COMPUTER-ASSISTED SURGERY FOR IMPLANT-PROSTHETIC REHABILITATION IN FRAGILE PATIENTS

Aim: the aid of guided surgery in prosthetic implant rehabilitations in fragile patients, allows to reduce the operating time, to ensure a lesser invasiveness and to predict the position of the implant so as to make the prosthetic product in pre-operative phase. Methods: 3 patients were selected with sufficient amount of bone to perform all-on-4 and all-on-6 immediate loading with implants of length³ 8.5 mm and diameter 4 mm. Caregivers were included in an educational and preventive program to ensure patients’ proper oral hygiene, appropriate nutrition, and elimination of risk factors for their oral health. In addition, instructions for the management of prosthetic restorations were provided. Results: at 1-year follow-up, the prostheses are still stable and in place. No implant loss was observed, and patients/caregivers reported no painful episodes. Conclusions: the prevention, treatment and rehabilitation of fragile patients through today’s available technological innovation of surgical template, leads dentistry to be an inclusive medical discipline, following the UN and WHO 2030 Agenda Objectives 3 and 10 on sustainable development.