Observational analysis reveals enhanced prosthetic accuracy in full-arch immediate implant loading, suggesting a reliable workflow with reduced biological risk.
The PRECISE protocol (Prosthetic Reconstruction Engineered through CBCT Integration and Skeletal Engagement) presents a fully digital workflow for full-arch immediate implant loading, combining intra-oral photogrammetry (IPG) with skeletal-based cone beam CT referencing to enhance prosthetic accuracy and occlusal precision. This protocol integrates simplified data acquisition, remote prosthetic design, in-house 3D printing and a nurse-led finishing protocol, enabling same-day delivery while reducing surgical time, biological risk and technical complexity. Early clinical experience demonstrates promising accuracy and efficiency; however, further research is required to validate long-term outcomes and assess applicability across a broader range of cases. The PRECISE protocol offers a reproducible and predictable approach to full-arch rehabilitation. CPD/Clinical Relevance: This protocol enhances the accuracy and predictability of full-arch immediate implant loading through intra-oral photogrammetry, cone beam CT integration, remote design and 3D printing.
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Virani et al. (2025) studied this question.
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