A One-step guided implant placement using a modified porcelain bridge as a support for a surgical guide and immediate removable prosthesis

Implant, Dentistry, Surgical guide , 3dprint, cadcam, Planning.

Sinan Arllati
Dentist,iDentik Dental Clinic,
Prishtina, Kosovo
PhDC candidate, University of
Zagreb, School of Dental
Medicine, Croatia
1

Kreshnik Syka
Oral Surgeon,Dental Laser
Center, Prishtina, Kosovo
2

European Journal of Prosthodontics and Restorative Dentistry (2026) 34 (04s),253–257

A One-step guided implant
placement using a modified
porcelain bridge as a support
for a surgical guide and
immediate removable
prosthesis

Statement of problem. Stabilization of a surgical guide in patients with existing fixed prostheses can be difficult and may require prosthesis removal, increasing chair time and loss of prosthetic reference. A prosthetically driven technique is presented in which a pre-existing porcelain fixed partial denture was modified to allow seating of a surgical guide for guided implant placement ¹˒³. Three implants were placed in the maxilla at positions 24, 25, and 12 using a single surgical procedure. A removable prosthesis fabricated preoperatively was delivered immediately after implant placement. ²˒³˒⁶.This technique maintains prosthetic reference during surgery, reduces treatment time, and improves patient comfort. ²,⁶. Purpose. The purpose of this dental technique is to describe a simplified method for guided implant placement in the presence of an existing porcelain fixed prosthesis,and allow immediate removable prosthesis delivery.

Received-20-05-2026 Revised-24-06-2026 Accepted-28-06-2026

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