomes.

Today, I’m eager to share the methodology pivotal in my practice: the six-step Total Fit Workflow, enhanced through integrating 3Shape’s cutting-edge digital solutions.

Step 1: Treatment Planning - Digital Patient Model

The journey begins with a comprehensive digital patient model, which involves a thorough examination, image acquisition, and the use of reference objects for alignment and verification. Utilizing 3Shape’s software, we create a restorative treatment plan encompassing these elements, setting a solid foundation for the workflow.

Solutions that can be used during this step:

  • 3Shape TRIOS: intraoral scanner used for capturing high-resolution digital impressions of the patient’s oral cavity
  • 3Shape Implant Studio: Used for planning the implant placement within the digital patient model

Step 2: Guides and immediate prosthetics

The second step focuses on selecting appropriate implants and abutments, followed by designing and manufacturing surgical guides and immediate prosthetics using 3Shape’s solutions. This step ensures that the surgical and prosthetic components align with the treatment goals. 

Solutions that can be used during this step:

  • 3Shape Implant Studio: used for designing surgical guides and planning the placement of implants
  • 3Shape Dental System: used for design and manufacturing of immediate prosthetics

Step 3: Guided surgery and loading strategy

Guided implant positioning is critical during the dental implant surgery. We confirm implant placement, assess primary stability, and decide on the appropriate healing abutments and immediate restoration or loading strategies. These processes are crucial for optimal healing and integration of the implant. 

Solutions used during this step:

  • 3Shape Implant Studio: ensures that the surgical guides are accurately designed to aid in guided surgery
Accurate surgical guides

How to ensure appropriate digital scanning image alignment by introducing reference objects.

Reference objects

The use of reference objects helps ensure higher accuracy of dental implant planning.

Step 4: Digital impressions and registration

This step involves taking digital impressions and registering the implant positions with impeccable accuracy. Using 3Shape’s TRIOS Intraoral scanner, we ensure that all occlusal registrations and repositioning accuracies are meticulously captured, which is vital for the subsequent laboratory procedures.

Solutions that can be used during this step:

  • 3Shape TRIOS: vital for accurate digital impressions and dental implant position registration
  • Shape Dental System: used for dental CAD designs based on the digital data collected

Step 5: Laboratory Procedures

Our laboratory procedures are comprehensive. They begin with the verification of registrations, followed by model fabrication and abutment selection. We utilize CAD/CAM and 3D printing technologies to finalize the restorations, ensuring each component fits perfectly within the patient’s unique dental architecture.

Solutions that can be used during this step:

  • 3Shape Dental System: used extensively in the laboratory for designing of prosthetics, and possibly integrating with CAD/CAM systems for the fabrication of the final prosthesis.
  • 3Shape CAMbridge: potentially used for CAM processing and to facilitate 3D printing procedures

Step 6: Delivery of final restorations and follow-up

The final step involves the try-in and fit evaluation of the restorations, necessary adjustments, and the ultimate delivery. We closely monitor the passive fit and conduct follow-ups to ensure the long-term success and maintenance of the implants.

|Prof. Vygandas Rukunas gets detailed with the Total Fit Workflow

There is so much to explore

Integrating 3Shape’s digital solutions across these steps has significantly improved the quality and efficiency of dental implant procedures in my practice. By sharing this Total Fit Workflow, I hope to inspire other dental professionals to leverage digital dentistry’s potential. 

I encourage my peers to explore these technologies and workflow to see firsthand the improvements they can bring to your practice and your patients. 

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About Prof. Vygandas Rutkunas

Prof. Vygandas Rutkunas

DDS, PhD

Vilnius University

Prof. Vygandas Rutkunas, DDS, PhD, is a prominent figure in dentistry, renowned for his expertise in digital implantology and prosthetic dentistry. With over a decade of experience, he has made significant contributions to the advancement of intraoral scanning and digital dental technologies.

Prof. Rutkunas has shared his extensive knowledge through numerous lectures and publications, helping to shape the future of dental practices worldwide. His commitment to integrating innovative technologies into everyday clinical practice has positioned him as a leading authority in digital dentistry.

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